Form Error

**irinovna** · 12 Oct 2012, 07:06 PM

If I add

HTML Code:

action="https://www.tallytaylor.com/index.php?main_page=create_account"

I will get errors. Please point me out to sectiong of script thats incorrect.

**irinovna** · 12 Oct 2012, 07:15 PM

Originally Posted by kobra

You can view the source for each page and copy into a code editor and do the comparison yourself

What do you mean by build code? Please be more detailed. Show me an example.

**irinovna** · 12 Oct 2012, 07:33 PM

my zen cart version is v1.5.0. Thats the correct version.

**kobra** · 12 Oct 2012, 08:39 PM

What do you mean by build code?

Never stated anything about "build code"

View the source for each of these pages and compare

https://www.tallytaylor.com/index.php?main_page=login
http://www.tallytaylor.com/index.php...page=page&id=1

**irinovna** · 12 Oct 2012, 10:17 PM

I have compared and did not nothing that will help me.

**kobra** · 12 Oct 2012, 10:23 PM

did not nothing that will help me

Didn't you see the differences?

Post what you have for that ezpage here and use the code tags ^^^^##

**irinovna** · 12 Oct 2012, 10:31 PM

Login Page

Code:


<body id="loginBody" onload="update_zone(document.create_account); document.login.email_address.focus();">


<div id="mainWrapper">



<!--bof-header logo and navigation display-->

<div id="headerWrapper">


<!--bof-branding display-->
<div id="logoWrapper">
    <div id="logo"><a href="http://www.tallytaylor.com/"><img src="includes/templates/alien-stemware/images/logo.gif" alt="Powered by Zen Cart :: The Art of E-Commerce" title=" Powered by Zen Cart :: The Art of E-Commerce " width="356" height="150" /></a></div>

<!--bof-navigation display-->
<div id="navMainWrapper">
<div id="navMain">
    <ul class="back">
    <li><a href="http://www.tallytaylor.com/">Home</a></li>
    <li><a href="https://www.tallytaylor.com/index.php?main_page=login">Log In</a></li>

</ul>
</div>
<div id="navMainSearch"><form name="quick_find_header" action="https://www.tallytaylor.com/index.php?main_page=advanced_search_result" method="get"><input type="hidden" name="main_page" value="advanced_search_result" /><input type="hidden" name="search_in_description" value="1" /><input type="text" name="keyword" size="6" maxlength="30" style="width: 100px" value="Enter search keywords here" onfocus="if (this.value == 'Enter search keywords here') this.value = '';" onblur="if (this.value == '') this.value = 'Enter search keywords here';" />&nbsp;<input type="submit" value="Search" style="width: 45px" /></form></div>
<br class="clearBoth" />
</div>
<!--eof-navigation display-->


<address style="position:absolute; width:619px; margin:49px auto; padding-left:361px; text-align:left;">Tally Taylor Inc.
 &nbsp; ? &nbsp 213 W.35th street
 &nbsp; ? &nbsp New York Ny 10001
 &nbsp; ? &nbsp (212)290-0090</address>


<!--bof-header ezpage links-->
<div id="navEZPagesTop">
  <a href="http://www.tallytaylor.com/index.php?main_page=page&amp;id=1">Become a Tally Taylor Retailer</a>
  <a href="http://www.tallytaylor.com/index.php?main_page=page&amp;id=2&amp;chapter=1">Tally Taylor Videos</a>
</div>
<!--eof-header ezpage links-->
</div>
<br class="clearBoth" />
<!--eof-branding display-->

<!--eof-header logo and navigation display-->

<!--bof-optional categories tabs navigation display-->
<!--eof-optional categories tabs navigation display-->

</div>

<table width="100%" border="0" cellspacing="0" cellpadding="0" id="contentMainWrapper">
  <tr>

 <td id="navColumnOne" class="columnLeft" style="width: 150px">
<div id="navColumnOneWrapper" style="width: 150px"><!-- 
Module: Social
Version: 1.0
Author: Ruben R.
Site: www.LFSwear.com
Notes:
New module by Ruben, For Zen-cart. 
View "Read_Me.html".

Instructions:
1. Replace "http://www.facebook.com/YOUR-FACEBOOK-HERE" with your facebook link page.
2. Replace "http://twitter.com/YOUR-TWITTER-HERE" with your twitter link page.
3. Copy 2 images given in zip file into (your-zencart-store-root)/images/social/
4. Login into your admin section and go  Tools > Layout Boxes Controller ...
5. Copy "social.php" into (your-zencart-store-root)/includes/modules/sideboxes/
6. Enable the "social.php" module.
Your finished!!

