<center>
<P>
Step 1: E-mail Address Availability and Selection<br>
Step 2: Mailbox Information and Upgrades<br>
<b>Step 3: Account Holder Contact Information</b><br>
Step 4: Order Confirmation<br>

  <form action="<TMPL_VAR CGI>" method="post">
  <input type="hidden" name="action" value="retrieve_contact_info">
  <input type="hidden" name="session" value="<TMPL_VAR ESCAPE=HTML session>">
  <input type="hidden" name="sign" value="<TMPL_VAR sign>">

  <table border="0" width="50%">
    <tr>
      <td align="center" colspan="4" class="main">
	<font class="heading">Account Holder Contact Information</font>
      </td>
    </tr>
    <tr>
      <td class="neutral" colspan="4" align="center">
          Retrieve information from existing records:
      </td>
    </tr>
    <tr>
      <td></td>
      <td class="neutral" align="right"><b>E-mail Address in this Domain:</b> &nbsp; </td>
      <td colspan="2">
            <input type="text" name="reg_email" value="">@<TMPL_VAR email_domain>
      </td>
    </tr>
    <tr>
      <td class="neutral" colspan="4" align="center">
            <input type="submit" name="submit" value="Retrieve">
      </td>
    </tr>
    </table>
    </form>

    <form method="post" action="<TMPL_VAR cgi>">
    <table border="1" width="50%">
    <tr>
      <td class="accent">First Name:</td>
      <td class="accent"><input type="text" name="first_name" value="<TMPL_VAR first_name>"></td>
    </tr>
    <tr>
      <td class="accent">Last Name:</td>
      <td class="accent"><input type="text" name="last_name" value="<TMPL_VAR last_name>"></td>
    </tr>
    <tr>
      <td class="accent" nowrap>Organization Name:<br></td>
      <td class="accent"><input type="text" name="org_name" value="<TMPL_VAR org_name>"><font color="red" size=-1><i>*optional*</i></font></td>
    </tr>
    <tr>
      <td class="accent">Existing E-mail:<br></td>
      <td class="accent"><input type="text" name="owner_email" value="<TMPL_VAR owner_email>"><font color="red" size=-1><i>*for confirmation(optional)*</i></font></td>
    </tr>
    <tr>
      <td class="accent">Street Address:</td>
      <td class="accent"><input type="text" name="address1" value="<TMPL_VAR address1>"></td>
    </tr>
    <tr>
      <td class="accent">Suite:</td>
      <td class="accent"><input type="text" name="address2" value="<TMPL_VAR address2>"></td>
    </tr>
    <tr>
      <td class="accent">Address Cont'd:</td>
      <td class="accent"><input type="text" name="address3" value="<TMPL_VAR address3>"></td>
    </tr>    
    <tr>
      <td class="accent">City:</td>
      <td class="accent"><input type="text" name="city" value="<TMPL_VAR city>"></td>
    </tr>
    <tr>
      <td class="accent">State:</td>
      <td class="accent"><input type="text" name="state" value="<TMPL_VAR state>"></td>
    </tr>
    <tr>
      <td class="accent">Postal Code:</td>
      <td class="accent"><input type="text" name="postal_code" value="<TMPL_VAR postal_code>"></td>
    </tr>
    <tr>
      <td class="accent">Country:</td>
      <td class="accent" colspan=3>
         <SELECT NAME="country">
            <TMPL_VAR country_menu>
         </SELECT>
      </td>
    </tr>
    <tr>
      <td class="accent">Phone Number:</td>
      <td class="accent"><input type="text" name="phone" value="<TMPL_VAR phone>"><br><font size="-1">(eg. +1.4165350123 x1610) -or- <br>(416-535-0123 x1610  only for US/CA)</font></td>
    </tr>
    <tr>
      <td class="accent">Fax Number:<br></td>
      <td class="accent"><input type="text" name="fax" value="<TMPL_VAR fax>"><font color="red" size=-1><i>*optional*</i></font><br><font size="-1">(eg. +1.4165350123 x1610) -or- <br>(416-535-0123 x1610  only for US/CA)</font></td>
    </tr>

