210 lines
4.6 KiB
HTML
210 lines
4.6 KiB
HTML
<!doctype html>
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<html>
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<head>
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<meta charset="utf-8">
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<title>Join US - Move Club</title>
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<style type="text/css">
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body {
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font: 100%/1.4 Verdana, Arial, Helvetica, sans-serif;
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background-color: #3F3F3F;
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margin: 0;
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padding: 0;
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color: #000;
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}
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ul, ol, dl {
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padding: 0;
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margin: 0;
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}
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h1, h2, h3, h4, h5, h6, p {
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margin-top: 0;
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padding-right: 15px;
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padding-left: 15px;
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}
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a img {
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border: none;
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}
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a:link {
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color: #42413C;
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text-decoration: underline;
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}
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a:visited {
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color: #6E6C64;
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text-decoration: underline;
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}
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a:hover, a:active, a:focus {
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text-decoration: none;
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}
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.container {
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width: 960px;
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background-color: #FFF;
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margin: 0 auto;
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overflow: hidden;
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}
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.main{
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padding: 50px;
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}
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.main form{
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margin-left:0px;
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}
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.readmore{
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color:black;
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background:#66b3bd;
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text-align:center;
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float: inherit ;
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font-weight: bold;
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margin-left:80px;
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margin-right:80px;
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padding: 12px;
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margin-bottom: 30px;
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}
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.readmore:hover{
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background: #63CFDB;
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}
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.readmore a{
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color: black;
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}
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input[type="submit"]{
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border:0 none;
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cursor:pointer;
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}
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footer {
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background-color: #363636;
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font-size: 10px;
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margin-top: 100px;
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padding: 0;
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height: 100px;
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z-index: 99999;
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bottom: 0;
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}
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</style>
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</head>
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<body>
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<div class="container">
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<img src="image/joinWall.png" width="100%" style="z-index:999;">
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<div class="main">
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<form action="mailto:hr@movieclub.com" method="post">
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<table width="752" height="922">
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<tr>
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<td width="288" height="38"><strong>Name:*</strong></td>
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<td width="162"><input name="firstName" type="text" size="15" pattern="^[A-Za-z]*$" required></td>
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<td width="286"><input name="LastName" type="text" size="15" pattern="^[A-Za-z]*$" required></td>
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</tr>
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<tr>
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<td height="46"> </td>
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<td>First Name </td>
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<td>Last Name</td>
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</tr>
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<tr>
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<td height="46"> </td>
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<td> </td>
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<td> </td>
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</tr>
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<tr>
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<td height="46"><strong>Gender:</strong></td>
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<td><input type="radio" name="gender" value="Male">Male</td>
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<td><input type="radio" name="gender" value="Female">Female</td>
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</tr>
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<tr>
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<td height="51"> </td>
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<td colspan="2"> </td>
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</tr>
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<tr>
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<td height="51"><strong>E-mail:*</strong></td>
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<td colspan="2"><input name="email" type="email" placeholder="example@example.com" size="40" required></td>
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</tr>
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<tr>
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<td height="35"> </td>
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<td colspan="2"> </td>
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</tr>
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<tr>
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<td height="57"><strong>Phone Number:*</strong></td>
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<td colspan="2"><input type="text" name="areaCode" pattern="^[0-9]*$" maxlength="5" size="10" required > - <input type="text" name="phoneNu" size="20" pattern="^[0-9]*$" required></td>
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</tr>
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<tr>
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<td height="35"> </td>
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<td colspan="2" >Area Code Phone Number</td>
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</tr>
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<tr>
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<td> </td>
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<td colspan="2" > </td>
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</tr>
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<tr>
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<td height="52"><strong>Address:</strong></td>
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<td colspan="2" ><input name="StAddr3" type="text" size="40"></td>
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</tr>
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<tr>
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<td height="37"> </td>
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<td colspan="2" >StreetAddress</td>
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</tr>
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<tr>
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<td height="34"> </td>
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<td colspan="2" ><input name="StAddr" type="text" size="40"></td>
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</tr>
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<tr>
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<td height="38"> </td>
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<td colspan="2" >Street Address Line 2</td>
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</tr>
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<tr>
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<td height="41"> </td>
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<td ><input name="StAddr2" type="text" size="20"></td>
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<td ><input name="StAddr4" type="text" size="20"></td>
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</tr>
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<tr>
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<td> </td>
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<td >City</td>
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<td >State/Province</td>
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</tr>
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<tr>
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<td height="38"> </td>
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<td colspan="2" > </td>
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</tr>
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<tr>
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<td height="35"><strong>Birth Date:*</strong></td>
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<td colspan="2" ><input type="date" required></td>
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</tr>
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<tr>
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<td height="35"> </td>
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<td colspan="2" > </td>
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</tr>
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<tr>
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<td height="35"><strong>Where did you hear about us?</strong></td>
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<td colspan="2" > <input type="checkbox">Google</td>
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</tr>
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<tr>
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<td height="35"> </td>
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<td colspan="2" > <input type="checkbox">New Article</td>
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</tr>
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<tr>
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<td height="35"> </td>
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<td colspan="2" > <input type="checkbox">A Friend or colleauge</td>
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</tr>
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</table>
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<button type="submit" name="button">Submit</button>
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</form>
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</div>
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<footer>
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</footer>
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</div>
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</body>
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</html>
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