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Side by Side Diff: chrome/test/data/autofill/heuristics/input/13_register_signup.clicksor.com.html

Issue 7120008: Autofill heuristics regression suite (Closed) Base URL: svn://svn.chromium.org/chrome/trunk/src
Patch Set: Created 9 years, 6 months ago
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1 <html>
2 <!--Form Location: http://signup.clicksor.com/advertisers_account.php?service=0& aid=&nid=--><head>
3 <title>Open an advertiser account</title>
4
5 <meta name="keywords" content="pay per click advertising, contextual advertising , internet advertising, online advetising, advetise, content targeted advertisin g, online, advertising, internet, web, www, search, search engine, pay per click , ppc, bid, bids, keywords, keyword bids, keyword management, advertising bids,c ontent target, blog advertising">
6 <meta name="description" content="Create an online advertising account.">
7 <link rel="stylesheet" href="http://admin.clicksor.com/adcenter/images/style.css " type="text/css">
8
9 </head>
10 <body bgcolor="#FFFFFF" text="#000000" leftmargin="0" topmargin="0" marginwidth= "0" marginheight="0" >
11
12
13 <table width="750" border="0" cellspacing="0" cellpadding="0" cl ass="top_logo" align="center"><tr>
14 <td class="top_logo" height="55" valign="middle"><a href="/"><img src="/advertis er/images/clicksor.gif" alt="Clicksor advertiser account" width="275" height="25 " border="0"></a></td>
15 </tr></table>
16 <!-- HEADER ENDS --><!-- CENTER COLUMN --><table align="center" cellpadding="0" cellspacing="0" width="750" class="textbody" style="padding-bottom:20px;"><tr>
17 <td class="border_side_menu">
18 <table width="100%" border="0" cellspacing="0" cellpadding="0">
19 <tr class="rightTbTitle">
20 <td style="padding:5;color:#FFFFFF">Clicksor Advertiser Application</td>
21 </tr>
22 <tr>
23 <td width="100%" align="center" style="padding:20px; ">
24
25
26
27 <form name="form" id="form" action="advertisers_account.php?nid=100" method="POS T">
28 <!--- for rpc tracking--->
29 <!-- -->
30 <!--- for rpc tracking--->
31
32 <!--- for rpc tracking--->
33 <!--
34
35 -->
36 <!--- for rpc tracking--->
37
38
39 <input type="hidden" name="service" value="0"><input typ e="hidden" name="srid" value=""><input type="hidden" name="aid" value=""><input type="hidden" name="coupon" value=""><table width="100%" cellpadding="0" cellspa cing="0" class="content_table"><tr>
40 <td class="border_side_menu content_table_title">
41 <br>
42 &#160;&#160;<span class="text_bold_red">
43 1. Account info</span>
44 &gt;&gt;
45 <span class="text_bold_green">
46 2. Campaign info</span>
47 &gt;&gt;
48 <span class="text_bold_green">
49 3. Country target</span>
50 &gt;&gt;
51 <span class="text_bold_green">
52 4. Keyword target</span>
53 <br><br>
54 </td>
55 </tr></table>
56 <br><table width="100%" border="0" cellspacing="0" cellpadding="0" class="conten t_table"><tr>
57 <td class="border_side_menu content_table_title">
58 <table width="100%" border="0" cellpadding="0" cellspacing=" 0" class="textbody">
59 <tr>
60 <td class="textbody" colspan="4" nowrap height="30">
61 <font color="#990000">*</font>
62 The system automatically reviews the content you fill
63 in. please correct the field(s) with "<img src="images /cross.gif" width="8" height="8">".</td>
64 </tr>
65 <tr>
66 <td width="13%" height="30" align="right" nowrap class="text_bold_green">Email:& #160;</td>
67 <td width="31%" height="30" nowrap class="text_bold_gree n">
68 <input type="text" name="email 1" id="email1" value="" title="emailchecker" class="inputbox" maxlength="100" si ze="25"><div id="email1Div" style="display:none;">
69 <img id="email1image" src="" w idth="8" height="8">
70 </div>
71 </td>
72 <td width="16%" height="30" align="right" nowrap class=" text_bold_green">Confirm
