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

<p>

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

  <table border="1" cellpadding="5" cellspacing="0" width="50%" class="accent">
    <tr>
      <td class="main" colspan=2 align=center>
        <font class="heading">
          E-mail Order Confirmation
        </font>
      </td>
    </tr>
    <tr>
	<td width="40%" align=right class="accent">
	    Domain Name
	</td>
	<td align=left class="neutral">
	    <TMPL_VAR email_domain>
	</td>
    </tr>
    <tr>
      <td class="main" colspan=2 align=center>
        <font class="heading">
          Contact Data
        </font>
      </td>
    </tr>
    <tr>
	<td align=right class="accent">
	    First Name
	</td>
	<td align=left class="neutral">
	    <TMPL_VAR first_name>
	</td>
    </tr>
    <tr>
	<td align=right class="accent">
	    Last Name
	</td>
	<td align=left class="neutral">
	    <TMPL_VAR last_name>
	</td>
    </tr>
    <tr>
	<td align=right class="accent">
	    Organization
	</td>
	<td align=left class="neutral">
	    <TMPL_IF org_name><TMPL_VAR org_name><TMPL_ELSE>&nbsp;</TMPL_IF>
	</td>
    </tr>
    <tr>
	<td align=right class="accent">
	    Address
	</td>
        <td align=left class="neutral">
	    <TMPL_VAR address1>
              <TMPL_IF address2>
                <br><TMPL_VAR address2>
                  <TMPL_IF address3>
                    <br><TMPL_VAR address3>
                  </TMPL_IF>
              </TMPL_IF>
            <br><TMPL_VAR city><TMPL_IF state>,</TMPL_IF> <TMPL_VAR state>
            <br><TMPL_VAR country>
            <br><TMPL_VAR postal_code>
        </td>
    </tr>
    <tr>
	<td align=right class="accent">
	    Phone
	</td>
	<td align=left class="neutral">
	    <TMPL_VAR phone>
	</td>
    </tr>
    <tr>
	<td align=right class="accent">
	    Fax
	</td>
	<td align=left class="neutral">
	    <TMPL_IF fax><TMPL_VAR fax><TMPL_ELSE>&nbsp;</TMPL_IF>
	</td>
    </tr>
    <tr>
	<td align=right class="accent">
	    Alternate E-mail
	</td>
	<td align=left class="neutral">
	    <TMPL_IF owner_email><TMPL_VAR owner_email><TMPL_ELSE>&nbsp;</TMPL_IF>
	</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>
           </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">
                   <TMPL_IF real_name>
                     <TMPL_VAR real_name>
                   <TMPL_ELSE>
                     &nbsp;
                   </TMPL_IF>
                 </td>
                 <td align="center">
	           <TMPL_IF domain_admin>Yes<TMPL_ELSE>No</TMPL_IF>
                 </td>
               </tr>
             </TMPL_LOOP>
       </table>
   </td></tr>

<TMPL_IF collect_payment>
    <tr>
      <td align="center" colspan="4" class="main">
	<font class="heading">Payment Information</font>
      </td>
    </tr>

    <tr>
      <td align=right class="accent">
	  Method of Payment
      </td>
      <td align=left class="neutral">
	  <select name="p_cc_type">
		  <TMPL_VAR cc_types>
	  </select>
      </td>
    </tr>
    <tr>
      <td align=right class="accent">
	  Card Number
      </td>
      <td align=left class="neutral">
	  <input name="p_cc_num" size=20 value="">
	  <TMPL_IF cvv_enabled>
	     &nbsp; &nbsp; CVV: <input name="p_cc_cvv" size=5 value=""> *
	  </TMPL_IF>
      </td>
    </tr>
    <tr>
      <td align=right class="accent">
	  Expiration Date
      </td>
      <td align=left class="neutral">
	  <select name="p_cc_exp_mon">
		  <TMPL_VAR cc_mons>
	  </select>
	  &nbsp;

	  <select name="p_cc_exp_yr">
		  <TMPL_VAR cc_years>
	  </select>
      </td>
    </tr>
    <tr>
      <td align=right bgcolor="#ffffff" class="accent">
        Amount
      </td>
      <td align=left bgcolor="#f0f0f0">
        $<TMPL_VAR AMOUNT>
      </td>
    </tr>


</TMPL_IF>

   <tr>
     <td colspan="4" align="center" class="main">
      <input type="hidden" name="action" value="register">
      <b><input type="submit" name="register" value=" Register Now "></b>
     </td>
   </tr>

  </table>

  </form>

<p>

<TMPL_IF cvv_enabled>
*CVV is a 3 or 4 digit value at the end of your account number 
printed on the back of your credit card.<p>
</TMPL_IF>

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

</center>


