mirror of
https://github.com/mozilla/gecko-dev.git
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840 lines
25 KiB
HTML
840 lines
25 KiB
HTML
<!doctype html public "-//w3c//dtd html 4.0 transitional//en">
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<html>
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<head>
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<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
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<meta name="GENERATOR" content="Mozilla/4.73 [en] (WinNT; U) [Netscape]">
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<title>Form Manager Interview</title>
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</head>
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<body text="#000000" bgcolor="#FFFFFF" link="#0000FF" vlink="#CC0000">
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<center><table BORDER=0 CELLSPACING=0 CELLPADDING=0 WIDTH="600" >
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<tr>
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<td WIDTH="448" HEIGHT="50" BGCOLOR="#EBEBEB">
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<center><b><font color="#333366"><font size=+2>
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Form Manager Interview</font></font></b></center>
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</td>
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</tr>
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</table></center>
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<center><table BORDER=0 CELLSPACING=0 CELLPADDING=0 WIDTH="600" >
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<tr>
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<td WIDTH="1" BGCOLOR="#CCCCCC"></td>
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<td WIDTH="598" BGCOLOR="#CCCCCC"></td>
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<td WIDTH="1" BGCOLOR="#CCCCCC"></td>
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</tr>
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<tr>
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<td ALIGN=CENTER WIDTH="598">
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<table BORDER=0 CELLSPACING=0 CELLPADDING=5 WIDTH="590" >
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<tr WIDTH="590">
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<td WIDTH="590"><!-- CONTENT -->
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<center>
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<h3>
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<font color="#CC6600"><font size=-1>Enter
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your Form Manager Information here</font></font></h3></center>
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<script>
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function Save() {
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var walletService = Components.classes["@mozilla.org/wallet/wallet-service;1"].
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getService(Components.interfaces.nsIWalletService);
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walletService.WALLET_RequestToCapture(window._content);
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}
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function Demo() {
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window._content.location.href = 'index.html';
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}
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function getElementById(id) {
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SEAMONKEY = true;
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if (SEAMONKEY) {
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return document.getElementById(id);
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}
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/* The following code is for 4.x browser since document.getElementById is not
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* implemented there. This code could actually be used by both except
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* that it is painfully slow in seamonkey (but very fast in 4.x). So we will
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* use the document method for seamonkey and the following for 4.x.
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*/
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var element;
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var i;
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for (i=0; i<document.forms[0].length; i++) {
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if (document.forms[0].elements[i].name == id) {
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return document.forms[0].elements[i];
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}
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}
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alert("getElementById error: "+id);
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return null; /* this should never happen */
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}
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function Copy(from, to) {
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getElementById(to).value = getElementById(from).value;
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}
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function Clear(to) {
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getElementById(to).value = "";
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}
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function ShipToSelf() {
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Copy ("Name.Prefix", "ShipTo.Name.Prefix");
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Copy ("Name.First", "ShipTo.Name.First");
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Copy ("Name.Middle", "ShipTo.Name.Middle");
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Copy ("Name.Last", "ShipTo.Name.Last");
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Copy ("Name.Suffix", "ShipTo.Name.Suffix");
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Copy ("Home.Street.Line1", "ShipTo.Street.Line1");
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Copy ("Home.Street.Line2", "ShipTo.Street.Line2");
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Copy ("Home.Street.Line3", "ShipTo.Street.Line3");
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Copy ("Home.City", "ShipTo.City");
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Copy ("Home.State", "ShipTo.State");
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Copy ("Home.Prov", "ShipTo.Prov");
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Copy ("Home.PostalCode.Prefix", "ShipTo.PostalCode.Prefix");