73 email:&#160;</td>
74 <td width="40%" height="30" nowrap class="text_bold_gree n">
75 <input type="text" name="email 2" id="email2" value="" title="emailchecker" class="inputbox" maxlength="100" si ze="25"><div id="email2Div" style="display:none;">
76 <img id="email2image" src="" w idth="8" height="8">
77 </div>
78 </td>
79 </tr>
80 <tr>
81 <td class="text_bold_green" nowrap align="right" height="30">Website:&#160;</td>
82 <td class="text_bold_green" colspan="3" height="30" nowr ap>
83 <input type="text" name= "website" id="website" value="" title="checkWeb" class="inputbox" maxlength="255 " size="35"><div id="webDiv" style="display:none;">
84 <img id="websiteimage" s rc="" width="8" height="8">
85 </div>
86 </td>
87 </tr>
88 <tr>
89 <td class="text_bold_green" nowrap align="right" height="30">Phone:&#160;</td>
90 <td class="text_bold_green" colspan="3" height="30" nowr ap>
91 <input type="text" name= "phone" id="phone" value="" title="checkPhone" class="inputbox" maxlength="20" s ize="20"><div id="phoneDiv" style="display:none;">
92 <img id="phoneimage" src ="" width="8" height="8">
93 </div>
94 </td>
95 </tr>
96 <tr>
97 <td class="text_bold_green" nowrap align="right" height="30">Time Zone:&#160;</t d>
98 <td class="text_bold_green" height="30" nowrap colspan=" 3">
99 <select name="timezone" id="timezone" title="checkZone" size=" 1" class="inputbox"><option value="1">(GMT) Casablanca, Monrovia</option>
100 <option value="2">(GMT) Greenwich Mean Time : Dublin, Edinburgh, Lis</option>
101 <option value="3">(GMT+01:00) Amsterdam, Berlin, Bern, Rome, Stockho</option>
102 <option value="4">(GMT+01:00) Belgrade, Bratislava, Budapest, Ljublj</option>
103 <option value="5">(GMT+01:00) Brussels, Copenhagen, Madrid, Paris</option>
104 <option value="6">(GMT+01:00) Sarajevo, Skopje, Warsaw, Zagreb</option>
105 <option value="7">(GMT+01:00) West Central Africa</option>
106 <option value="8">(GMT+02:00) Athens, Istanbul, Minsk</option>
107 <option value="9">(GMT+02:00) Bucharest</option>
108 <option value="10">(GMT+02:00) Cairo</option>
109 <option value="11">(GMT+02:00) Harare, Pretoria</option>
110 <option value="12">(GMT+02:00) Helsinki, Kyiv, Riga, Sofia, Tallinn,</option>
111 <option value="13">(GMT+02:00) Jerusalem</option>
112 <option value="14">(GMT+03:00) Baghdad</option>
113 <option value="15">(GMT+03:00) Kuwait, Riyadh</option>
114 <option value="16">(GMT+03:00) Moscow, St. Petersburg, Volgograd</option>
115 <option value="17">(GMT+03:00) Nairobi</option>
116 <option value="18">(GMT+03:30) Tehran</option>
117 <option value="19">(GMT+04:00) Abu Dhabi, Muscat</option>
118 <option value="20">(GMT+04:00) Baku, Tbilisi, Yerevan</option>
119 <option value="21">(GMT+04:30) Kabul</option>
120 <option value="22">(GMT+05:00) Ekaterinburg</option>
121 <option value="23">(GMT+05:00) Islamabad, Karachi, Tashkent</option>
122 <option value="24">(GMT+05:30) Chennai, Kolkata, Mumbai, New Delhi</option>
123 <option value="25">(GMT+05:45) Kathmandu</option>
124 <option value="26">(GMT+06:00) Almaty, Novosibirsk</option>
125 <option value="27">(GMT+06:00) Astana, Dhaka</option>
126 <option value="28">(GMT+06:00) Sri Jayawardenepura</option>
127 <option value="29">(GMT+06:30) Rangoon</option>
128 <option value="30">(GMT+07:00) Bangkok, Hanoi, Jakarta</option>
129 <option value="31">(GMT+07:00) Krasnoyarsk</option>
130 <option value="32">(GMT+08:00) Beijing, Chongqing, Hong Kong, Urumqi</option>
131 <option value="33">(GMT+08:00) Irkutsk, Ulaan Bataar</option>
132 <option value="34">(GMT+08:00) Kuala Lumpur, Singapore</option>
133 <option value="35">(GMT+08:00) Perth</option>
134 <option value="36">(GMT+08:00) Taipei</option>
135 <option value="37">(GMT+09:00) Osaka, Sapporo, Tokyo</option>