Thanks and visit www.LFSwear.com!
-->


<!-- Start Facebook&Twitter Links -->
<br />
<br />
<center>
&nbsp;&nbsp;<a href="https://www.facebook.com/tally.taylor.14?sk=wall"><img src="images/social/fb.png" width="50" height="50" alt="Facebook" /></a>&nbsp;&nbsp;<a href="https://twitter.com/#!/TallyTaylorInc"><img src="images/social/tw.png" width="50" height="50" /></a>&nbsp;&nbsp;
</center>
<!-- End Facebook&Twitter Links --><!--// bof: livechat //-->
<div class="leftBoxContainer" id="livechat" style="width: 150px">
<h3 class="leftBoxHeading" id="livechatHeading">LiveChat</h3>
</div>
<!--// eof: livechat //-->

<!--// bof: categories //-->
<div class="leftBoxContainer" id="categories" style="width: 150px">
<h3 class="leftBoxHeading" id="categoriesHeading">Categories</h3>
<div id="categoriesContent" class="sideBoxContent">
<a class="category-top" href="http://www.tallytaylor.com/index.php?main_page=index&amp;cPath=40">Daniella Collection</a><br />
<a class="category-top" href="http://www.tallytaylor.com/index.php?main_page=index&amp;cPath=43">Hats</a><br />
<a class="category-top" href="http://www.tallytaylor.com/index.php?main_page=index&amp;cPath=36">Tally Taylor</a><br />
<a class="category-top" href="http://www.tallytaylor.com/index.php?main_page=index&amp;cPath=38">Tally Taylor Suits</a><br />
<a class="category-top" href="http://www.tallytaylor.com/index.php?main_page=index&amp;cPath=33">Liorah Knits</a><br />
<a class="category-top" href="http://www.tallytaylor.com/index.php?main_page=index&amp;cPath=28">Odeliah Denim</a><br />
<a class="category-top" href="http://www.tallytaylor.com/index.php?main_page=index&amp;cPath=32">Group and Usher Suits</a><br />
<a class="category-top" href="http://www.tallytaylor.com/index.php?main_page=index&amp;cPath=31">Clearance</a><br />
<hr id="catBoxDivider" />
<a class="category-links" href="http://www.tallytaylor.com/index.php?main_page=specials">Specials ...</a><br />
<a class="category-links" href="http://www.tallytaylor.com/index.php?main_page=products_new">New Products ...</a><br />
<a class="category-links" href="http://www.tallytaylor.com/index.php?main_page=products_all">All Products ...</a>
</div></div>
<!--// eof: categories //-->

<!--// bof: specials //-->
<div class="leftBoxContainer" id="specials" style="width: 150px">
<h3 class="leftBoxHeading" id="specialsHeading"><a href="http://www.tallytaylor.com/index.php?main_page=specials">Specials&nbsp;&nbsp;[more]</a></h3>
<div class="sideBoxContent centeredContent">
  <div class="sideBoxContentItem"><a href="http://www.tallytaylor.com/index.php?main_page=product_info&amp;cPath=31&amp;products_id=1243"><img src="images/8080.gif" alt="8080" title=" 8080 " width="140" height="280" /><br />8080</a><div><span class="normalprice">$299.00 </span>&nbsp;<span class="productSpecialPrice">$149.00</span><span class="productPriceDiscount"><br />Save:&nbsp;50% off</span></div></div></div>
</div>
<!--// eof: specials //-->

<!--// bof: search //-->
<div class="leftBoxContainer" id="search" style="width: 150px">
<h3 class="leftBoxHeading" id="searchHeading"><label>Search</label></h3>
<div id="searchContent" class="sideBoxContent centeredContent"><form name="quick_find" action="https://www.tallytaylor.com/index.php?main_page=advanced_search_result" method="get"><input type="hidden" name="main_page" value="advanced_search_result" /><input type="hidden" name="search_in_description" value="1" /><input type="text" name="keyword" size="18" maxlength="100" style="width: 120px" value="Enter search keywords here" onfocus="if (this.value == 'Enter search keywords here') this.value = '';" onblur="if (this.value == '') this.value = 'Enter search keywords here';" /><br /><input type="submit" value="Search" style="width: 50px" /><br /><a href="http://www.tallytaylor.com/index.php?main_page=advanced_search">Advanced Search</a></form></div></div>
<!--// eof: search //-->

<!--// bof: information //-->
<div class="leftBoxContainer" id="information" style="width: 150px">
<h3 class="leftBoxHeading" id="informationHeading">Information</h3>
<div id="informationContent" class="sideBoxContent">
<ul style="margin: 0; padding: 0; list-style-type: none;">
<li><a href="http://www.tallytaylor.com/index.php?main_page=shippinginfo">Shipping &amp; Returns</a></li>
<li><a href="http://www.tallytaylor.com/index.php?main_page=privacy">Privacy Notice</a></li>
<li><a href="http://www.tallytaylor.com/index.php?main_page=conditions">Conditions of Use</a></li>
<li><a href="http://www.tallytaylor.com/index.php?main_page=contact_us">Contact Us</a></li>
<li><a href="http://www.tallytaylor.com/index.php?main_page=site_map">Site Map</a></li>
<li><a href="http://www.tallytaylor.com/index.php?main_page=gv_faq">Gift Certificate FAQ</a></li>
<li><a href="http://www.tallytaylor.com/index.php?main_page=discount_coupon">Discount Coupons</a></li>
<li><a href="http://www.tallytaylor.com/index.php?main_page=unsubscribe">Newsletter Unsubscribe</a></li>
</ul>
</div></div>
<!--// eof: information //-->