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Copy ("Home.PostalCode.Suffix", "ShipTo.PostalCode.Suffix");
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Copy ("Home.Country", "ShipTo.Country");
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Copy ("Home.Phone.LocCode", "ShipTo.Phone.LocCode");
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Copy ("Home.Phone.Number.Prefix", "ShipTo.Phone.Number.Prefix");
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Copy ("Home.Phone.Number.Suffix", "ShipTo.Phone.Number.Suffix");
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Copy ("Home.Phone.Extension", "ShipTo.Phone.Extension");
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Copy ("Home.AltPhone.LocCode", "ShipTo.AltPhone.LocCode");
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Copy ("Home.AltPhone.Number.Prefix", "ShipTo.AltPhone.Number.Prefix");
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Copy ("Home.AltPhone.Number.Suffix", "ShipTo.AltPhone.Number.Suffix");
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Copy ("Home.AltPhone.Extension", "ShipTo.AltPhone.Extension");
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Copy ("Home.Fax.LocCode", "ShipTo.Fax.LocCode");
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Copy ("Home.Fax.Number.Prefix", "ShipTo.Fax.Number.Prefix");
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Copy ("Home.Fax.Number.Suffix", "ShipTo.Fax.Number.Suffix");
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Copy ("Home.Mobile.LocCode", "ShipTo.Mobile.LocCode");
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Copy ("Home.Mobile.Number.Prefix", "ShipTo.Mobile.Number.Prefix");
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Copy ("Home.Mobile.Number.Suffix", "ShipTo.Mobile.Number.Suffix");
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Copy ("Home.Pager.LocCode", "ShipTo.Pager.LocCode");
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Copy ("Home.Pager.Number.Prefix", "ShipTo.Pager.Number.Prefix");
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Copy ("Home.Pager.Number.Suffix", "ShipTo.Pager.Number.Suffix");
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Copy ("Home.Email", "ShipTo.Email");
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Copy ("Home.URI", "ShipTo.URI");
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}
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function BillToSelf() {
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Copy ("Name.Prefix", "BillTo.Name.Prefix");
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Copy ("Name.First", "BillTo.Name.First");
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Copy ("Name.Middle", "BillTo.Name.Middle");
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Copy ("Name.Last", "BillTo.Name.Last");
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Copy ("Name.Suffix", "BillTo.Name.Suffix");
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Copy ("Home.Street.Line1", "BillTo.Street.Line1");
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Copy ("Home.Street.Line2", "BillTo.Street.Line2");
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Copy ("Home.Street.Line3", "BillTo.Street.Line3");
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Copy ("Home.City", "BillTo.City");
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Copy ("Home.State", "BillTo.State");
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Copy ("Home.Prov", "BillTo.Prov");
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Copy ("Home.PostalCode.Prefix", "BillTo.PostalCode.Prefix");
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Copy ("Home.PostalCode.Suffix", "BillTo.PostalCode.Suffix");
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Copy ("Home.Country", "BillTo.Country");
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Copy ("Home.Phone.LocCode", "BillTo.Phone.LocCode");
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Copy ("Home.Phone.Number.Prefix", "BillTo.Phone.Number.Prefix");
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Copy ("Home.Phone.Number.Suffix", "BillTo.Phone.Number.Suffix");
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Copy ("Home.Phone.Extension", "BillTo.Phone.Extension");
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Copy ("Home.AltPhone.LocCode", "BillTo.AltPhone.LocCode");
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Copy ("Home.AltPhone.Number.Prefix", "BillTo.AltPhone.Number.Prefix");
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Copy ("Home.AltPhone.Number.Suffix", "BillTo.AltPhone.Number.Suffix");
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Copy ("Home.AltPhone.Extension", "BillTo.AltPhone.Extension");
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Copy ("Home.Fax.LocCode", "BillTo.Fax.LocCode");
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Copy ("Home.Fax.Number.Prefix", "BillTo.Fax.Number.Prefix");
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Copy ("Home.Fax.Number.Suffix", "BillTo.Fax.Number.Suffix");
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Copy ("Home.Mobile.LocCode", "BillTo.Mobile.LocCode");
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Copy ("Home.Mobile.Number.Prefix", "BillTo.Mobile.Number.Prefix");
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Copy ("Home.Mobile.Number.Suffix", "BillTo.Mobile.Number.Suffix");
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Copy ("Home.Pager.LocCode", "BillTo.Pager.LocCode");
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Copy ("Home.Pager.Number.Prefix", "BillTo.Pager.Number.Prefix");
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Copy ("Home.Pager.Number.Suffix", "BillTo.Pager.Number.Suffix");
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Copy ("Home.Email", "BillTo.Email");
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Copy ("Home.URI", "BillTo.URI");
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}
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</script>
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<form><font size=-1><i>Form
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Manager</i> is a feature that can pre-fill forms for you using information
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that you previously typed in. It can save you time when you do such
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things as register at websites or make on-line purchases.</font>
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<p><font size=-1>This
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is an interview form. Use it to enter as much or as little information
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about yourself as you like. Then select <i>Save Form Data</i> from
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the EDIT menu and the information will be stored on your computer.
