mirror of
https://github.com/Mibew/mibew.git
synced 2024-11-15 08:34:11 +03:00
0494f14034
git-svn-id: https://webim.svn.sourceforge.net/svnroot/webim/trunk@547 c66351dc-e62f-0410-b875-e3a5c0b9693f
65 lines
2.6 KiB
PHP
65 lines
2.6 KiB
PHP
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<form id="loginForm" name="loginForm" method="post" action=".php">
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<table width="300" border="0" align="center" cellpadding="2" cellspacing="0">
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<tr>
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<th>First Name </th>
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<td><input name="fname" type="text" class="textfield" id="fname" /></td>
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</tr>
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<tr>
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<th>Last Name </th>
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<td><input name="lname" type="text" class="textfield" id="lname" /></td>
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</tr>
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<tr>
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<th>City </th>
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<td><input name="city" type="text" class="textfield" id="city" /></td>
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</tr>
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<tr>
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<th>State </th>
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<td><input name="state" type="text" class="textfield" id="state" /></td>
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</tr>
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<tr>
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<th>Country </th>
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<td><input name="country" type="text" class="textfield" id="country" /></td>
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</tr>
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<tr>
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<th>Phone </th>
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<td><input name="phone" type="text" class="textfield" id="phone" /></td>
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</tr>
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<tr>
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<th>Email </th>
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<td><input name="email" type="text" class="textfield" id="email" /></td>
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</tr>
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<tr>
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<th width="124">Login</th>
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<td width="168"><input name="login" type="text" class="textfield" id="login" /></td>
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</tr>
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<tr>
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<th>Password</th>
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<td><input name="password" type="text" class="textfield" id="password" /></td>
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</tr>
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<tr>
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<th>Confirm Password </th>
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<td><input name="cpassword" type="text" class="textfield" id="cpassword" /></td>
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</tr>
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<div align="center" ><font color="red">Please click the PayPal button before you click submit!</font></div>
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<tr>
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<td> </td>
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<td><input type="submit" name="Submit" value="Register" /></td>
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</tr>
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</table>
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<div align="center" >Your username will follow http://host.mibew.com/. </div>
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<div align="center" ><font color="red">If you have any questions, please don't fill this out. Post a ticket <a href="http://support.openwebim.org"> Click here </a></font> </div>
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</form>
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<form align="center" action="https://www.paypal.com/cgi-bin/webscr" method="post">
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<input align="center" type="hidden" name="cmd" value="_s-xclick">
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<input type="hidden" name="hosted_button_id" value="5951679">
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<input type="image" src="https://www.paypal.com/en_US/i/btn/btn_buynowCC_LG.gif" border="0" name="submit" alt="PayPal - The safer, easier way to pay online!">
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<img align="center" alt="" border="0" src="https://www.paypal.com/en_US/i/scr/pixel.gif" width="1" height="1">
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</form>
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<link href="default.css" rel="stylesheet" type="text/css" />
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<div id="footer">
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<p id="legal"><a href="http://openwebim.org/" class="flink">Open Web Messenger</a> 1.6.1 | (c) 2009 openwebim.org</p>
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</div>
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