136 <option value="38">(GMT+09:00) Seoul</option>
137 <option value="39">(GMT+09:00) Yakutsk</option>
138 <option value="40">(GMT+09:30) Adelaide</option>
139 <option value="41">(GMT+09:30) Darwin</option>
140 <option value="42">(GMT+10:00) Brisbane</option>
141 <option value="43">(GMT+10:00) Canberra, Melbourne, Sydney</option>
142 <option value="44">(GMT+10:00) Guam, Port Moresby</option>
143 <option value="45">(GMT+10:00) Hobart</option>
144 <option value="46">(GMT+10:00) Vladivostok</option>
145 <option value="47">(GMT+11:00) Magadan, Solomon Is., New Caledonia</option>
146 <option value="48">(GMT+12:00) Auckland, Wellington</option>
147 <option value="49">(GMT+12:00) Fiji, Kamchatka, Marshall Is.</option>
148 <option value="50">(GMT+13:00) Nuku'alofa</option>
149 <option value="51">(GMT-01:00) Azores</option>
150 <option value="52">(GMT-01:00) Cape Verde Is.</option>
151 <option value="53">(GMT-02:00) Mid-Atlantic</option>
152 <option value="54">(GMT-03:00) Brasilia</option>
153 <option value="55">(GMT-03:00) Buenos Aires, Georgetown</option>
154 <option value="56">(GMT-03:00) Greenland</option>
155 <option value="57">(GMT-03:30) Newfoundland</option>
156 <option value="58">(GMT-04:00) Atlantic Time (Canada)</option>
157 <option value="59">(GMT-04:00) Caracas, La Paz</option>
158 <option value="60">(GMT-04:00) Santiago</option>
159 <option value="61">(GMT-05:00) Bogota, Lima, Quito</option>
160 <option value="62">(GMT-05:00) Eastern Time (US &amp; Canada)</option>
161 <option value="63">(GMT-05:00) Indiana (East)</option>
162 <option value="64">(GMT-06:00) Central America</option>
163 <option value="65">(GMT-06:00) Central Time (US &amp; Canada)</option>
164 <option value="66">(GMT-06:00) Guadalajara, Mexico City, Monterrey</option>
165 <option value="67">(GMT-06:00) Saskatchewan</option>
166 <option value="68">(GMT-07:00) Arizona</option>
167 <option value="69">(GMT-07:00) Chihuahua, La Paz, Mazatlan</option>
168 <option value="70">(GMT-07:00) Mountain Time (US &amp; Canada)</option>
169 <option value="71">(GMT-08:00) Pacific Time (US &amp; Canada); Tijuan</option>
170 <option value="72">(GMT-09:00) Alaska</option>
171 <option value="73">(GMT-10:00) Hawaii</option>
172 <option value="74">(GMT-11:00) Midway Island, Samoa</option>
173 <option value="75">(GMT-12:00) International Date Line West</option></select><im g id="zoneimage" src="images/check.gif" width="8" height="8">
174 </td>
175 </tr>
176 <tr>
177 <td class="text_bold_green" nowrap align="right" height="30">Password:&#160;</td >
178 <td class="text_bold_green" height="30" nowrap>
179 <input type="password" name="p assword" id="password" title="checkPass" class="inputbox" maxlength="12" size="1 5"><div id="passDiv" style="display:none;">
180 <img id="passwordimage" src="" width="8" height="8">
181 </div>
182 </td>
183 <td class="text_bold_green" height="30" nowrap align="ri ght">Confirm
184 password:&#160;</td>
185 <td class="text_bold_green" height="30" nowrap>
186 <input type="password " name="RePassword" id="RePassword" title="checkPass" class="inputbox" maxlength ="12" size="15"><div id="RepassDiv" style="display:none;">
187 <img id="RePasswordim age" src="" width="8" height="8">
188 </div>
189 </td>
190 </tr>
191 <tr>
192 <td class="text_bold_green" nowrap align="right" height="30">Name:&#160;</td>
193 <td class="text_bold_green" colspan="3" height="30" nowr ap>
194 <input type="text" nam e="name" id="name" value="" title="checkName" class="inputbox" maxlength="40" si ze="35"><div id="nameDiv" style="display:none;">
195 <img id="nameimage" sr c="" width="8" height="8">
196 </div>
197 </td>
198 </tr>
199 <tr>
200 <td class="text_bold_green" nowrap align="right" height="30">Company:&#160;</td>
201 <td class="text_bold_green" colspan="3" height="30" nowr ap>