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When visiting this or any other form in the future, simply select <i>Prefill
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Form</i> from the EDIT menu and the information will be prefilled for you
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automatically.</font>
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<p><font size=-1>If
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you chose not to enter the information now, you can always do so later
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when you encounter an actual form that you will want to submit. Simply
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fill in the information on the form and then select <i>Save Form Data</i>
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before submitting the form. To see what information you have already
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saved, select <i>view captured form data</i> from the FORM MANAGER submenu.</font>
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<br>
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<p><a NAME="Section I"></a><b><font color="#CC6600"><font size=-1>I.
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Name, Address, and Phone Numbers</font></font></b>
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<p><font color="#CC6600"><font size=-1>Name</font></font>
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<table BORDER=0 CELLSPACING=20 >
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<tr>
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<td><font size=-1>prefix
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(e.g., Dr., Mr., Mrs):</font></td>
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<td><input type="text" name="Name.Prefix" value="" size=20 maxlength=60></td>
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</tr>
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<tr>
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<td><font size=-1>first
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Name:</font></td>
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<td><input type="text" name="Name.First" value="" size=20 maxlength=60></td>
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</tr>
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<tr>
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<td><font size=-1>middle
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Name:</font></td>
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<td><input type="text" name="Name.Middle" value="" size=20 maxlength=60></td>
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</tr>
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<tr>
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<td><font size=-1>last
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Name:</font></td>
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<td><input type="text" name="Name.Last" value="" size=20 maxlength=60></td>
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</tr>
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<tr>
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<td><font size=-1>suffix
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(e.g., Jr., III):</font></td>
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<td><input type="text" name="Name.Suffix" value="" size=20 maxlength=60></td>
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</tr>
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</table>
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<p><font color="#CC6600"><font size=-1>Address</font></font>
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<table BORDER=0 CELLSPACING=20 >
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<tr>
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<td><font size=-1>address
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Line 1:</font></td>
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<td><input type="text" name="Home.Street.Line1" value="" size=20 maxlength=60></td>
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</tr>
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<tr>
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<td><font size=-1>address
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Line 2:</font></td>
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<td><input type="text" name="Home.Street.Line2" value="" size=20 maxlength=60></td>
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</tr>
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<tr>
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<td><font size=-1>address
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Line 3:</font></td>
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<td><input type="text" name="Home.Street.Line3" value="" size=20 maxlength=60></td>
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</tr>
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<tr>
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<td><font size=-1>city:</font></td>
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<td><input type="text" name="Home.City" value="" size=20 maxlength=60></td>
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</tr>
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<tr>
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<td><font size=-1>state
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(U.S.):</font></td>
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<td><input type="text" name="Home.State" value="" size=20 maxlength=60></td>
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</tr>
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<tr>
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<td><font size=-1>province
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(Canada)</font></td>
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<td><input type="text" name="Home.Prov" value="" size=20 maxlength=60></td>
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</tr>
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<tr>
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<td><font size=-1>zip
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code:</font></td>
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<td>
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<center><input type="text" name="Home.PostalCode.Prefix" value="" size=10 maxlength=60>-<input type="text" name="Home.PostalCode.Suffix" value="" size=8 maxlength=60></center>
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</td>
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</tr>
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<tr>
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<td><font size=-1>country:</font></td>
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<td><input type="text" name="Home.Country" value="" size=20 maxlength=60></td>
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</tr>
