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function data_copy()
{

document.loginform.delivery_title.value=document.loginform.title.value;
document.loginform.delivery_firstname.value=document.loginform.Customer_firstname.value;
document.loginform.delivery_surname.value=document.loginform.Customer_surname.value;

document.loginform.Delivery_address1.value=document.loginform.Billing_address1.value;
document.loginform.Delivery_address2.value=document.loginform.Billing_address2.value;
document.loginform.Delivery_address3.value=document.loginform.Billing_address3.value;
document.loginform.DeliveryTown.value=document.loginform.BillingTown.value;
document.loginform.DeliveryPostCode.value=document.loginform.BillingPostCode.value;
document.loginform.delivery_region.value=document.loginform.customer_region.value;
document.loginform.DeliveryCountry.value=document.loginform.BillingCountry.value;
}

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<!--start content -->

<h1>Register</h1>


<p>Please note that all fields marked with an asterisk ( * ) are 'required' fields
  which must be filled in before we can process your registration.</p>
<p>Note:  Please enter your address and postcode in the exact format as
  shown on either your bank statement or credit card statement (dependant on
  payment method). Failure to do so will lead to any payment being refused.</p>
  
  
<div ID="generalform">
	<form method="post" action="register_process.cfm" name="loginform" ID="loginform">
	<TABLE border="0" cellspacing="0" cellpadding="5">
  <TR valign="top">
    <TD><b>Title:</b> <span class="asterisk">*</span></TD>
    <TD>            <select name="title" id="title">
			<option value="" selected>Select...</option>
			
              <option value="Mrs">Mrs</option>
			  
              <option value="Miss">Miss</option>
			  
              <option value="Mr">Mr</option>
			  
              <option value="Ms">Ms</option>
			  
              <option value="Dr">Dr</option>
			  
            </select></TD>
  </TR>
  <TR valign="top">
    <TD><b>Customer First Name:</b> <span class="asterisk">*</span></TD>
    <TD><input type="Text" name="Customer_firstname" size="40" maxlength="150" id="Customer_firstname"></TD>
  </TR>
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    <TD><b>Customer Surname:</b> <span class="asterisk">*</span></TD>
    <TD><input type="Text" name="Customer_surname" size="40" maxlength="150" id="Customer_surname"></TD>
  </TR>
  
   <TR valign="top">
    <TD><b>Billing Address:</b> <span class="asterisk">*</span></TD>
    <TD><input type="Text" name="Billing_address1" size="40" maxlength="150" id="Billing_address1"><br/><div class="myvspace"></div>
<input type="Text" name="Billing_address2" size="40" maxlength="150" id="Billing_address2"><br/><div class="myvspace"></div>
<input type="Text" name="Billing_address3" size="40" maxlength="150" id="Billing_address3"></TD>
  </TR>

           <TR valign="top">
    <TD><b>Billing Town:</b> <span class="asterisk">*</span></TD>
    <TD><input type="text" name="BillingTown" size="40" maxlength="40" id="BillingTown"></TD>
  </TR>

           <TR valign="top">
    <TD><b>Billing Post Code:</b> <span class="asterisk">*</span></TD>
    <TD><input type="text" name="BillingPostCode" size="40" maxlength="40" id="BillingPostCode"></TD>
  </TR>

           <TR valign="top">
    <TD><b>Billing County:</b> <span class="asterisk">*</span></TD>
    <TD><input type="text" name="customer_region" size="40" maxlength="40" id="customer_region" ></TD>
  </TR>

           <TR valign="top">
    <TD><b>Billing Country:</b></TD>
    <TD>United Kingdom <input type="hidden" name="BillingCountry" id="BillingCountry" value="United Kingdom"></TD>
  </TR>
  
             <TR valign="top">
    <TD><b>Email: </b> <span class="asterisk">*</span></TD>
    <TD><input type="text" name="customer_login_ID" size="40"  id="customer_login_ID"></TD>
  </TR>
            
  
               <TR valign="top">
    <TD><b>Daytime Contact Number :</b> <span class="asterisk">*</span></TD>
    <TD><input type="text" name="ContactNumber" size="40" maxlength="40" id="ContactNumber"></TD>
  </TR>

               <TR valign="top">
    <TD><b>Mobile:</b></TD>
    <TD><input type="text" name="ContactMobile" size="40" maxlength="40" id="ContactMobile"></TD>
  </TR>

               <TR valign="top">
    <TD><b>Fax:</b> </TD>
    <TD><input type="text" name="ContactFax" size="40" maxlength="40" id="ContactFax"></TD>
  </TR>

  
  
   <TR valign="top">
    <TD><b>Password (6-40 characters):</b> <span class="asterisk">*</span></TD>
    <TD><input type="password" name="customer_password" size="40" maxlength="40" id="customer_password"></TD>
  </TR>
     <TR valign="top">
    <TD><b>Confirm Password:</b> <span class="asterisk">*</span></TD>
    <TD><input type="password" name="customer_password2" size="40" maxlength="40" id="customer_password2"></TD>
  </TR>
  