</div></td>
    <td valign="top">


<!-- bof  breadcrumb -->
    <div id="navBreadCrumb">  <a href="http://www.tallytaylor.com/">Home</a>&nbsp;&nbsp;
Login
</div>
<!-- eof breadcrumb -->




<div class="banners">



<div id="loopedSlider">	
	<div class="container">
		<div class="slides">
			<!-- BOF- BANNER #2 display -->
									<div id="bannerOne"><a href="http://www.tallytaylor.com/index.php?main_page=redirect&amp;action=banner&amp;goto=10"><img src="images/bannerOne.gif" alt="bannerOne" title=" bannerOne " width="770" height="300" /></a></div>
						<!-- EOF- BANNER #2 display -->
			<!-- BOF- BANNER #3 display -->
							<!-- EOF- BANNER #3 display -->
			<!-- BOF- BANNER #4 display -->
						<!-- EOF- BANNER #4 display -->
			<!-- BOF- BANNER #4 display -->
						<!-- EOF- BANNER #4 display -->
		</div>
	</div>
	<a href="#" class="previous">&nbsp;</a>
	<a href="#" class="next">&nbsp;</a>
</div>


</div>







<!-- bof upload alerts -->
<!-- eof upload alerts -->

<div class="centerColumn" id="loginDefault">

<h1 id="loginDefaultHeading">Welcome, Please Sign In</h1>



<!--BOF normal login-->
<form name="login" action="https://www.tallytaylor.com/index.php?main_page=login&amp;action=process" method="post" id="loginForm"><input type="hidden" name="securityToken" value="896f876ec670d03b8c12f8041c6d2255" /><fieldset>
<legend>Returning Customers: Please Log In</legend>

<label class="inputLabel" for="login-email-address">Email Address:</label>
<input type="text" name="email_address" size = "41" maxlength= "96" id="login-email-address" /><br class="clearBoth" />

<label class="inputLabel" for="login-password">Password:</label>
<input type="password" name="password" size = "41" maxlength = "40" id="login-password" /><br class="clearBoth" />
<input type="hidden" name="securityToken" value="896f876ec670d03b8c12f8041c6d2255" /></fieldset>

<div class="buttonRow forward"><input type="image" src="includes/templates/alien-stemware/buttons/english/button_login.gif" alt="Sign In" title=" Sign In " /></div>
<div class="buttonRow back important"><a href="https://www.tallytaylor.com/index.php?main_page=password_forgotten">Forgot your password?</a></div>
</form>
<br class="clearBoth" />

<form name="create_account" action="https://www.tallytaylor.com/index.php?main_page=create_account" method="post" onsubmit="return check_form(create_account);" id="createAccountForm"><input type="hidden" name="securityToken" value="896f876ec670d03b8c12f8041c6d2255" /><input type="hidden" name="action" value="process" /><input type="hidden" name="email_pref_html" value="email_format" /><fieldset>
<legend>New? Please Provide Your Billing Information</legend>

<div class="information">Create a customer profile with <strong>Tally Taylor Inc.</strong> which allows you to shop faster, track the status of your current orders and review your previous orders.</div>


<div class="alert forward">* Required information</div>
<br class="clearBoth" />


<fieldset>
<legend>Company Details</legend>
<label class="inputLabel" for="company">Company Name:</label>
<input type="text" name="company" size = "41" maxlength= "64" id="company" /></fieldset>

<fieldset>
<legend>Address Details</legend>
<input type="radio" name="gender" value="m" id="gender-male" /><label class="radioButtonLabel" for="gender-male">Mr.</label><input type="radio" name="gender" value="f" id="gender-female" /><label class="radioButtonLabel" for="gender-female">Ms.</label><span class="alert">*</span><br class="clearBoth" />

<label class="inputLabel" for="firstname">First Name:</label>
<input type="text" name="firstname" size = "33" maxlength = "32" id="firstname" /><span class="alert">*</span><br class="clearBoth" />

<label class="inputLabel" for="lastname">Last Name:</label>
<input type="text" name="lastname" size = "33" maxlength = "32" id="lastname" /><span class="alert">*</span><br class="clearBoth" />

<label class="inputLabel" for="street-address">Street Address:</label>
  <input type="text" name="street_address" size = "41" maxlength= "64" id="street-address" /><span class="alert">*</span><br class="clearBoth" />

<label class="inputLabel" for="suburb">Address Line 2:</label>
<input type="text" name="suburb" size = "33" maxlength = "32" id="suburb" /><br class="clearBoth" />

