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<html>
<head>
<title><? include "../config.inc"; echo "$ashopname"; ?> - подписка на нашу партнерскую программу</title>
</head>
<BODY TEXT="#000000" BGCOLOR="#FFFFFF" LINK="#660101" VLINK="#660101" ALINK="#F70404">
<table width="75%" border="0" cellspacing="0" cellpadding="2" align="center">
<tr align="center">
<td><img src="../images/logo.gif" width="208" height="67"><br>
<br>
<hr size="0" noshade>
<p><font size="6"><b><font face="Arial, Helvetica, sans-serif"
size="3">Подписка на партнерскую программу <? include "../config.inc"; echo "$ashopname"; ?> </font></b></font></p>
<p><font face="Arial, Helvetica, sans-serif"
size="2"><? include "../config.inc"; echo "$affiliateinfo"; ?></font></p>
</td>
</tr>
<tr align="center">
<td>
<table width="100%" border="1" cellspacing="0" cellpadding="2" bordercolor="#000000">
<tr align="center">
<td>
<form action="signup.php" method=post name="orderform">
<table border=0 cellspacing=0 cellpadding=3 bgcolor="#FFFFFF">
<tr>
<td align="right" width="72"><font size="2"
face="Arial, Helvetica, sans-serif">Логин:</font></td>
<td width="212">
<input type=text name="user" size=40>
</td>
</tr>
<tr>
<td align="right" width="72"><font size="2" face="Arial, Helvetica, sans-serif">Пароль:</font></td>
<td width="212">
<input type=password name="password" size=40>
</td>
</tr>
<tr>
<td align="right" width="72"><font size="2"
face="Arial, Helvetica, sans-serif">Имя:</font></td>
<td width="212">
<input type=text name="firstname" size=40>
</td>
</tr>
<tr>
<td align="right" width="72"><font size="2"
face="Arial, Helvetica, sans-serif">Фамилия:</font></td>
<td width="212">
<input type=text name="lastname" size=40>
</td>
</tr>
<tr>
<td align="right" width="72"><font size="2" face="Arial, Helvetica, sans-serif">Email:</font></td>
<td width="212">
<input type=text name="email" size=40>
</td>
</tr>
<tr>
<td width="72" align="right"><font size="2" face="Arial, Helvetica, sans-serif">Адрес:</font></td>
<td width="212">
<input type=text name="address" size=40>
</td>
</tr>
<tr>
<td width="72" align="right"><font size="2" face="Arial, Helvetica, sans-serif">Почтовый код:</font></td>
<td width="212">
<input type=text name="zip" size=40>
</td>
</tr>
<tr>
<td width="72" align="right"><font size="2" face="Arial, Helvetica, sans-serif">Город:</font></td>
<td width="212">
<input type=text name="city" size=40>
</td>
</tr>
<tr>
<td width="72" align="right"><font face="Arial, Helvetica, sans-serif" size="2">Телефон (с кодом):</font></td>
<td width="212">
<input type=text name="phone" size=40>
</td>
</tr>
<tr>
<td width="72" align="right"><font size="2" face="Arial, Helvetica, sans-serif">URL
вашего сайта:</font></td>
<td width="212" valign="top">
<input type="text" name="url" size="40">
</td>
</tr>
</table>
<br>
<table>
<tr>
<td colspan=4 align=center>
<p>
<input type="submit" value="Отправить" name="Submit">
<input type="reset" value="Очистить" name="reset">
</td>
</tr>
</table>
</form>
</table>
</td>
</tr>
</table>
</body>
</html>