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<tr>
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<td><font size=-1>e-mail:</font></td>
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<td><input type="text" name="Home.Email" value="" size=20></td>
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</tr>
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<tr>
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<td><font size=-1>homepage:</font></td>
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<td><input type="text" name="Home.URI" value="" size=20></td>
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</tr>
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</table>
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<p><font color="#CC6600"><font size=-1>Phone
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Numbers</font></font>
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<table BORDER=0 CELLSPACING=20 >
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<tr>
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<td></td>
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<td><font size=-1>area
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code plus number</font></td>
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<td><font size=-1>extension</font></td>
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</tr>
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<tr>
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<td><font size=-1>day
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Phone Number:</font></td>
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<td>(<input type="text" name="Home.Phone.LocCode" value="" size=4 maxlength=60>) <input type="text" name="Home.Phone.Number.Prefix" value="" size=4 maxlength=60>-<input type="text" name="Home.Phone.Number.Suffix" value="" size=6 maxlength=60></td>
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<td><input type="text" name="Home.Phone.Extension" value="" size=5 maxlength=60></td>
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</tr>
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<tr>
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<td ALIGN=RIGHT>evening Phone Number:</td>
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<td> (<input type="text" name="Home.AltPhone.LocCode" value="" size=4 maxlength=60>) <input type="text" name="Home.AltPhone.Number.Prefix" value="" size=4 maxlength=60>-<input type="text" name="Home.AltPhone.Number.Suffix" value="" size=6 maxlength=60></td>
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<td><input type="text" name="Home.AltPhone.Extension" value="" size=5 maxlength=60></td>
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</tr>
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<tr>
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<td><font size=-1>fax
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Number:</font></td>
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<td> (<input type="text" name="Home.Fax.LocCode" value="" size=4 maxlength=60>) <input type="text" name="Home.Fax.Number.Prefix" value="" size=4 maxlength=60>-<input type="text" name="Home.Fax.Number.Suffix" value="" size=6 maxlength=60></td>
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<td></td>
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</tr>
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<tr>
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<td><font size=-1>mobile
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Number:</font></td>
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<td> (<input type="text" name="Home.Mobile.LocCode" value="" size=4 maxlength=60>) <input type="text" name="Home.Mobile.Number.Prefix" value="" size=4 maxlength=60>-<input type="text" name="Home.Mobile.Number.Suffix" value="" size=6 maxlength=60></td>
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<td></td>
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</tr>
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<tr>
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<td><font size=-1>pager
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Number:</font></td>
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<td> (<input type="text" name="Home.Pager.LocCode" value="" size=4 maxlength=60>) <input type="text" name="Home.Pager.Number.Prefix" value="" size=4 maxlength=60>-<input type="text" name="Home.Pager.Number.Suffix" value="" size=6 maxlength=60></td>
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<td></td>
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</tr>
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</table>
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<p><font color="#CC6600">Click here when you are ready to <input type="button" value="save" onclick="Save()">
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this information.</font>
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<br>
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<br>
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<p><a NAME="Section II"></a><b><font color="#CC6600"><font size=-1>II.
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Employment</font></font></b>
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<table BORDER=0 CELLSPACING=20 >
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<tr>
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<td><font size=-1>company
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Name:</font></td>
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<td><input type="text" name="Business.CompanyName" value="" size=20 maxlength=60></td>
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</tr>
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<tr>
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<td><font size=-1>job
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Title:</font></td>
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<td><input type="text" name="Business.JobTitle" value="" size=20 maxlength=60></td>
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</tr>
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<tr>
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<td><font size=-1>department:</font></td>
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<td><input type="text" name="Business.Department" value="" size=20 maxlength=60></td>
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</tr>
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</table>
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<p><font color="#CC6600">Click here when you are ready to <input type="button" value="save" onclick="Save()">
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this information.</font>
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<br>
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<br>
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<p><a NAME="Section III"></a><b><font color="#CC6600"><font size=-1>III.