    <TR valign="top">
    <TD><p>&nbsp;</p><b> Delivery Address</b></TD>
    <TD><p>&nbsp;</p><input type="button" onclick="data_copy();" value="Use Above Address" class="button"></TD>
  </TR>


 <TR valign="top">
    <TD><b>Delivery Title:</b> <span class="asterisk">*</span></TD>
    <TD>            <select name="delivery_title" id="delivery_title">
			<option value="" selected>Select...</option>
			
              <option value="Mrs">Mrs</option>
			  
              <option value="Miss">Miss</option>
			  
              <option value="Mr">Mr</option>
			  
              <option value="Ms">Ms</option>
			  
              <option value="Dr">Dr</option>
			  
            </select></TD>
  </TR>

  <TR valign="top">
    <TD><b>Delivery First Name:</b> <span class="asterisk">*</span></TD>
    <TD><input type="Text" name="delivery_firstname" size="40" maxlength="150" id="delivery_firstname"></TD>
  </TR>

  <TR valign="top">
    <TD><b>Delivery Surname:</b> <span class="asterisk">*</span></TD>
    <TD><input type="Text" name="delivery_surname" size="40" maxlength="150" id="delivery_surname"></TD>
  </TR>


   <TR valign="top">
    <TD><b>Delivery Address:</b> <span class="asterisk">*</span></TD>
    <TD><input type="Text" name="Delivery_address1" size="40" maxlength="150" id="Delivery_address1"><br/><div class="myvspace"></div>
<input type="Text" name="Delivery_address2" size="40" maxlength="150" id="Delivery_address2"><br/><div class="myvspace"></div>
<input type="Text" name="Delivery_address3" size="40" maxlength="150" id="Delivery_address3"></TD>
  </TR>

           <TR valign="top">
    <TD><b>Delivery Town:</b> <span class="asterisk">*</span></TD>
    <TD><input type="text" name="DeliveryTown" size="40" maxlength="40" id="DeliveryTown"></TD>
  </TR>

           <TR valign="top">
    <TD><b>Delivery Post Code:</b> <span class="asterisk">*</span></TD>
    <TD><input type="text" name="DeliveryPostCode" size="40" maxlength="40" id="DeliveryPostCode"></TD>
  </TR>

           <TR valign="top">
    <TD><b>Delivery County:</b> <span class="asterisk">*</span></TD>
    <TD><input type="text" name="delivery_region" size="40" maxlength="40" id="delivery_region"></TD>
  </TR>

           <TR valign="top">
    <TD><b>Delivery Country:</b></TD>
    <TD>United Kingdom <input type="hidden" name="DeliveryCountry" id="DeliveryCountry" value="United Kingdom"></TD>
  </TR>
</TABLE>
<p>By registering with Simply Rooms, you are agreeing to receive future mailings on our new ranges, special offers and all the latest news and developments. Should you wish to unsubscribe, please click on the link in the mailing.</p>
<p>In future we may decide to make details available to companies whose products
  or services we think may interest our customers. If you <b>do not wish</b> to
  receive such offers please tick this box 
  <INPUT name="opt_out" type="checkbox" value="1" /></p>

<input name="SEND" type="submit" class="submit" value="Register My Details" />
</form>


<SCRIPT LANGUAGE="JavaScript">
<!--//
// initialize the qForm object
objForm = new qForm("loginform");

// set error colour
qFormAPI.errorColor = "#FF9B9B";

// make these fields required
objForm.required("title, Customer_firstname, Customer_surname, Billing_address1, BillingTown, BillingPostCode, customer_region, BillingCountry, ContactNumber, customer_login_ID, delivery_title, delivery_firstname, delivery_surname, Delivery_address1, DeliveryTown, DeliveryPostCode, delivery_region, customer_password, customer_password2, DeliveryCountry");

objForm.title.description = "Title";
objForm.Customer_firstname.description = "First Name";
objForm.Customer_surname.description = "Surname";
objForm.Billing_address1.description = "Billing Address";
objForm.BillingTown.description = "Billing Town";
objForm.BillingPostCode.description = "BillingPostCode";
objForm.customer_region.description = "Billing County";
objForm.BillingCountry.description = "BillingCountry";
objForm.ContactNumber.description = "Phone Number";
objForm.customer_login_ID.description = "Email";
objForm.customer_password.description = "Password";
objForm.customer_password2.description = "Password (re-type)";

objForm.delivery_title.description = "Delivery Title";
objForm.delivery_firstname.description = "Delivery First Name";
objForm.delivery_surname.description = "Delivery Surname";

objForm.Delivery_address1.description = "Delivery Address";
objForm.DeliveryTown.description = "Delivery Town";
objForm.DeliveryPostCode.description = "Delivery Postcode";
objForm.delivery_region.description = "Delivery County";
objForm.DeliveryCountry.description = "DeliveryCountry";


//-->
</SCRIPT>

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