202 <input type="text" na me="company" id="company" value="" title="checkCompany" class="inputbox" maxleng th="100" size="50"><div id="companyDiv" style="display:none;">
203 <img id="companyimage " src="" width="8" height="8">
204 </div>
205 </td>
206 </tr>
207 <tr>
208 <td class="text_bold_green" nowrap align="right" height="30">Address:&#160;</td>
209 <td class="text_bold_green" colspan="3" height="30" nowr ap>
210 <input type="text" nam e="address" id="address" value="" title="checkAdd" class="inputbox" maxlength="2 00" size="50"><div id="addDiv" style="display:none;">
211 <img id="addressimage" src="" width="8" height="8">
212 </div>
213 </td>
214 </tr>
215 <tr>
216 <td class="text_bold_green" nowrap align="right" height="30">City:&#160;</td>
217 <td class="text_bold_green" colspan="3" height="30" nowr ap>
218 <input type="text" name="city" id="city" value="" title="checkCi ty" class="inputbox" maxlength="40" size="25"><div id="cityDiv" style="display:n one;">
219 <img id="cityimage" src="" width="8" height="8">
220 </div>
221 </td>
222 </tr>
223 <tr>
224 <td class="text_bold_green" nowrap align="right" height="30">State:&#160;</td>
225 <td class="text_bold_green" height="30" nowrap>
226 <input type="text" name="province" id="province" value="" title= "checkPro" class="inputbox" maxlength="30" size="25"><div id="provinceDiv" style ="display:none;">
227 <img id="provinceimage" src="" width="8" height="8">
228 </div>
229 </td>
230 <td class="text_bold_green" align="right" height="30" no wrap>Zip
231 code:&#160;</td>
232 <td class="text_bold_green" height="30" nowrap>
233 <input type="text" name="zipCode" id="zipCode" value="" title= "checkZip" class="inputbox" maxlength="7" size="10"><div id="zipDiv" style="disp lay:none;">
234 <img id="zipCodeimage" src="" width="8" height="8">
235 </div>
236 </td>
237 </tr>
238 <tr>
239 <td class="text_bold_green" nowrap align="right" height="30">Country:&#160;</td>
240 <td class="text_bold_green" height="30" nowrap colspan=" 3">
241 <select name="country" id="country" title="checkSelect" size=" 1" class="inputbox"><option value="AF">Afghanistan</option>
242 <option value="AL">Albania</option>
243 <option value="DZ">Algeria</option>
244 <option value="AS">American Samoa</option>
245 <option value="AD">Andorra</option>
246 <option value="AO">Angola</option>
247 <option value="AI">Anguilla</option>
248 <option value="AQ">Antarctica</option>
249 <option value="AG">Antigua and Barbuda</option>
250 <option value="AR">Argentina</option>
251 <option value="AM">Armenia</option>
252 <option value="AW">Aruba</option>
253 <option value="AP">Asia/Pacific Region</option>
254 <option value="AU">Australia</option>
255 <option value="AT">Austria</option>
256 <option value="AZ">Azerbaijan</option>
257 <option value="BS">Bahamas</option>
258 <option value="BH">Bahrain</option>
259 <option value="BD">Bangladesh</option>
260 <option value="BB">Barbados</option>
261 <option value="BY">Belarus</option>
262 <option value="BE">Belgium</option>
263 <option value="BZ">Belize</option>
264 <option value="BJ">Benin</option>
265 <option value="BM">Bermuda</option>
266 <option value="BT">Bhutan</option>
267 <option value="BO">Bolivia</option>
268 <option value="BA">Bosnia and Herzegovina</option>
269 <option value="BW">Botswana</option>
270 <option value="BV">Bouvet Island</option>
271 <option value="BR">Brazil</option>
272 <option value="IO">British Indian Ocean Territory</option>
273 <option value="BN">Brunei Darussalam</option>
274 <option value="BG">Bulgaria</option>
275 <option value="BF">Burkina Faso</option>
276 <option value="BI">Burundi</option>
277 <option value="KH">Cambodia</option>
278 <option value="CM">Cameroon</option>
279 <option value="CA">Canada</option>
280 <option value="CV">Cape Verde</option>