    <tr>
      <td align="center" colspan="4" class="main">
	<font class="heading">E-mail Address Information</font>
      </td>
    </tr>

   <tr><td colspan="4">
       <table cellspacing="2" cellpadding="2" width="100%">
           <tr>
             <td align="right" class="accent">Capacity: </td>
             <td colspan="2" align="left" class="accent"> &nbsp;
              Total capacity per mailbox of <b><TMPL_VAR total_capacity>MB</b>
             </td>
           </tr>
           <tr>
             <td align="right" class="accent">Features: </td>
             <td colspan="2" align="left" class="accent">
	       <li>Base features (POP and Webmail)
              <TMPL_IF imap>
               <li><b>IMAP</b>
	      </TMPL_IF>
             </td>
           </tr>
           <tr>
             <td align="center" class="main"><b>Mailbox Name</b></td>
             <td align="center" class="main"><b>Display Name</b></td>
             <td align="center" class="main"><b>E-mail Administrator</b></td>
           </tr>
             <TMPL_LOOP NAME=emails>
               <tr bgcolor="<TMPL_VAR colouring>" <TMPL_VAR class>>
                 <td align="center"><TMPL_VAR account_name></td>
                 <td align="center">
                   <input name="real_name_<TMPL_VAR account_name>" value="<TMPL_VAR real_name>">
                 </td>
                 <td align="center">
                   <input type=radio name="domain_admin_<TMPL_VAR account_name>" value="1"> Yes
                   <input type=radio name="domain_admin_<TMPL_VAR account_name>" value="0" checked> No
                 </td>
               </tr>
             </TMPL_LOOP>
             <TMPL_IF duplicate_accounts>
               <tr>
                   <td colspan="3" align="center" class="accent">
                       <i><font color="red">* Duplicate account names have been skipped *</font></i>
                   </td>
               </tr>
             </TMPL_IF>
             <TMPL_IF first_email>
               <tr>
                 <td align="center" colspan="4" class="main">
	           <font class="heading">Misaddressed E-mail Setting (optional)</font>
                 </td>
               </tr>
               <tr>
                   <td align="center" class="accent">
                     <input type="radio" name="misaddressed_email" value="reject_with_notification" checked>
                   </td>
                   <td colspan="2" class="accent">
                       <b>Reject with Notification</b><br>
                       Sender will receive a message stating the delivery of their message failed. Message will be discarded.
                   </td>
               </tr>
               <tr>
                   <td align="center" class="accent">
                     <input type="radio" name="misaddressed_email" value="reject_without_notification">
                   </td>
                   <td colspan="2" class="accent">
                       <b>Reject without Notification</b><br>
                       Sender will not receive a message stating the delivery of their message failed. Message will be discarded.
                   </td>
               </tr>
               <tr>
                   <td align="center" class="accent">
                     <input type="radio" name="misaddressed_email" value="catch_all">
                   </td>
                   <td colspan="2" class="accent">
                       <b>Catch-all</b><br>
                       Message will be rerouted to an existing mailbox. Type the name of the mailbox in the field below<br>
                       <input name="catch_all_email">
                   </td>
               </tr>

             </TMPL_IF>

       </table>
   </td></tr>
   <tr>
     <td colspan="4" align="center" class="main">
     <br>
      <input type="hidden" name="session" value="<TMPL_VAR ESCAPE=HTML session>">
      <input type="hidden" name="sign" value="<TMPL_VAR sign>">
      <input type="hidden" name="action" value="verify_contact_data">
      <b><input type="submit" name="register" value=" Proceed to Confirmation "></b>
     <br>&nbsp;
     </td>
   </tr>
 </table>
</form>

<p>

<a href="<TMPL_VAR CGI>?action=show_lookup">Start over with a new search...</a>

</center>