<label class="inputLabel" for="city">City:</label>
<input type="text" name="city" size = "33" maxlength = "32" id="city" /><span class="alert">*</span><br class="clearBoth" />


<label class="inputLabel" for="state" id="stateLabel">State/Province:</label>
<input type="text" name="state" value="" size = "33" maxlength = "32" id="state" />&nbsp;<span class="alert" id="stText">*</span><input type="hidden" name="zone_id" /><br class="clearBoth" />

<label class="inputLabel" for="postcode">Post/Zip Code:</label>
<input type="text" name="postcode" size = "11" maxlength = "10" id="postcode" /><span class="alert">*</span><br class="clearBoth" />



<fieldset>
<legend>Additional Contact Details</legend>
<label class="inputLabel" for="telephone">Telephone:</label>
<input type="text" name="telephone" size = "33" maxlength = "32" id="telephone" /><span class="alert">*</span>
<br class="clearBoth" />
<label class="inputLabel" for="fax">Fax Number:</label>
<input type="text" name="fax" id="fax" /></fieldset>

<fieldset>
<legend>Verify Your Age</legend>
<label class="inputLabel" for="dob">Date of Birth:</label>
<input type="text" name="dob" id="dob" /><span class="alert">* (eg. 05/21/1970)</span><br class="clearBoth" />
</fieldset>

<fieldset>
<legend>Login Details</legend>
<label class="inputLabel" for="email-address">Email Address:</label>
<input type="text" name="email_address" size = "41" maxlength= "96" id="email-address" /><span class="alert">*</span><br class="clearBoth" />


<label class="inputLabel" for="password-new">Password:</label>
<input type="password" name="password" size = "21" maxlength= "40" id="password-new" /><span class="alert">* (at least 7 characters)</span><br class="clearBoth" />

<label class="inputLabel" for="password-confirm">Confirm Password:</label>
<input type="password" name="confirmation" size = "21" maxlength= "40" id="password-confirm" /><span class="alert">*</span><br class="clearBoth" />
</fieldset>

<fieldset>
<legend>Newsletter and Email Details</legend>
<input type="checkbox" name="newsletter" value="1" id="newsletter-checkbox" /><label class="checkboxLabel" for="newsletter-checkbox">Subscribe to Our Newsletter.</label><br class="clearBoth" />

<input type="radio" name="email_format" value="HTML" id="email-format-html" /><label class="radioButtonLabel" for="email-format-html">HTML</label><input type="radio" name="email_format" value="TEXT" checked="checked" id="email-format-text" /><label class="radioButtonLabel" for="email-format-text">TEXT-Only</label><br class="clearBoth" />
</fieldset>


</fieldset>

<div class="buttonRow forward"><input type="image" src="includes/templates/alien-stemware/buttons/english/button_submit.gif" alt="Submit the Information" title=" Submit the Information " /></div>
</form>
<!--EOF normal login-->
</div>
</td>

**kobra** · 12 Oct 2012, 11:28 PM

This is the normal form code for an ezpage
Copy and edit to include your extra fields
When creating the ezpage DO NOT use the html editor
Use plain text editor to paste code

Code:

<script language="javascript" type="text/javascript"><!--
var selected;

function check_form_optional(form_name) {
  var form = form_name;
  if (!form.elements['firstname']) {
    return true;
  } else {
    var firstname = form.elements['firstname'].value;
    var lastname = form.elements['lastname'].value;
    var street_address = form.elements['street_address'].value;

    if (firstname == '' && lastname == '' && street_address == '') {
      return true;
    } else {
      return check_form(form_name);
    }
  }
}
var form = "";
var submitted = false;
var error = false;
var error_message = "";

function check_input(field_name, field_size, message) {
  if (form.elements[field_name] && (form.elements[field_name].type != "hidden")) {
    if (field_size == 0) return;
    var field_value = form.elements[field_name].value;

    if (field_value == '' || field_value.length < field_size) {
      error_message = error_message + "* " + message + "\n";
      error = true;
    }
  }
}

function check_radio(field_name, message) {
  var isChecked = false;

  if (form.elements[field_name] && (form.elements[field_name].type != "hidden")) {
    var radio = form.elements[field_name];

    for (var i=0; i<radio.length; i++) {
      if (radio[i].checked == true) {
        isChecked = true;
        break;
      }
    }

    if (isChecked == false) {
      error_message = error_message + "* " + message + "\n";
      error = true;
    }
  }
}

function check_select(field_name, field_default, message) {
  if (form.elements[field_name] && (form.elements[field_name].type != "hidden")) {
    var field_value = form.elements[field_name].value;

    if (field_value == field_default) {
      error_message = error_message + "* " + message + "\n";
      error = true;
    }
  }
}

function check_password(field_name_1, field_name_2, field_size, message_1, message_2) {
  if (form.elements[field_name_1] && (form.elements[field_name_1].type != "hidden")) {
    var password = form.elements[field_name_1].value;
    var confirmation = form.elements[field_name_2].value;