281 <option value="KY">Cayman Islands</option>
282 <option value="CF">Central African Republic</option>
283 <option value="TD">Chad</option>
284 <option value="CL">Chile</option>
285 <option value="CN">China</option>
286 <option value="CX">Christmas Island</option>
287 <option value="CC">Cocos (Keeling) Islands</option>
288 <option value="CO">Colombia</option>
289 <option value="KM">Comoros</option>
290 <option value="CG">Congo</option>
291 <option value="CD">Congo, The Democratic Republic of the</option>
292 <option value="CK">Cook Islands</option>
293 <option value="CR">Costa Rica</option>
294 <option value="CI">Cote D'Ivoire</option>
295 <option value="HR">Croatia</option>
296 <option value="CU">Cuba</option>
297 <option value="CY">Cyprus</option>
298 <option value="CZ">Czech Republic</option>
299 <option value="DK">Denmark</option>
300 <option value="DJ">Djibouti</option>
301 <option value="DM">Dominica</option>
302 <option value="DO">Dominican Republic</option>
303 <option value="TP">East Timor</option>
304 <option value="EC">Ecuador</option>
305 <option value="EG">Egypt</option>
306 <option value="SV">El Salvador</option>
307 <option value="GQ">Equatorial Guinea</option>
308 <option value="ER">Eritrea</option>
309 <option value="EE">Estonia</option>
310 <option value="ET">Ethiopia</option>
311 <option value="EU">Europe</option>
312 <option value="FK">Falkland Islands (Malvinas)</option>
313 <option value="FO">FaroeIslands</option>
314 <option value="FJ">Fiji</option>
315 <option value="FI">Finland</option>
316 <option value="FR">France</option>
317 <option value="FX">France, Metropolitan</option>
318 <option value="PF">French Polynesia</option>
319 <option value="GF">French Guiana</option>
320 <option value="TF">French Southern Territories</option>
321 <option value="GA">Gabon</option>
322 <option value="GM">Gambia</option>
323 <option value="GE">Georgia</option>
324 <option value="DE">Germany</option>
325 <option value="GH">Ghana</option>
326 <option value="GI">Gibraltar</option>
327 <option value="GR">Greece</option>
328 <option value="GL">Greenland</option>
329 <option value="GD">Grenada</option>
330 <option value="GP">Guadeloupe</option>
331 <option value="GU">Guam</option>
332 <option value="GT">Guatemala</option>
333 <option value="GN">Guinea</option>
334 <option value="GW">Guinea-Bissau</option>
335 <option value="GY">Guyana</option>
336 <option value="HT">Haiti</option>
337 <option value="HM">Heard Island and McDonald Islands</option>
338 <option value="VA">Holy See (Vatican City State)</option>
339 <option value="HN">Honduras</option>
340 <option value="HK">Hong Kong</option>
341 <option value="HU">Hungary</option>
342 <option value="IS">Iceland</option>
343 <option value="IN">India</option>
344 <option value="ID">Indonesia</option>
345 <option value="IR">Iran, Islamic Republic of</option>
346 <option value="IQ">Iraq</option>
347 <option value="IE">Ireland</option>
348 <option value="IL">Israel</option>
349 <option value="IT">Italy</option>
350 <option value="JM">Jamaica</option>
351 <option value="JP">Japan</option>
352 <option value="JO">Jordan</option>
353 <option value="KZ">Kazakstan</option>
354 <option value="KE">Kenya</option>
355 <option value="KI">Kiribati</option>
356 <option value="KP">Korea, Democratic People's Republic of</option>
357 <option value="KR">Korea, Republic of</option>
358 <option value="KW">Kuwait</option>
359 <option value="KG">Kyrgyzstan</option>
360 <option value="LA">Lao People's Democratic Republic</option>
361 <option value="LV">Latvia</option>
362 <option value="LB">Lebanon</option>
363 <option value="LS">Lesotho</option>
364 <option value="LR">Liberia</option>
365 <option value="LY">Libyan Arab Jamahiriya</option>
366 <option value="LI">Liechtenstein</option>