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Credit Card Information</font></font></b>
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<table BORDER=0 CELLSPACING=20 >
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<tr>
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<td><font size=-1>type
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of Card:</font></td>
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<td><input type="text" name="Card.Type" value="" size=20 maxlength=60></td>
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</tr>
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<tr>
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<td><font size=-1>card
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Number:</font></td>
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<td><input type="text" name="Card.Number" value="" size=20 maxlength=60></td>
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</tr>
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<tr>
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<td><font size=-1>expiration</font></td>
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<td>
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<center>mo:<input type="text" name="Card.ExpDate.Month" value="" size=4>
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yr:<input type="text" name="Card.ExpDate.Year" value="" size=8></center>
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</td>
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</tr>
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<tr>
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<td><font size=-1>name
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on Card:</font></td>
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<td><input type="text" name="Card.Name" value="" size=20 maxlength=60></td>
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</tr>
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</table>
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<p><font color="#CC6600">Click here when you are ready to <input type="button" value="save" onclick="Save()">
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this information.</font>
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<br>
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<br>
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<p><a NAME="Section IV"></a><b><font color="#CC6600"><font size=-1>IV.
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Billing Information</font></font></b>
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<blockquote><font size=-1>Click
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here to bill to </font><input type="button" value="self" onclick="BillToSelf()">
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<p><font size=-1>Otherwise
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fill out information below</font></blockquote>
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<p><br><font color="#CC6600"><font size=-1>Bill
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To</font></font>
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<table BORDER=0 CELLSPACING=20 >
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<tr>
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<td><font size=-1>prefix
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(e.g., Dr., Mr., Mrs):</font></td>
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<td><input type="text" name="BillTo.Name.Prefix" value="" size=20 maxlength=60></td>
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</tr>
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<tr>
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<td><font size=-1>first
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Name:</font></td>
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<td><input type="text" name="BillTo.Name.First" value="" size=20 maxlength=60></td>
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</tr>
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<tr>
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<td><font size=-1>middle
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Name:</font></td>
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<td><input type="text" name="BillTo.Name.Middle" value="" size=20 maxlength=60></td>
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</tr>
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<tr>
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<td><font size=-1>last
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Name:</font></td>
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<td><input type="text" name="BillTo.Name.Last" value="" size=20 maxlength=60></td>
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</tr>
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<tr>
