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| <html> | |
| <head> | |
| <meta http-equiv="Content-Type" | |
| content="text/html; charset=iso-8859-1"> | |
| <meta name="GENERATOR" content="Microsoft FrontPage Express 2.0"> | |
| <title>Welcome to our Signup Page</title> | |
| </head> | |
| <body bgcolor="#FFFFFF"> | |
| <table border="0" cellpadding="0" cellspacing="10" width="450"> | |
| <tr> | |
| <td><p align="center"><font size="2" face="Verdana"><img | |
| src="logo.gif" width="400" height="86"></font></p> | |
| <p align="center"><font size="2" face="Verdana">Please | |
| use the following form if you would like to pay for your | |
| account using a Credit Card.</font></p> | |
| <p align="center"><font size="2" face="Arial"><strong>By | |
| clicking the "Submit" button at the end of this | |
| form, you agree to the </strong></font><a | |
| href="terms.html"><font size="2" face="Arial"><strong>terms | |
| and conditions</strong></font></a><font size="2" | |
| face="Arial"><strong> stated by Cyber-Hostmaster.</strong></font></p> | |
| <p align="center"><font size="5" face="Verdana"><u><img | |
| src="signup-globe.gif" width="140" height="130"><br> | |
| </u></font><font size="4" face="Verdana"><u>Sign up form | |
| below</u></font></p> | |
| <form action="http://www.safeandsecure.net/cgi-bin/sendit.pl" | |
| method="POST"> | |
| <input type="hidden" name="recipient" | |
| value="webmaster@hspro.com"><hr> | |
| <div align="center"><center><table border="0"> | |
| <tr> | |
| <td><font size="2" face="Arial"><b>Full name</b></font></td> | |
| <td><font face="Arial"><input type="text" | |
| size="20" name="Full name"></font></td> | |
| </tr> | |
| <tr> | |
| <td><font size="2" face="Arial"><b>Email | |
| address</b></font></td> | |
| <td><font face="Arial"><input type="text" | |
| size="20" name="Email address"></font></td> | |
| </tr> | |
| <tr> | |
| <td><font size="2" face="Arial"><b>Phone | |
| number</b></font></td> | |
| <td><font face="Arial"><input type="text" | |
| size="20" name="Phone number"></font></td> | |
| </tr> | |
| <tr> | |
| <td><font size="2" face="Arial"><strong>Address</strong></font></td> | |
| <td><font size="3" face="Arial"><input | |
| type="text" size="20" name="Address"></font></td> | |
| </tr> | |
| <tr> | |
| <td><font size="2" face="Arial"><strong>City</strong></font></td> | |
| <td><font size="3" face="Arial"><input | |
| type="text" size="20" name="City"></font></td> | |
| </tr> | |
| <tr> | |
| <td><font size="2" face="Arial"><strong>State | |
| / ZIP</strong></font></td> | |
| <td><input type="text" size="4" name="State"> | |
| / <input type="text" size="7" name="ZIP"></td> | |
| </tr> | |
| <tr> | |
| <td><font size="2" face="Arial"><strong>Domain</strong></font></td> | |
| <td><input type="text" size="20" | |
| name="Domain Name"></td> | |
| </tr> | |
| <tr> | |
| <td><font size="2" face="Arial"><strong>Card | |
| Type</strong></font></td> | |
| <td><select name="Card Type" size="1"> | |
| <option selected | |
| value="Please click to select">Please click to select</option> | |
| <option value="Visa">Visa</option> | |
| <option value="Master Card">Master Card</option> | |
| <option value="American Express">American Express</option> | |
| <option value="Discover">Discover</option> | |
| </select></td> | |
| </tr> | |
| <tr> | |
| <td><font size="2" face="Arial"><strong>Credit | |
| Card #</strong></font></td> | |
| <td><input type="text" size="20" | |
| name="Credit Card #"></td> | |
| </tr> | |
| <tr> | |
| <td><font size="2" face="Arial"><strong>Expiration | |
| Date</strong></font></td> | |
| <td><input type="text" size="20" | |
| name="Expiration Date"></td> | |
| </tr> | |
| <tr> | |
| <td><font size="2" face="Arial"><strong>Name | |
| on Card</strong></font></td> | |
| <td><input type="text" size="20" | |
| name="Name on Card"></td> | |
| </tr> | |