367 <option value="LT">Lithuania</option>
368 <option value="LU">Luxembourg</option>
369 <option value="MO">Macau</option>
370 <option value="MK">Macedonia, the Former Yugoslav Republic of</option>
371 <option value="MG">Madagascar</option>
372 <option value="MW">Malawi</option>
373 <option value="MY">Malaysia</option>
374 <option value="MV">Maldives</option>
375 <option value="ML">Mali</option>
376 <option value="MT">Malta</option>
377 <option value="MH">Marshall Islands</option>
378 <option value="MQ">Martinique</option>
379 <option value="MR">Mauritania</option>
380 <option value="MU">Mauritius</option>
381 <option value="YT">Mayotte</option>
382 <option value="MX">Mexico</option>
383 <option value="FM">Micronesia, Federated States of</option>
384 <option value="MD">Moldova, Republic of</option>
385 <option value="MC">Monaco</option>
386 <option value="MN">Mongolia</option>
387 <option value="MS">Montserrat</option>
388 <option value="MA">Morocco</option>
389 <option value="MZ">Mozambique</option>
390 <option value="MM">Myanmar</option>
391 <option value="NA">Namibia</option>
392 <option value="NR">Nauru</option>
393 <option value="NP">Nepal</option>
394 <option value="NL">Netherlands</option>
395 <option value="AN">Netherlands Antilles</option>
396 <option value="NC">New Caledonia</option>
397 <option value="NZ">New Zealand</option>
398 <option value="NI">Nicaragua</option>
399 <option value="NE">Niger</option>
400 <option value="NG">Nigeria</option>
401 <option value="NU">Niue</option>
402 <option value="NF">Norfolk Island</option>
403 <option value="MP">Northern Mariana Islands</option>
404 <option value="NO">Norway</option>
405 <option value="OM">Oman</option>
406 <option value="PK">Pakistan</option>
407 <option value="PW">Palau</option>
408 <option value="PS">Palestinian Territory, Occupied</option>
409 <option value="PA">Panama</option>
410 <option value="PG">Papua New Guinea</option>
411 <option value="PY">Paraguay</option>
412 <option value="PE">Peru</option>
413 <option value="PH">Philippines</option>
414 <option value="PN">Pitcairn</option>
415 <option value="PL">Poland</option>
416 <option value="PT">Portugal</option>
417 <option value="PR">Puerto Rico</option>
418 <option value="QA">Qatar</option>
419 <option value="RE">Reunion</option>
420 <option value="RO">Romania</option>
421 <option value="RU">Russian Federation</option>
422 <option value="RW">Rwanda</option>
423 <option value="PM">Saint Pierre and Miquelon</option>
424 <option value="SH">Saint Helena</option>
425 <option value="KN">Saint Kitts and Nevis</option>
426 <option value="LC">Saint Lucia</option>
427 <option value="VC">Saint Vincent and the Grenadines</option>
428 <option value="WS">Samoa</option>
429 <option value="SM">San Marino</option>
430 <option value="ST">Sao Tome and Principe</option>
431 <option value="SA">Saudi Arabia</option>
432 <option value="SN">Senegal</option>
433 <option value="SC">Seychelles</option>
434 <option value="SL">Sierra Leone</option>
435 <option value="SG">Singapore</option>
436 <option value="SK">Slovakia</option>
437 <option value="SI">Slovenia</option>
438 <option value="SB">Solomon Islands</option>
439 <option value="SO">Somalia</option>
440 <option value="ZA">South Africa</option>
441 <option value="GS">South Georgia and the South Sandwich Islands</option>
442 <option value="ES">Spain</option>
443 <option value="LK">Sri Lanka</option>
444 <option value="SD">Sudan</option>
445 <option value="SR">Suriname</option>
446 <option value="SJ">Svalbard and Jan Mayen</option>
447 <option value="SZ">Swaziland</option>
448 <option value="SE">Sweden</option>
449 <option value="CH">Switzerland</option>
450 <option value="SY">Syrian Arab Republic</option>
451 <option value="TW">Taiwan</option>
452 <option value="TJ">Tajikistan</option>
