member_join_form5.asp

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<%menutype = "member"%>

<!-- #include virtual = /common/top.asp -->

<!-- #include file = member_menu.asp -->

<script language="javascript" src="RegistCheck.js"></script>

<%
if partner_id = "" then partner_id = "BG"
age = request("age")
%>

<table width="100%" border="0" cellspacing="0" cellpadding="0" background="images/bg_subbody.gif" height="100%">
	<tr> 
	  <td> 
		
      <div align="center"><img src="images/member_title_join.gif"></div>
	  </td>
	</tr>
	<tr> 
	  <td valign="top"> 

		
		<form name="user_regist" method="post" action="member_join_ok.asp" onSubmit="return checkValue(user_regist);">
		<input type="hidden" name="partner_id" value="<%=partner_id%>">
		<input type="hidden" name="age" value="<%=age%>">
		<input type="hidden" name="id_check" value="">
		<table width="546" border="0" cellspacing="0" cellpadding="0" align="center">
          <tr>
            <td align="center" class="text">&nbsp;</td>
          </tr>
          <tr> 
            <td align="center" class="text"><img src="images/join_title1.gif"></td>
          </tr>
          <tr> 
            <td align="center"> 
              <table border="0" cellpadding="3" cellspacing="1" width="100%" class="text">
                <tr> 
                  <td colspan="2" align="right" height="10"></td>
                </tr>
                <%if age = 14 then%>
                <tr> 
                  <td width="30%" align="right" bgcolor="#D9D5CC">焊龋磊 悼狼咯何&nbsp;:&nbsp;</td>
                  <td width="70%" align="left" bgcolor="#EEEEEE"> 
                    <input type=radio name="accept_parent" value="0" checked>
                    悼狼 
                    <input type=radio name="accept_parent" value="1">
                    悼狼窍瘤 臼澜 </td>
                </tr>
                <tr> 
                  <td width="30%" align="right" bgcolor="#D9D5CC">焊龋磊 己疙&nbsp;:&nbsp;</td>
                  <td width="70%" align="left" bgcolor="#EEEEEE"> 
                    <input type="text" name="p_name" size="15" maxlength="10" class="input_box">
                  </td>
                </tr>
                <tr> 
                  <td width="30%" align="right" bgcolor="#D9D5CC">焊龋磊 林刮殿废锅龋&nbsp;:&nbsp;</td>
                  <td width="70%" align="left" bgcolor="#EEEEEE"> 
                    <input type="text" name="p_jumin1" size="6" maxlength="6" class="input_box">
                    &nbsp;- 
                    <input type="password" name="p_jumin2" size="7" maxlength="7" class="input_box">
                  </td>
                </tr>
                <tr> 
                  <td width="30%" align="right" bgcolor="#D9D5CC">焊龋磊 楷遏贸&nbsp;:&nbsp;</td>
                  <td width="70%" align="left" bgcolor="#EEEEEE"> 
                    <input type="text" name="p_phone1" size="3" maxlength="3" class="input_box">
                    &nbsp;- 
                    <input type="text" name="p_phone2" size="4" maxlength="4" class="input_box">
                    &nbsp;- 
                    <input type="text" name="p_phone3" size="4" maxlength="4" class="input_box">
                  </td>
                </tr>
                <%end if%>
                <tr> 
                  <td width="30%" align="right" bgcolor="#D9D5CC">拌沥 ID&nbsp;:&nbsp;</td>
                  <td width="70%" align="left" bgcolor="#EEEEEE"> 
                    <input type="text" name="id" size="15" maxlength="10" class="input_box">
                    &nbsp;&nbsp;<a href="javascript:id_search(user_regist,user_regist.id.value);">[吝汗八荤]</a> 
                  </td>
                </tr>
                <tr> 
                  <td width="30%" align="right" bgcolor="#D9D5CC">厚剐锅龋&nbsp;:&nbsp;</td>
                  <td width="70%" align="left" bgcolor="#EEEEEE"> 
                    <input type="password" name="pw" size="15" maxlength="8" class="input_box">
                    &nbsp;&nbsp;&nbsp; 厚剐锅龋 犬牢 : 
                    <input type="password" name="pw2" size="15" maxlength="8" class="input_box">
                  </td>
                </tr>
                <tr> 
                  <td width="30%" align="right" bgcolor="#D9D5CC">己疙&nbsp;:&nbsp;</td>
                  <td width="70%" align="left" bgcolor="#EEEEEE"> 
                    <input type="text" name="name" size="15" maxlength="10" class="input_box">
                  </td>
                </tr>
                <tr> 
                  <td width="30%" align="right" bgcolor="#D9D5CC">林刮殿废锅龋&nbsp;:&nbsp;</td>
                  <td width="70%" align="left" bgcolor="#EEEEEE"> 
                    <input type="text" name="jumin1" size="6" maxlength="6" class="input_box">
                    &nbsp;- 
                    <input type="password" name="jumin2" size="7" maxlength="7" class="input_box">
                  </td>
                </tr>
                <tr> 
                  <td width="30%" align="right" bgcolor="#D9D5CC">E-Mail&nbsp;:&nbsp;</td>
                  <td width="70%" align="left" bgcolor="#EEEEEE"> 
                    <input type="text" name="email" size="25" maxlength="50" class="input_box">
                  </td>
                </tr>
                <tr> 