| </table> | |
| </center></div><hr> | |
| <div align="center"><center><table border="0" | |
| width="100%"> | |
| <tr> | |
| <td><p align="left"><font size="2" | |
| face="Verdana">Account type:</font><font | |
| face="Arial"><u><br> | |
| </u></font><select name="Account Type" | |
| size="1"> | |
| <option selected>Click to select account type</option> | |
| <option value="Basic Site">Basic Site</option> | |
| <option value="Silver Account">Silver Account</option> | |
| <option value="Gold Account">Gold Account</option> | |
| <option value="Master Account">Master Account</option> | |
| <option value="Business Account">Business Account</option> | |
| <option value="Corporate Package">Corporate Package</option> | |
| </select></p> | |
| <p align="left"><font size="2" face="Verdana">Payment | |
| plan:</font><br> | |
| <select name="D1" size="1"> | |
| <option selected | |
| value="Please Click to select">Please Click to select</option> | |
| <option value="Quarterly Payments">Quarterly Payments</option> | |
| <option value="Yearly Payments">Yearly payments/+ 1/m free</option> | |
| </select></p> | |
| <p align="center"><font size="2" | |
| face="Verdana"><strong>Please select your | |
| account</strong></font><strong><br> | |
| </strong><font size="2"><strong>Add ON's from | |
| below</strong></font></p> | |
| <p align="left"><input type="checkbox" | |
| name="InterNIC registration" value="ON"><font | |
| size="2" face="Verdana"><strong>Please keep | |
| this box checked if you would like us to sign | |
| up your account with InterNIC. $25 setup.</strong></font></p> | |
| <p align="left"><input type="checkbox" | |
| name="InterNIC transfer" value="ON"><font | |
| size="2" face="Verdana"><strong>Please check | |
| this box if you would like us to transfer | |
| your account with InterNIC. $25 transfer.</strong></font></p> | |
| <p align="left"><input type="checkbox" | |
| name="Secure Server" value="ON"><font | |
| size="2" face="Verdana"><strong>Please check | |
| this box if you would like a secure server. | |
| Their is a $12 a month charge for the secure | |
| server with no startup fees.</strong></font></p> | |
| <p align="left"><input type="checkbox" | |
| name="Search eng." value="ON"><font size="2" | |
| face="Verdana"><strong>Please check this box | |
| if you would like Cyber-Hostmaster to submit | |
| your new web site to over 400 search engines | |
| for only $19.</strong></font></p> | |
| </td> | |
| </tr> | |
| </table> | |
| </center></div><hr> | |
| <p align="center"><font size="2" face="Arial">We here | |
| at Cyber-Hostmaster are dedicated to offering top | |
| quality service to everyone. Our response time to all | |
| e-mail is 4 to 12 hours on a "busy" day. So | |
| please be patient, your submission will be placed | |
| next in line along with others.</font></p> | |
| <p align="center"><font size="2" face="Arial">Once we | |
| receive your submission. You will be e-mailed with | |
| instructions on what procedures to take next so that | |
| you can finish your signup process.</font></p> | |
| <p align="center"><font size="2" face="Arial"><strong>By | |
| clicking the "Submit" button below, you | |
| agree to the </strong></font><a href="terms.html"><font | |
| size="2" face="Arial"><strong>terms and conditions</strong></font></a><font | |
| size="2" face="Arial"><strong> stated by | |
| Cyber-Hostmaster.</strong></font></p> | |
| <p align="center"><input type="submit" | |
| name="Form submission for Web Hosting" value="Submit"> | |
| <input type="reset" name="Reset form" | |
| value="Reset form"> <br> | |
| <font size="1" face="Verdana"><strong><br> | |
| Please only press submit once. And please wait a | |
| couple of minutes while the form gathers all your | |
| information.</strong></font></p> | |
| </form> | |
| </td> | |
| </tr> | |
| </table> | |
| </body> | |
| </html> |