    if (password == '' || password.length < field_size) {
      error_message = error_message + "* " + message_1 + "\n";
      error = true;
    } else if (password != confirmation) {
      error_message = error_message + "* " + message_2 + "\n";
      error = true;
    }
  }
}

function check_password_new(field_name_1, field_name_2, field_name_3, field_size, message_1, message_2, message_3) {
  if (form.elements[field_name_1] && (form.elements[field_name_1].type != "hidden")) {
    var password_current = form.elements[field_name_1].value;
    var password_new = form.elements[field_name_2].value;
    var password_confirmation = form.elements[field_name_3].value;

    if (password_current == '' ) {
      error_message = error_message + "* " + message_1 + "\n";
      error = true;
    } else if (password_new == '' || password_new.length < field_size) {
      error_message = error_message + "* " + message_2 + "\n";
      error = true;
    } else if (password_new != password_confirmation) {
      error_message = error_message + "* " + message_3 + "\n";
      error = true;
    }
  }
}

function check_state(min_length, min_message, select_message) {
  if (form.elements["state"] && form.elements["zone_id"]) {
    if (!form.state.disabled && form.zone_id.value == "") check_input("state", min_length, min_message);
  } else if (form.elements["state"] && form.elements["state"].type != "hidden" && form.state.disabled) {
    check_select("zone_id", "", select_message);
  }
}

function check_form(form_name) {
  if (submitted == true) {
    alert("This form has already been submitted. Please press OK and wait for this process to be completed.");
    return false;
  }

  error = false;
  form = form_name;
  error_message = "Errors have occurred during the processing of your form.\n\nPlease make the following corrections:\n\n";

  check_radio("gender", "Please choose a salutation.");

  check_input("firstname", 2, "Is your first name correct? Our system requires a minimum of 2 characters. Please try again.");
  check_input("lastname", 2, "Is your last name correct? Our system requires a minimum of 2 characters. Please try again.");

  check_input("dob", 10, "Is your birth date correct? Our system requires the date in this format: MM/DD/YYYY (eg 05/21/1970)");

  check_input("email_address", 6, "Is your email address correct? It should contain at least 6 characters. Please try again.");
  check_input("street_address", 5, "Your Street Address must contain a minimum of 5 characters.");
  check_input("postcode", 4, "Your Post/ZIP Code must contain a minimum of 4 characters.");
  check_input("city", 2, "Your City must contain a minimum of 2 characters.");
  check_state(2, "Your State must contain a minimum of 2 characters.", "Please select a state from the States pull down menu.");

  check_select("country", "", "You must select a country from the Countries pull down menu.");

  check_input("telephone", 3, "Your Telephone Number must contain a minimum of 3 characters.");

  check_password("password", "confirmation", 7, "Your Password must contain a minimum of 7 characters.", "The Password Confirmation must match your Password.");
  check_password_new("password_current", "password_new", "password_confirmation", 7, "Your Password must contain a minimum of 7 characters.", "Your new Password must contain a minimum of 7 characters.", "The Password Confirmation must match your new Password.");

  if (error == true) {
    alert(error_message);
    return false;
  } else {
    submitted = true;
    return true;
  }
}
//--></script>


<!--BOF normal login-->
<form name="login" action="https://www.tallytaylor.com/index.php?main_page=login&amp;action=process" method="post" id="loginForm"><input type="hidden" name="securityToken" value="ad09b5eff532e55335da12dc0da3bf72" /><fieldset>
<legend>Returning Customers: Please Log In</legend>

<label class="inputLabel" for="login-email-address">Email Address:</label>
<input type="text" name="email_address" size = "41" maxlength= "96" id="login-email-address" /><br class="clearBoth" />

<label class="inputLabel" for="login-password">Password:</label>
<input type="password" name="password" size = "41" maxlength = "40" id="login-password" /><br class="clearBoth" />
<input type="hidden" name="securityToken" value="ad09b5eff532e55335da12dc0da3bf72" /></fieldset>

<div class="buttonRow forward"><input type="image" src="includes/templates/alien-stemware/buttons/english/button_login.gif" alt="Sign In" title=" Sign In " /></div>
<div class="buttonRow back important"><a href="https://www.tallytaylor.com/index.php?main_page=password_forgotten">Forgot your password?</a></div>
</form>
<br class="clearBoth" />

<form name="create_account" action="https://www.tallytaylor.com/index.php?main_page=create_account" method="post" onsubmit="return check_form(create_account);" id="createAccountForm"><input type="hidden" name="securityToken" value="ad09b5eff532e55335da12dc0da3bf72" /><input type="hidden" name="action" value="process" /><input type="hidden" name="email_pref_html" value="email_format" /><fieldset>
<legend>New? Please Provide Your Billing Information</legend>

<div class="information">Create a customer profile with <strong>Tally Taylor Inc.</strong> which allows you to shop faster, track the status of your current orders and review your previous orders.</div>


