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- '/=======================================================>
- '/ Signup Server Sample Page 01
- '/ Modified by Edward C Kubaitis
- '/ Rev .07 9/98
- '/ Rev .06 6/98
- '/=======================================================>
- '/=======================================================>
- '/ Build the NEXT BACKURL
- '/=======================================================>
- NEXTURL = "http://myserver/signup02.asp"
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- %>
-
-
- <HTML>
- <HEAD>
- <TITLE>IEAK Sample</TITLE>
- </HEAD>
- <BODY bgColor=THREEDFACE color=WINDOWTEXT><FONT style="font: 8pt ' ms sans serif' black">
- <FORM NAME="PAGEID" ACTION="PAGE1" STYLE="background:transparent"></FORM>
- <FORM NAME="BACK" ACTION="" STYLE="background:transparent"></FORM>
- <FORM NAME="PAGETYPE" ACTION="" STYLE="background:transparent"></FORM>
- <FORM NAME="NEXT" ACTION="<% =NEXTURL %>" STYLE="background:transparent">
- <P style="margin-top=-10;">
- <TABLE style="font: 8pt ' ms sans serif' black" cellpadding=0 cellspacing=0>
-
- <tr><td>First Name<br><INPUT NAME="USER_FIRSTNAME" TYPE="INPUT" VALUE="<% =USER_FIRSTNAME%>"></td>
- <td>Last Name<br><INPUT NAME="USER_LASTNAME" TYPE="INPUT" VALUE="<% =USER_LASTNAME%>"></td></tr>
- <tr><td colspan=2>Company<br><INPUT NAME="USER_COMPANYNAME" SIZE=42 TYPE="INPUT" VALUE="<% =USER_COMPANYNAME%>"></td></tr>
- <tr><td colspan=2>Address<br><INPUT NAME="USER_ADDRESS" TYPE="INPUT" SIZE=42 VALUE="<% =USER_ADDRESS%>"></td></tr>
- <tr><td colspan=2>Additional Address Information (Optional)<br>
- <INPUT NAME="USER_MOREADDRESS" TYPE="INPUT" SIZE=42 VALUE="<% =USER_MOREADDRESS%>"></td></tr>
-
- <tr><td>City<br><INPUT NAME="USER_CITY" TYPE="INPUT" VALUE="<% =USER_CITY%>">
- </td><td>State or province<br><input type=input name=USER_STATE VALUE="<% =USER_STATE%>"></td></tr>
- <tr><td>ZIP or postal code<br><INPUT NAME="USER_ZIP" TYPE="INPUT" VALUE="<% =USER_ZIP%>"></td>
- <td>Phone number<br><INPUT NAME="USER_PHONE" TYPE="INPUT" VALUE="<% =USER_PHONE%>"></td></tr>
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- </TABLE>
- </FORM>
- </BODY>
- </HTML>