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<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>

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