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<td><font size=-1>suffix
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(e.g., Jr., III):</font></td>
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|
|
|
<td><input type="text" name="BillTo.Name.Suffix" value="" size=20 maxlength=60></td>
|
|
</tr>
|
|
|
|
</table>
|
|
|
|
<p><font color="#CC6600"><font size=-1>Billing
|
|
Address</font></font>
|
|
<table BORDER=0 CELLSPACING=20 >
|
|
|
|
<tr>
|
|
<td><font size=-1>address
|
|
Line 1:</font></td>
|
|
|
|
<td><input type="text" name="BillTo.Street.Line1" value="" size=20 maxlength=60></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><font size=-1>address
|
|
Line 2:</font></td>
|
|
|
|
<td><input type="text" name="BillTo.Street.Line2" value="" size=20 maxlength=60></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><font size=-1>address
|
|
Line 3:</font></td>
|
|
|
|
<td><input type="text" name="BillTo.Street.Line3" value="" size=20 maxlength=60></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><font size=-1>city:</font></td>
|
|
|
|
<td><input type="text" name="BillTo.City" value="" size=20 maxlength=60></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><font size=-1>state
|
|
(U.S.):</font></td>
|
|
|
|
<td><input type="text" name="BillTo.State" value="" size=20 maxlength=60></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><font size=-1>province
|
|
(Canada)</font></td>
|
|
|
|
<td><input type="text" name="BillTo.Prov" value="" size=20 maxlength=60></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><font size=-1>zip
|
|
code:</font></td>
|
|
|
|
<td>
|
|
<center><input type="text" name="BillTo.PostalCode.Prefix" value="" size=10 maxlength=60>-<input type="text" name="BillTo.PostalCode.Suffix" value="" size=8 maxlength=60></center>
|
|
</td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><font size=-1>country:</font></td>
|
|
|
|
<td><input type="text" name="BillTo.Country" value="" size=20 maxlength=60></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><font size=-1>e-mail:</font></td>
|
|
|
|
<td><input type="text" name="BillTo.Email" value="" size=20></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><font size=-1>homepage:</font></td>
|
|
|
|
<td><input type="text" name="BillTo.URI" value="" size=20></td>
|
|
</tr>
|
|
</table>
|
|
|
|
<p><font color="#CC6600"><font size=-1>Billing
|
|
Phone Numbers</font></font>
|
|
<table BORDER=0 CELLSPACING=20 >
|
|
<tr>
|
|
<td></td>
|
|
|
|
<td><font size=-1>area
|
|
code plus number</font></td>
|
|
|
|
<td><font size=-1>extension</font></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><font size=-1>day
|
|
Phone Number:</font></td>
|
|
|
|
<td>(<input type="text" name="BillTo.Phone.LocCode" value="" size=4 maxlength=60>) <input type="text" name="BillTo.Phone.Number.Prefix" value="" size=4 maxlength=60>-<input type="text" name="BillTo.Phone.Number.Suffix" value="" size=6 maxlength=60></td>
|
|
|
|
<td><input type="text" name="BillTo.Phone.Extension" value="" size=5 maxlength=60></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><font size=-1>evening
|
|
Phone Number:</font></td>
|
|
|
|
<td> (<input type="text" name="BillTo.AltPhone.LocCode" value="" size=4 maxlength=60>) <input type="text" name="BillTo.AltPhone.Number.Prefix" value="" size=4 maxlength=60>-<input type="text" name="BillTo.AltPhone.Number.Suffix" value="" size=6 maxlength=60></td>
|
|
|
|
<td><input type="text" name="BillTo.AltPhone.Extension" value="" size=5 maxlength=60></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><font size=-1>fax
|
|
Number:</font></td>
|
|
|
|
<td> (<input type="text" name="BillTo.Fax.LocCode" value="" size=4 maxlength=60>) <input type="text" name="BillTo.Fax.Number.Prefix" value="" size=4 maxlength=60>-<input type="text" name="BillTo.Fax.Number.Suffix" value="" size=6 maxlength=60></td>
|
|
|
|
<td></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><font size=-1>mobile
|
|
Number:</font></td>
|
|
|
|
<td> (<input type="text" name="BillTo.Mobile.LocCode" value="" size=4 maxlength=60>) <input type="text" name="BillTo.Mobile.Number.Prefix" value="" size=4 maxlength=60>-<input type="text" name="BillTo.Mobile.Number.Suffix" value="" size=6 maxlength=60></td>
|
|
|
|
<td></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><font size=-1>pager
|
|
Number:</font></td>
|
|
|
|
<td> (<input type="text" name="BillTo.Pager.LocCode" value="" size=4 maxlength=60>) <input type="text" name="BillTo.Pager.Number.Prefix" value="" size=4 maxlength=60>-<input type="text" name="BillTo.Pager.Number.Suffix" value="" size=6 maxlength=60></td>
|
|
|
|
<td></td>
|
|
</tr>
|
|
</table>
|
|
|
|
<p><font color="#CC6600">Click here when you are ready to <input type="button" value="save" onclick="Save()">
|
|
this information. </font>
|
|
<br>
|
|
<br>
|
|
<p><a NAME="Section V"></a><b><font color="#CC6600"><font size=-1>V.