453 <option value="TZ">Tanzania, United Republic of</option>
454 <option value="TH">Thailand</option>
455 <option value="TG">Togo</option>
456 <option value="TK">Tokelau</option>
457 <option value="TO">Tonga</option>
458 <option value="TT">Trinidad and Tobago</option>
459 <option value="TN">Tunisia</option>
460 <option value="TR">Turkey</option>
461 <option value="TM">Turkmenistan</option>
462 <option value="TC">Turks and Caicos Islands</option>
463 <option value="TV">Tuvalu</option>
464 <option value="UG">Uganda</option>
465 <option value="UA">Ukraine</option>
466 <option value="AE">United Arab Emirates</option>
467 <option value="GB">United Kingdom</option>
468 <option value="US" selected>United States</option>
469 <option value="UM">United States Minor Outlying Islands</option>
470 <option value="UY">Uruguay</option>
471 <option value="UZ">Uzbekistan</option>
472 <option value="VU">Vanuatu</option>
473 <option value="VE">Venezuela</option>
474 <option value="VN">Vietnam</option>
475 <option value="VG">Virgin Islands, British</option>
476 <option value="VI">Virgin Islands, U.S.</option>
477 <option value="WF">Wallis and Futuna</option>
478 <option value="EH">Western Sahara</option>
479 <option value="YE">Yemen</option>
480 <option value="YU">Yugoslavia</option>
481 <option value="ZR">Zaire</option>
482 <option value="ZM">Zambia</option>
483 <option value="ZW">Zimbabwe</option>
484 <option value="CS">Serbia and Montenegro</option>
485 <option value="RS">Serbia, Republic of</option></select><img id="countryimage" s rc="images/check.gif" width="8" height="8">
486 </td>
487 </tr>
488 <tr align="center">
489 <td class="bodytext" colspan="4" nowrap height="30">
490 <input type="checkbox" name="t ermcheck" value="ON">
491 By checking this box I acknowledge
492 that I have read and agree to the Clicksor&#153;
493 <a href="http://www.clicksor.com/advertiser-agreement" class="no" style="text-decoration:underline;color:#669900" target="_blank">agre ement</a>
494 </td>
495 </tr>
496 <tr>
497 <td class="text_bold_green" colspan="2" nowrap align="right" height="30">Enter
498 the security code shown below: </td>
499 <td class="text_bold_green" height="30" nowrap colspan=" 2">
500 <input type="text" name="secur ityCode" maxlength="5" size="10" class="inputbox">
501 </td>
502 </tr>
503 <tr>
504 <td class="bodytext" colspan="2" nowrap align="right" height="45">Picture</td>
505 <td class="text_bold_green" height="45" nowrap><img src= "/imageverify.php" width="100" height="30" name="imageverify" class="inputbox">< /td>
506 <td class="text_bold_green" height="45" nowrap><a ><img src="images/refresh.gif" width="15" height="15" border="0"></a></td>
507 </tr>
508 <tr>
509 <td class="text_bold_green" colspan="4" nowrap align="right" height="30" style=" padding-right:30;padding-top:20;padding-bottom:15">
510 <input type="image" src= "images/button_submit_1.gif" name="Submit" value="Submit" alt="Submit" width="69 " height="20"><input type="image" src="images/button_reset_1.gif" name="Reset" v alue="Reset" alt="Reset" width="69" height="20">
511 </td>
512 </tr>
513 </table>
514 <table width="540" border="0" cellspacing="0" cellpadding="0" style="padding-top :20"><tr>
515 <td class="no" width="410" nowrap align="center"><a href="https://www.paypal.com /cgi-bin/webscr?cmd=xpt/general/SolutionGraphics-outside#" target="_blank"><img src="images/paypal_logos.gif" width="348" height="34" alt="Paypal" border="0"></ a></td>
516 <td class="no"></td>
517 </tr></table>
518 </td>
519 </tr></table>
520 <input type="hidden" name="srid" value=""><input type="hidden" name="aid" value= "">
521 </form> </td>
522 </tr>
523 </table>
524 </td>
525 </tr></table>
526
527 </body>
528 </html>
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