<div class="alert forward">* Required information</div>
<br class="clearBoth" />


<fieldset>
<legend>Company Details</legend>
<label class="inputLabel" for="company">Company Name:</label>
<input type="text" name="company" size = "41" maxlength= "64" id="company" /></fieldset>

<fieldset>
<legend>Address Details</legend>
<input type="radio" name="gender" value="m" id="gender-male" /><label class="radioButtonLabel" for="gender-male">Mr.</label><input type="radio" name="gender" value="f" id="gender-female" /><label class="radioButtonLabel" for="gender-female">Ms.</label><span class="alert">*</span><br class="clearBoth" />

<label class="inputLabel" for="firstname">First Name:</label>
<input type="text" name="firstname" size = "33" maxlength = "32" id="firstname" /><span class="alert">*</span><br class="clearBoth" />

<label class="inputLabel" for="lastname">Last Name:</label>
<input type="text" name="lastname" size = "33" maxlength = "32" id="lastname" /><span class="alert">*</span><br class="clearBoth" />

<label class="inputLabel" for="street-address">Street Address:</label>
  <input type="text" name="street_address" size = "41" maxlength= "64" id="street-address" /><span class="alert">*</span><br class="clearBoth" />

<label class="inputLabel" for="suburb">Address Line 2:</label>
<input type="text" name="suburb" size = "33" maxlength = "32" id="suburb" /><br class="clearBoth" />

<label class="inputLabel" for="city">City:</label>
<input type="text" name="city" size = "33" maxlength = "32" id="city" /><span class="alert">*</span><br class="clearBoth" />


<label class="inputLabel" for="state" id="stateLabel">State/Province:</label>
<input type="text" name="state" value="" size = "33" maxlength = "32" id="state" />&nbsp;<span class="alert" id="stText">*</span><input type="hidden" name="zone_id" /><br class="clearBoth" />

<label class="inputLabel" for="postcode">Post/Zip Code:</label>
<input type="text" name="postcode" size = "11" maxlength = "10" id="postcode" /><span class="alert">*</span><br class="clearBoth" />

