__COMPANY__ -- Create a new account

# Create an account at __COMPANY__

[set NewAccount] [if type=explicit compare="[userdb new_account]"] mv_nextpage=account [else] mv_nextpage=new_account [/else] [/if] [/set]

[if session failure] [data session failure] [data base=session field=failure value=""] [/if]

Username |
Password |
Verify |
| Log me in automatically (sets cookie)

[title-bar 500 2]

> > You are not required to give us the below information yet, but it will be retained for your checkout. We have a privacy policy that protects you.

[/title-bar] [title-bar 500 4]Shipping Address[/title-bar]

[error name=fname std_label="First Name" required=1] | [error name=lname std_label=Last required=1]
[error name=address1 std_label=Address required=1] |
[error name=city std_label="City" required=1] |
| [error name=state std_label="State/Province" required=1] |  | [error name=zip std_label="Zip/Postal Code" required=1] |
[error name=email std_label="Email Address" required=1] |
Country | [if value country =~ /(^$|US|CA)/] [else] [/else] [/if] (will update display)
[error name=phone_day std_label="Daytime Phone" required=1] |
| Evening |
Shipping method |
We need the bold fields to process your order

[title-bar 500 3] [/title-bar] [title-bar 500 4]Mailing status
Send an email copy of my receipt
Put me on your email list of infrequent offers

[/title-bar] [title-bar 500 4]Billing Address (if different)[/title-bar]

Name |
Address |
City, State, Postal Code |
Country |
Payment method | Pay by credit card I will call with payment information

[title-bar 500 3] [/title-bar] [include pages/menubar]
[seti nada]Prime the user database [data userdb junk junk][/seti] [set nada][/set]