{include file="_header.tpl" page_title="Login..."}

{literal}
<script>
function checkForm(frm)
{
	if ( !requireField(frm.FirstName,'First Name is required') ) {return false;}
	if ( !requireField(frm.LastName,'Last Name is required') ) {return false;}
	if ( !requireField(frm.Address1,'Address 1 is required') ) {return false;}
	if ( !requireField(frm.City,'City is required') ) {return false;}
	if ( !requireField(frm.State,'State is required') ) {return false;}
	if ( !requireField(frm.Zip,'Zip is required') ) {return false;}
	if ( !requireField(frm.Email,'Email is required') ) {return false;}

	return true;
}

function requireField(fld,msg)
{
	if (fld.value == '')
	{
		alert(msg);
		fld.focus();
		return false;
	}
	return true;
}

</script>
{/literal}

<form action="login.php" method="post">
<input type="hidden" name="login" value="1" />

<table border="0" cellpadding="0" cellspacing="0" width="550">
                          <tr>
                            <td width="550"><img border="0" src="{$URL_SKIN}/images/box6.jpg" width="550" height="104"></td>
                          </tr>
                          <tr>
                            <td width="550"><img border="0" src="{$URL_SKIN}/images/line_login.gif" width="550" height="23"></td>
                          </tr>
                          <tr>
                            <td width="550" background="{$URL_SKIN}/images/td_bg2.gif">
                              <table border="0" cellpadding="0" cellspacing="0" width="550">
                                <tr>
                                  <td><p class="error" style="margin-left: 15px">{$alert}</p>

<p>&nbsp;</p>

<table border="0" style="margin-left: 15px">
	<tr>
	<th>Email:</th>
	<td><input name="username" class="login"></td>
	</tr>
	<tr>
	<th>Password:</th>
	<td><input name="password" type="password" class="login"></td>
	</tr>
	<tr>
	<th colspan="2" class="align_right"><input type="submit" class="button" value="login..."  onmouseout="this.className='button';" onmouseover="this.className='button_hover';"></th>
	</tr>
</table>

<p>&nbsp;</p>
<p style="margin-left: 15px"><b>Forgotten password?</b><br>
<a href="forgotten_password.php">Click here if you have forgotten your password</a></p>

</form>

<p style="margin: 15px"><b>Don't have an account?</b><br>
Complete the form below to create a new account:</p>
	
<p style="margin: 15px">
<form action="create_account.php" method="post" onsubmit="return checkForm(this);">
	
	<table border="0">
		<tr>
		<th align="right">First, Last Name:</th>
		<td><input type="text" name="FirstName" size="12">&nbsp;<input type="text" name="LastName" size="12"></td>
		</tr>
		
		<tr>
		<th align="right">Company:</th>
		<td><input type="text" name="Company" size="27"></td>
		</tr>
		
		<tr>
		<th align="right">Address 1:</th>
		<td><input type="text" name="Address1" size="27"></td>
		</tr>
		
		<tr>
		<th align="right">Address 2:</th>
		<td><input type="text" name="Address2" size="27"></td>
		</tr>

		<tr>
		<th align="right">City:<br />
            State:<br />
            Zip:</th>
		<td><input type="text" name="City" size="15"><br />
		<select name="State">
		<option value="">Select One...</option>
		{section name=id loop=$statecodes}
			{if $profile->State == $statecodes[id]->Code}
				<option value="{$statecodes[id]->Code}" selected>{$statecodes[id]->Code}</option>
			{else}
				<option value="{$statecodes[id]->Code}">{$statecodes[id]->Code} ({$statecodes[id]->FullName})</option>
			{/if}
		{/section}
		</select><br />
		<input type="text" name="Zip" size="10"></td>
		</tr>

		<tr>
		<th align="right">Residential Address?</th>
		<td><input type="radio" name="Notes" value="Residential">Yes 
		<input type="radio" name="Notes" value="" checked>No </td>
		</tr>

		<tr>
		<th align="right">Phone:</th>
		<td><input type="text" name="Phone1" size="27"></td>
		</tr>

		<tr>
		<th align="right">Fax:</th>
		<td><input type="text" name="Fax" size="27"></td>
		</tr>

		<tr>
		<th align="right">Email:</th>
		<td><input type="text" name="Email" size="27">&nbsp;*</td>
		</tr>

		<tr>
		<td colspan="2"><p style="margin-left: 15px"><em>* A password will be sent to the email address provided above. Please double-check that it is spelled correctly.</em></p></td>
		</tr>
		
		<tr>
		<th colspan="2" align="left"><p style="margin-left: 15px"><input type="submit" class="button" value="Create Account"  onmouseout="this.className='button';" onmouseover="this.className='button_hover';"></p></th>
		</tr>
	</table>
	
	</form>
	</p>
	
</td>
                                </tr>
                              </table>
                            </td>
                          </tr>
                          <tr>
                            <td width="550" background="{$URL_SKIN}/images/td_bottom2.gif" height="22" valign="top">
                              <table border="0" cellpadding="0" cellspacing="0" width="550">
                                <tr>
                                  <td width="138" valign="top" align="left" height="22"><img border="0" src="{$URL_SKIN}/images/spacer.gif" width="550" height="22"></td>
                                </tr>
                              </table>
                            </td>
                          </tr>
                          <tr>
                            <td width="550"><p align="left" style="margin-left: 12"><img border="0" src="{$URL_SKIN}/images/copyright.gif" style="margin-top: 15" width="525" height="25"></p>
                            </td>
                          </tr>
                        </table>


{include file="_footer.tpl"}