<label class="inputLabel" for="country">Country:</label>
<select name="zone_country_id" id="country" >
  <option value="">Please Choose Your Country</option>
  <option value="223" selected="selected">United States</option>
  <option value="240">Aaland Islands</option>
  <option value="1">Afghanistan</option>
  <option value="2">Albania</option>
  <option value="3">Algeria</option>
  <option value="4">American Samoa</option>
  <option value="5">Andorra</option>
  <option value="6">Angola</option>
  <option value="7">Anguilla</option>
  <option value="8">Antarctica</option>
  <option value="9">Antigua and Barbuda</option>
  <option value="10">Argentina</option>
  <option value="11">Armenia</option>
  <option value="12">Aruba</option>
  <option value="13">Australia</option>
  <option value="14">Austria</option>
  <option value="15">Azerbaijan</option>
  <option value="16">Bahamas</option>
  <option value="17">Bahrain</option>
  <option value="18">Bangladesh</option>
  <option value="19">Barbados</option>
  <option value="20">Belarus</option>
  <option value="21">Belgium</option>
  <option value="22">Belize</option>
  <option value="23">Benin</option>
  <option value="24">Bermuda</option>
  <option value="25">Bhutan</option>
  <option value="26">Bolivia</option>
  <option value="27">Bosnia and Herzegowina</option>
  <option value="28">Botswana</option>
  <option value="29">Bouvet Island</option>
  <option value="30">Brazil</option>
  <option value="31">British Indian Ocean Territory</option>
  <option value="32">Brunei Darussalam</option>
  <option value="33">Bulgaria</option>
  <option value="34">Burkina Faso</option>
  <option value="35">Burundi</option>
  <option value="36">Cambodia</option>
  <option value="37">Cameroon</option>
  <option value="38">Canada</option>
  <option value="39">Cape Verde</option>
  <option value="40">Cayman Islands</option>
  <option value="41">Central African Republic</option>
  <option value="42">Chad</option>
  <option value="43">Chile</option>
  <option value="44">China</option>
  <option value="45">Christmas Island</option>
  <option value="46">Cocos (Keeling) Islands</option>
  <option value="47">Colombia</option>
  <option value="48">Comoros</option>
  <option value="49">Congo</option>
  <option value="50">Cook Islands</option>
  <option value="51">Costa Rica</option>
  <option value="52">Cote D'Ivoire</option>
  <option value="53">Croatia</option>
  <option value="54">Cuba</option>
  <option value="55">Cyprus</option>
  <option value="56">Czech Republic</option>
  <option value="57">Denmark</option>
  <option value="58">Djibouti</option>
  <option value="59">Dominica</option>
  <option value="60">Dominican Republic</option>
  <option value="62">Ecuador</option>
  <option value="63">Egypt</option>
  <option value="64">El Salvador</option>
  <option value="65">Equatorial Guinea</option>
  <option value="66">Eritrea</option>
  <option value="67">Estonia</option>
  <option value="68">Ethiopia</option>
  <option value="69">Falkland Islands (Malvinas)</option>
  <option value="70">Faroe Islands</option>
  <option value="71">Fiji</option>
  <option value="72">Finland</option>
  <option value="73">France</option>
  <option value="75">French Guiana</option>
  <option value="76">French Polynesia</option>
  <option value="77">French Southern Territories</option>
  <option value="78">Gabon</option>
  <option value="79">Gambia</option>
  <option value="80">Georgia</option>
  <option value="81">Germany</option>
  <option value="82">Ghana</option>
  <option value="83">Gibraltar</option>
  <option value="84">Greece</option>
  <option value="85">Greenland</option>
  <option value="86">Grenada</option>
  <option value="87">Guadeloupe</option>
  <option value="88">Guam</option>
  <option value="89">Guatemala</option>
  <option value="243">Guernsey</option>
  <option value="90">Guinea</option>
  <option value="91">Guinea-bissau</option>
  <option value="92">Guyana</option>
  <option value="93">Haiti</option>
  <option value="94">Heard and Mc Donald Islands</option>
  <option value="95">Honduras</option>
  <option value="96">Hong Kong</option>
  <option value="97">Hungary</option>
  <option value="98">Iceland</option>
  <option value="99">India</option>
  <option value="100">Indonesia</option>
  <option value="101">Iran (Islamic Republic of)</option>
  <option value="102">Iraq</option>
  <option value="103">Ireland</option>
  <option value="244">Isle of Man</option>
  <option value="104">Israel</option>
  <option value="105">Italy</option>
  <option value="106">Jamaica</option>
  <option value="107">Japan</option>
  <option value="245">Jersey</option>
  <option value="108">Jordan</option>
  <option value="109">Kazakhstan</option>
  <option value="110">Kenya</option>
  <option value="111">Kiribati</option>
  <option value="112">Korea, Democratic People's Republic of</option>
  <option value="113">Korea, Republic of</option>
  <option value="114">Kuwait</option>
  <option value="115">Kyrgyzstan</option>
  <option value="116">Lao People's Democratic Republic</option>
  <option value="117">Latvia</option>
  <option value="118">Lebanon</option>
  <option value="119">Lesotho</option>
  <option value="120">Liberia</option>
  <option value="121">Libyan Arab Jamahiriya</option>
  <option value="122">Liechtenstein</option>
  <option value="123">Lithuania</option>
  <option value="124">Luxembourg</option>
  <option value="125">Macao</option>
  <option value="126">Macedonia, The Former Yugoslav Republic of</option>
  <option value="127">Madagascar</option>
  <option value="128">Malawi</option>
  <option value="129">Malaysia</option>
  <option value="130">Maldives</option>
  <option value="131">Mali</option>
  <option value="132">Malta</option>
  <option value="133">Marshall Islands</option>
  <option value="134">Martinique</option>
  <option value="135">Mauritania</option>
  <option value="136">Mauritius</option>
  <option value="137">Mayotte</option>
  <option value="138">Mexico</option>
  <option value="139">Micronesia, Federated States of</option>
  <option value="140">Moldova</option>
  <option value="141">Monaco</option>
  <option value="142">Mongolia</option>
  <option value="242">Montenegro</option>
  <option value="143">Montserrat</option>
  <option value="144">Morocco</option>
  <option value="145">Mozambique</option>
  <option value="146">Myanmar</option>
  <option value="147">Namibia</option>
  <option value="148">Nauru</option>
  <option value="149">Nepal</option>
  <option value="150">Netherlands</option>
  <option value="151">Netherlands Antilles</option>
  <option value="152">New Caledonia</option>
  <option value="153">New Zealand</option>
  <option value="154">Nicaragua</option>
  <option value="155">Niger</option>
  <option value="156">Nigeria</option>
  <option value="157">Niue</option>
  <option value="158">Norfolk Island</option>
  <option value="159">Northern Mariana Islands</option>
  <option value="160">Norway</option>
  <option value="161">Oman</option>
  <option value="162">Pakistan</option>
  <option value="163">Palau</option>
  <option value="241">Palestinian Territory</option>
  <option value="164">Panama</option>
  <option value="165">Papua New Guinea</option>
  <option value="166">Paraguay</option>
  <option value="167">Peru</option>
  <option value="168">Philippines</option>
  <option value="169">Pitcairn</option>
  <option value="170">Poland</option>
  <option value="171">Portugal</option>
  <option value="172">Puerto Rico</option>
  <option value="173">Qatar</option>
  <option value="174">Reunion</option>
  <option value="175">Romania</option>
  <option value="176">Russian Federation</option>
  <option value="177">Rwanda</option>
  <option value="178">Saint Kitts and Nevis</option>
  <option value="179">Saint Lucia</option>
  <option value="180">Saint Vincent and the Grenadines</option>
  <option value="181">Samoa</option>
  <option value="182">San Marino</option>
  <option value="183">Sao Tome and Principe</option>
  <option value="184">Saudi Arabia</option>
  <option value="185">Senegal</option>
  <option value="236">Serbia</option>
  <option value="186">Seychelles</option>
  <option value="187">Sierra Leone</option>
  <option value="188">Singapore</option>
  <option value="189">Slovakia (Slovak Republic)</option>
  <option value="190">Slovenia</option>
  <option value="191">Solomon Islands</option>
  <option value="192">Somalia</option>
  <option value="193">South Africa</option>
  <option value="194">South Georgia and the South Sandwich Islands</option>
  <option value="195">Spain</option>
  <option value="196">Sri Lanka</option>
  <option value="197">St. Helena</option>
  <option value="198">St. Pierre and Miquelon</option>
  <option value="199">Sudan</option>
  <option value="200">Suriname</option>
  <option value="201">Svalbard and Jan Mayen Islands</option>
  <option value="202">Swaziland</option>
  <option value="203">Sweden</option>
  <option value="204">Switzerland</option>
  <option value="205">Syrian Arab Republic</option>
  <option value="206">Taiwan</option>
  <option value="207">Tajikistan</option>
  <option value="208">Tanzania, United Republic of</option>
  <option value="209">Thailand</option>
  <option value="61">Timor-Leste</option>
  <option value="210">Togo</option>
  <option value="211">Tokelau</option>
  <option value="212">Tonga</option>
  <option value="213">Trinidad and Tobago</option>
  <option value="214">Tunisia</option>
  <option value="215">Turkey</option>
  <option value="216">Turkmenistan</option>
  <option value="217">Turks and Caicos Islands</option>
  <option value="218">Tuvalu</option>
  <option value="219">Uganda</option>
  <option value="220">Ukraine</option>
  <option value="221">United Arab Emirates</option>
  <option value="222">United Kingdom</option>
  <option value="224">United States Minor Outlying Islands</option>
  <option value="225">Uruguay</option>
  <option value="226">Uzbekistan</option>
  <option value="227">Vanuatu</option>
  <option value="228">Vatican City State (Holy See)</option>
  <option value="229">Venezuela</option>
  <option value="230">Viet Nam</option>
  <option value="231">Virgin Islands (British)</option>
  <option value="232">Virgin Islands (U.S.)</option>
  <option value="233">Wallis and Futuna Islands</option>
  <option value="234">Western Sahara</option>
  <option value="235">Yemen</option>
  <option value="238">Zambia</option>
  <option value="239">Zimbabwe</option>
</select>
<span class="alert">*</span><br class="clearBoth" />
</fieldset>