|
|
Shipping Information</font></font></b>
|
|
<blockquote><font size=-1>Click
|
|
here to ship to </font><input type="button" value="self" onclick="ShipToSelf()">
|
|
<p><font size=-1>Otherwise
|
|
fill out information below</font></blockquote>
|
|
|
|
<p><br><font color="#CC6600"><font size=-1>Ship
|
|
To</font></font>
|
|
<table BORDER=0 CELLSPACING=20 >
|
|
<tr>
|
|
<td><font size=-1>prefix
|
|
(e.g., Dr., Mr., Mrs):</font></td>
|
|
|
|
<td><input type="text" name="ShipTo.Name.Prefix" value="" size=20 maxlength=60></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><font size=-1>first
|
|
Name:</font></td>
|
|
|
|
<td><input type="text" name="ShipTo.Name.First" value="" size=20 maxlength=60></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><font size=-1>middle
|
|
Name:</font></td>
|
|
|
|
<td><input type="text" name="ShipTo.Name.Middle" value="" size=20 maxlength=60></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><font size=-1>last
|
|
Name:</font></td>
|
|
|
|
<td><input type="text" name="ShipTo.Name.Last" value="" size=20 maxlength=60></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><font size=-1>suffix
|
|
(e.g., Jr., III):</font></td>
|
|
|
|
<td><input type="text" name="ShipTo.Name.Suffix" value="" size=20 maxlength=60></td>
|
|
</tr>
|
|
|
|
</table>
|
|
|
|
<p><font color="#CC6600"><font size=-1>Shipping
|
|
Address</font></font>
|
|
<table BORDER=0 CELLSPACING=20 >
|
|
|
|
<tr>
|
|
<td><font size=-1>address
|
|
Line 1:</font></td>
|
|
|
|
<td><input type="text" name="ShipTo.Street.Line1" value="" size=20 maxlength=60></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><font size=-1>address
|
|
Line 2:</font></td>
|
|
|
|
<td><input type="text" name="ShipTo.Street.Line2" value="" size=20 maxlength=60></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><font size=-1>address
|
|
Line 3:</font></td>
|
|
|
|
<td><input type="text" name="ShipTo.Street.Line3" value="" size=20 maxlength=60></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><font size=-1>city:</font></td>
|
|
|
|
<td><input type="text" name="ShipTo.City" value="" size=20 maxlength=60></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><font size=-1>state
|
|
(U.S.):</font></td>
|
|
|
|
<td><input type="text" name="ShipTo.State" value="" size=20 maxlength=60></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><font size=-1>province
|
|
(Canada)</font></td>
|
|
|
|
<td><input type="text" name="ShipTo.Prov" value="" size=20 maxlength=60></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><font size=-1>zip
|
|
code:</font></td>
|
|
|
|
<td>
|
|
<center><input type="text" name="ShipTo.PostalCode.Prefix" value="" size=10 maxlength=60>-<input type="text" name="ShipTo.PostalCode.Suffix" value="" size=8 maxlength=60></center>
|
|
</td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><font size=-1>country:</font></td>
|
|
|
|
<td><input type="text" name="ShipTo.Country" value="" size=20 maxlength=60></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><font size=-1>e-mail:</font></td>
|
|
|
|
<td><input type="text" name="ShipTo.Email" value="" size=20></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><font size=-1>homepage:</font></td>
|
|
|
|
<td><input type="text" name="ShipTo.URI" value="" size=20></td>
|
|
</tr>
|
|
</table>
|
|
|
|
<p><font color="#CC6600"><font size=-1>Shipping
|
|
Phone Numbers</font></font>
|
|
<table BORDER=0 CELLSPACING=20 >
|
|
<tr>
|
|
<td></td>
|
|
|
|
<td><font size=-1>area
|
|
code plus number</font></td>
|
|
|
|
<td><font size=-1>extension</font></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><font size=-1>day
|
|
Phone Number:</font></td>
|
|
|
|
<td>(<input type="text" name="ShipTo.Phone.LocCode" value="" size=4 maxlength=60>) <input type="text" name="ShipTo.Phone.Number.Prefix" value="" size=4 maxlength=60>-<input type="text" name="ShipTo.Phone.Number.Suffix" value="" size=6 maxlength=60></td>
|
|
|
|
<td><input type="text" name="ShipTo.Phone.Extension" value="" size=5 maxlength=60></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><font size=-1>evening