                  <td width="30%" align="right" bgcolor="#D9D5CC">E-Mail 荐脚咯何&nbsp;:&nbsp;</td>
                  <td width="70%" align="left" bgcolor="#EEEEEE"> 
                    <input type=radio name="accept_mail" value="0" checked>
                    皋老荐脚 
                    <input type=radio name="accept_mail" value="1">
                    荐脚芭何 </td>
                </tr>
                <tr> 
                  <td colspan="2" align="right" height="10"></td>
                </tr>
              </table>
            </td>
          </tr>
          <tr> 
            <td align="center" class="text"><img src="images/join_title2.gif"></td>
          </tr>
          <tr> 
            <td align="center"> 
              <table border="0" cellpadding="3" cellspacing="1" width="100%" class="text">
                <tr> 
                  <td colspan="2" align="right" valign="top" height="10"></td>
                </tr>
                <tr> 
                  <td width="30%" align="right" valign="top" bgcolor="#D9D5CC">林家&nbsp;:&nbsp;</td>
                  <td width="70%" align="left" bgcolor="#EEEEEE"> 
                    <input type="text" name="zip1" size="3" maxlength="3" class="input_box" ReadOnly>
                    &nbsp;- 
                    <input type="text" name="zip2" size="3" maxlength="3" class="input_box" ReadOnly>
                    &nbsp;&nbsp;<a href="javascript:zip_search();">[快祈锅龋 八祸]</a><br>
                    <input type="text" name="addr1" size="40" maxlength="50" class="input_box" ReadOnly>
                    <br>
                    <input type="text" name="addr2" size="40" maxlength="50" class="input_box">
                  </td>
                </tr>
                <tr> 
                  <td width="30%" align="right" bgcolor="#D9D5CC">傈拳锅龋&nbsp;:&nbsp;</td>
                  <td width="70%" align="left" bgcolor="#EEEEEE"> 
                    <input name="tel1" maxlength="4" size="4" class="input_box">
                    &nbsp;- 
                    <input name="tel2" maxlength="4" size="4" class="input_box">
                    &nbsp;- 
                    <input name="tel3" maxlength="4" size="4" class="input_box">
                  </td>
                </tr>
                <tr> 
                  <td width="30%" align="right" bgcolor="#D9D5CC">绒措傈拳&nbsp;:&nbsp;</td>
                  <td width="70%" align="left" bgcolor="#EEEEEE"> 
                    <input name="hp1" maxlength="4" size="4" class="input_box">
                    &nbsp;- 
                    <input name="hp2" maxlength="4" size="4" class="input_box">
                    &nbsp;- 
                    <input name="hp3" maxlength="4" size="4" class="input_box">
                  </td>
                </tr>
                <tr> 
                  <td width="30%" align="right" bgcolor="#D9D5CC">流诀&nbsp;:&nbsp;</td>
                  <td width="70%" align="left" bgcolor="#EEEEEE"> 
                    <select name="job" class="input_box">
                      <option value="急琶救窃" selected>急琶窍技夸---------- </option>
                      <option value="公流">公流 </option>
                      <option value="切积">切积 </option>
                      <option value="哪腔磐/牢磐齿">哪腔磐/牢磐齿 </option>
                      <option value="攫沸">攫沸 </option>
                      <option value="傍公盔">傍公盔 </option>
                      <option value="傍公盔">公侩啊 </option>
                      <option value="焙牢">焙牢 </option>
                      <option value="辑厚胶诀">辑厚胶诀 </option>
                      <option value="背腊">背腊 </option>
                      <option value="焙牢">焙牢 </option>
                      <option value="陛蓝/刘鼻/焊氰诀">陛蓝/刘鼻/焊氰诀 </option>
                      <option value="蜡烹诀">蜡烹诀 </option>
                      <option value="抗贱">抗贱 </option>
                      <option value="焊氰">焊氰 </option>
                      <option value="狼丰">狼丰 </option>
                      <option value="过伏">过伏 </option>
                      <option value="扒汲诀">扒汲诀 </option>
                      <option value="力炼诀">力炼诀 </option>
                      <option value="何悼魂诀">何悼魂诀 </option>
                      <option value="款价诀">款价诀 </option>
                      <option value="丑/荐/烙/堡魂诀">丑/荐/烙/堡魂诀 </option>
                      <option value="啊荤">啊荤 </option>
                      <option value="扁鸥">扁鸥 </option>
                    </select>
                  </td>
                </tr>
                <tr> 
                  <td colspan="2" align="right">&nbsp;</td>
                </tr>
              </table>
            </td>
          </tr>
          <tr> 
            <td align="center"> 
              <table width="55%" border="0" cellspacing="0" cellpadding="0">
                <tr>
                  <td align="center" valign="middle">
                      <input type="image" src="images/ok.gif" border="0">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<a href="javascript:history.go(-1)"><img src="images/cancel.gif" border="0"></a></td>
                </tr>
              </table>
            </td>
          </tr>
        </table>
		</form>


	  </td>
	</tr>
  </table>

<!-- #include virtual = /common/bottom.asp -->