<fieldset>
<legend>Additional Contact Details</legend>
<label class="inputLabel" for="telephone">Telephone:</label>
<input type="text" name="telephone" size = "33" maxlength = "32" id="telephone" /><span class="alert">*</span>
<br class="clearBoth" />
<label class="inputLabel" for="fax">Fax Number:</label>
<input type="text" name="fax" id="fax" /></fieldset>

<fieldset>
<legend>Verify Your Age</legend>
<label class="inputLabel" for="dob">Date of Birth:</label>
<input type="text" name="dob" id="dob" /><span class="alert">* (eg. 05/21/1970)</span><br class="clearBoth" />
</fieldset>

<fieldset>
<legend>Login Details</legend>
<label class="inputLabel" for="email-address">Email Address:</label>
<input type="text" name="email_address" size = "41" maxlength= "96" id="email-address" /><span class="alert">*</span><br class="clearBoth" />


<label class="inputLabel" for="password-new">Password:</label>
<input type="password" name="password" size = "21" maxlength= "40" id="password-new" /><span class="alert">* (at least 7 characters)</span><br class="clearBoth" />

<label class="inputLabel" for="password-confirm">Confirm Password:</label>
<input type="password" name="confirmation" size = "21" maxlength= "40" id="password-confirm" /><span class="alert">*</span><br class="clearBoth" />
</fieldset>

<fieldset>
<legend>Newsletter and Email Details</legend>
<input type="checkbox" name="newsletter" value="1" id="newsletter-checkbox" /><label class="checkboxLabel" for="newsletter-checkbox">Subscribe to Our Newsletter.</label><br class="clearBoth" />

<input type="radio" name="email_format" value="HTML" id="email-format-html" /><label class="radioButtonLabel" for="email-format-html">HTML</label><input type="radio" name="email_format" value="TEXT" checked="checked" id="email-format-text" /><label class="radioButtonLabel" for="email-format-text">TEXT-Only</label><br class="clearBoth" />
</fieldset>


</fieldset>

<div class="buttonRow forward"><input type="image" src="includes/templates/alien-stemware/buttons/english/button_submit.gif" alt="Submit the Information" title=" Submit the Information " /></div>
</form>
<!--EOF normal login-->

**irinovna** · 15 Oct 2012, 04:47 PM

This script is the same as login page. I need a new script for retail signup form page that will work.

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