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Text File  |  2001-06-04  |  5.2 KB  |  152 lines
  1. <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
  2. <html>
  3. <head>
  4. <title>Eyetech Group Ltd: User registration</title>
  5. <META http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
  6. <META NAME="description" CONTENT="Eyetechs Amiga hardware, software and services catalogue">
  7. <META NAME="keywords" CONTENT="Amiga,A1200,Scandoubler,Flickerfixer,Zorro,EZTower,CDPlus,EZLink,EZPC,Siamese,EZVGA,EZKey,Netconnect,STFax,Accelerator,Apollo,BMON,IOBlix,Turboprint,MakeCD,Scanquix,Z4,Prelude,OS3.5,2B,1D4,Barcode,bar code,mailorder,software,ecommerce,ebusiness,presentation systems,TV,Video,warehouse,track,trace,catalog,catalogue,despatch,dispatch,goods,distribution,fulfilment,Eyesupply"></head>
  8. <body bgcolor="white" text="black" background="/newlogo/background.gif">
  9. <basefont face="Verdana,Arial,Helvetica" size="3">
  10.     <div align="right">
  11.     <font color="black"><b><a href="http://www.eyetech.co.uk/login.php">Log in</a></b></font> | <a href="http://www.eyetech.co.uk/search.php"><img src="/newlogo/search_sm.gif" width="11" height="11" alt="Search for a product" border="0" align="bottom"></a>
  12. </div><p>
  13.     <div align="center">
  14.     <img src="/newlogo/eyelogo.jpg" width="325" height="71" border="1" alt="Eyetech Group Ltd">
  15.     <p>
  16.     <font size="5">Eyetech Group Ltd</font>
  17.     </div>
  18.     <p>
  19.     <form action="/login.php" method="post">
  20.     <input type="hidden" name="LastPage" value="http://www.eyetech.co.uk:80/">
  21.     <table align="center" bgcolor="#E0E0E0" rules="none" border="1" bordercolor="black" cellpadding="5" cellspacing="0">
  22.     <tr><td><table width="100%" border="0">
  23.     <tr><td colspan="2" align="center"><h3>Existing users login here</h3></td></tr>
  24.     <tr><td>E-mail address:</td><td><input type="text" name="Login" value=""></td></tr>
  25.     <tr><td>Password:</td><td><input type="password" name="Password"></td></tr>
  26.     <tr><td>Remember me:</td><td><input type="checkbox" name="autologin"></td></tr>
  27.     
  28.     <tr>
  29.         <td colspan="2" align="center">
  30.         <input type="submit" name="Action" value="  Login  ">
  31.          
  32.         <input type="submit" name="Action" value="  Cancel  ">
  33.         </td>
  34.     </tr>
  35.     
  36.     </table></td></tr>
  37.     </table>
  38.     </form>
  39.     <p>
  40.     <div align="center">Forgotten your password?
  41.     <a href="/login.php?Action=LostPassword">Click here</a></div>
  42.     <p>
  43.         <form action="/login.php" method="post">
  44.     <input type="hidden" name="LastPage" value="http://www.eyetech.co.uk:80/">
  45.     <table align="center" bgcolor="#E0E0E0" border="1" bordercolor="black" width="90%" cellpadding="5" cellspacing="0">
  46.     <tr><td><table width="100%" border="0">
  47.     <tr>
  48.         <td colspan="2" align="center"><h3>New users register here</h3></td>
  49.     </tr>
  50.     <tr valign="top"><td><table width="50%">
  51.         <tr>
  52.             <td nowrap>Name:
  53.             </td>
  54.             <td><input type="text" name="Name" value=""></td>
  55.             
  56.         </tr>
  57.         <tr>
  58.             <td nowrap>E-mail:
  59.             </td>
  60.             <td><input type="text" name="Email" value=""></td>
  61.         </tr>
  62.         <tr>
  63.             <td nowrap>Phone:
  64.             </td>
  65.             <td><input type="text" name="Phone" value=""></td>
  66.         </tr>
  67.         <tr>
  68.             <td nowrap>Password:
  69.             </td>
  70.             <td><input type="password" name="Password"></td>
  71.         </tr>
  72.         <tr>
  73.             <td nowrap>Confirm password:
  74.             </td>
  75.             <td><input type="password" name="Password2"></td>
  76.         </tr>
  77.         <tr>
  78.             <td nowrap>Country:
  79.             </td>
  80.             <td><select name="Country">
  81.                 <option>Please select
  82.                 <option>United Kingdom
  83. <option>Channel Islands
  84. <option>Other
  85.             </select></td>
  86.         </tr>
  87.         <tr>
  88.             <td nowrap>Existing customer?</td>
  89.             <td><input type="checkbox" name="ExistingCustomer" value="Y"></td>
  90.         </tr>
  91.     </table></td>
  92.  
  93.     <td><table width="50%">
  94.         <tr>
  95.             <td nowrap>Address:
  96.             </td>
  97.             <td><input type="text" name="Address1" value=""></td>
  98.         </tr>
  99.         <tr>
  100.             <td rowspan="3" valign="top">
  101.              </td>
  102.             <td><input type="text" name="Address2" value=""></td>
  103.         </tr>
  104.         <tr>
  105.             <td><input type="text" name="Address3" value=""></td>
  106.         </tr>
  107.         <tr>
  108.             <td><input type="text" name="Address4" value=""></td>
  109.         </tr>
  110.         <tr>
  111.             <td nowrap>Post code:
  112.             </td>
  113.             <td><input type="text" name="Postcode" value=""></td>
  114.         </tr>
  115.         <tr>
  116.             <td nowrap>If "Other":
  117.             <td><input type="text" name="OtherCountry" value=""></td>
  118.         </tr>
  119.         <tr>
  120.             <td nowrap>Customer code:
  121.             <td><input type="text" name="CustCode" value=""></td>
  122.         </tr>
  123.     </table></td></tr>
  124.     <tr>
  125.         <td colspan="2"><font size="-1">If you have oredered from Eyetech previously and you know your customer code,
  126.                       please enter it here. It is not essential but it will speed up the processing
  127.                       of your order</font></td>
  128.     </tr>
  129.     <tr><td colspan="2">
  130.         Send me email updates
  131.         <input type="checkbox" name="Announce" value="Y"><br>
  132.         <font size="-2">Select this to receive email updates about Eyetech products, offers and news.
  133.                      We will not pass your address onto third parties. It will only be used to send
  134.                      information from Eyetech. You may unsubscribe from our announcement list at any time.</font>
  135.     </td></tr>
  136.     <tr>
  137.         <td colspan="2" align="center">
  138.         <input type="submit" name="Action" value="  Register  ">
  139.          
  140.         <input type="submit" name="Action" value="  Cancel  ">
  141.         </td>
  142.     </tr>
  143.  
  144.     </table></td></tr>
  145.     </table>
  146.     </form>
  147.     <p>
  148.     <p>
  149. <h5 align="center"><a href="http://www.eyetech.co.uk/">Return to home page</a></h5>
  150. <h5 align="center">This site is © 2001 Eyetech Group Limited<br>All trademarks acknowledged</h5>    </body>
  151.     </html>
  152.