|
|
Phone Number:</font></td>
|
|
|
|
<td> (<input type="text" name="ShipTo.AltPhone.LocCode" value="" size=4 maxlength=60>) <input type="text" name="ShipTo.AltPhone.Number.Prefix" value="" size=4 maxlength=60>-<input type="text" name="ShipTo.AltPhone.Number.Suffix" value="" size=6 maxlength=60></td>
|
|
|
|
<td><input type="text" name="ShipTo.AltPhone.Extension" value="" size=5 maxlength=60></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><font size=-1>fax
|
|
Number:</font></td>
|
|
|
|
<td> (<input type="text" name="ShipTo.Fax.LocCode" value="" size=4 maxlength=60>) <input type="text" name="ShipTo.Fax.Number.Prefix" value="" size=4 maxlength=60>-<input type="text" name="ShipTo.Fax.Number.Suffix" value="" size=6 maxlength=60></td>
|
|
|
|
<td></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><font size=-1>mobile
|
|
Number:</font></td>
|
|
|
|
<td> (<input type="text" name="ShipTo.Mobile.LocCode" value="" size=4 maxlength=60>) <input type="text" name="ShipTo.Mobile.Number.Prefix" value="" size=4 maxlength=60>-<input type="text" name="ShipTo.Mobile.Number.Suffix" value="" size=6 maxlength=60></td>
|
|
|
|
<td></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><font size=-1>pager
|
|
Number:</font></td>
|
|
|
|
<td> (<input type="text" name="ShipTo.Pager.LocCode" value="" size=4 maxlength=60>) <input type="text" name="ShipTo.Pager.Number.Prefix" value="" size=4 maxlength=60>-<input type="text" name="ShipTo.Pager.Number.Suffix" value="" size=6 maxlength=60></td>
|
|
|
|
<td></td>
|
|
</tr>
|
|
</table>
|
|
|
|
<p><font color="#CC6600">Click here when you are ready to <input type="button" value="save" onclick="Save()">
|
|
this information.</font>
|
|
<br>
|
|
<br>
|
|
<p><a NAME="Section VI"></a><b><font color="#CC6600"><font size=-1>VI.
|
|
Personal Information</font></font></b>
|
|
<p><font color="#CC6600"><font size=-1>Identification</font></font>
|
|
<table BORDER=0 CELLSPACING=20 >
|
|
<tr>
|
|
<td><font size=-1>social
|
|
Security Number:</font></td>
|
|
|
|
<td>
|
|
<center><input type="text" name="SocSec.Prefix" value="" size=6 maxlength=60>- <input type="text" name="SocSec.Middle" value="" size=4 maxlength=60>- <input type="text" name="SocSec.Suffix" value="" size=8 maxlength=60></center>
|
|
</td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><font size=-1>driver's
|
|
License Number:</font></td>
|
|
|
|
<td><input type="text" name="License.Number" value="" size=10 maxlength=60>state<input type="text" name="License.State" value="" size=9 maxlength=60></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><font size=-1>mother's
|
|
Maiden Name:</font></td>
|
|
|
|
<td><input type="text" name="MothersMaidenName" value="" size=25 maxlength=60></td>
|
|
</tr>
|
|
</table>
|
|
|
|
<p><font color="#CC6600"><font size=-1>Dates
|
|
(mm/dd/yyyy)</font></font>
|
|
<table BORDER=0 CELLSPACING=20 >
|
|
<tr>
|
|
<td><font size=-1>birthday:</font></td>
|
|
|
|
<td><input type="text" name="Bdate.Month" value="" size=3>- <input type="text" name="Bdate.Day" value="" size=2>- <input type="text" name="Bdate.Year" value="" size=4></td>
|
|
</tr>
|
|
|
|
<tr>
|
|
<td><font size=-1>anniversary:</font></td>
|
|
|
|
<td><input type="text" name="Anniv.Month" value="" size=3>- <input type="text" name="Anniv.Day" value="" size=2>- <input type="text" name="Anniv.Year" value="" size=4></td>
|
|
</tr>
|
|
</table>
|
|
|
|
<p><font color="#CC6600">Click here when you are ready to <input type="button" value="save" onclick="Save()">
|
|
this information.</font>
|
|
<br>
|
|
<br>
|
|
|
|
<p><a NAME="Section VII"></a><b><font color="#CC6600"><font size=-1>VIII.
|
|
Demonstration of Form Filling</font></font></b>
|
|
<p>Pick one of these <input type="button" value="samples" onclick="Demo()">
|
|
then select <i>Prefill Form Data</i> from the EDIT menu. </form>
|
|
<br><!-- /CONTENT --></td>
|
|
</tr>
|
|
</table>
|
|
</td>
|
|
</tr>
|
|
</table></center>
|
|
|
|
</body>
|
|
</html>
|