<html> <style type="text/css"> <!-- td { font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px;} .note { padding-left: 10px; font-family: arial, helvetica, sans-serif; font-size: 10px; color: #666666; line-height: 12px; } --> </style> <script language="JavaScript" src="http://www.washington-institute.com/admin/step1.js"></script> <script language="JavaScript" src="../../shared/checkChars.js"></script> <script language="JavaScript" src="http://www.washington-institute.com/shared/validate_password.js"></script> <script language="JavaScript" src="../../shared/validate_email.js"></script> <script language="JavaScript" src="../../shared/validate_postal_code.js"></script> <form name="create1" method="post" onsubmit=" this.hostname.optional = false; this.login.optional = false; this.password.optional = false; this.password1.optional = false; this.company_name.optional = false; this.community_type.optional = false; this.owner_name1.optional = false; this.owner_name2.optional = false; this.owner_addr1.optional = false; this.owner_addr2.optional = true; this.city.optional = false; this.email.optional = false; //this.state.optional = false; //this.zip.optional = false; //this.country.optional = false; this.hostname.pretty_name = 'Company URL'; this.login.pretty_name = 'User Name'; this.password.pretty_name = 'Password'; this.password1.pretty_name = 'Verify Password'; this.company_name.pretty_name = 'Company Name'; this.community_type.pretty_name = 'Company Type'; this.owner_name1.pretty_name = 'First Name'; this.owner_name2.pretty_name = 'Last Name'; this.owner_addr1.pretty_name = 'Address 1'; this.owner_addr2.pretty_name = 'Address 2'; this.email.pretty_name = 'Email'; this.city.pretty_name = 'City'; this.state.pretty_name = 'State/Province'; this.zip.pretty_name = 'Zip/Postal Code'; this.country.pretty_name = 'Country'; return validatestep1(this);"> <input type="hidden" name="partnerID" value="2324"> <input type="hidden" name="command" value="update"> <input type="hidden" name="ccinf" value="0"> <table cellpadding="0" cellspacing="0" border="0"> <tr> <td></td> <td></td> <td colspan="3" background="http://www.washington-institute.com/tab6/images/underline.gif"></td> <td colspan="2"></td> </tr> <tr> <td colspan="2" valign="top"></td> <td colspan="3"> <p><b>Professionally extend your business online&#151;a personalized Web site in minutes.</b><br>Now you can promote, sell and serve your customers within a single Web site. Differentiate your business from the competition with the best eBusiness solution on the market. </p> <p>Simply register your information below for the award-winning Web solution and see your site in seconds. Your information is private and secure. When completed click "See my site."</p> </td> <td colspan="2"></td> </tr> </table> <table cellpadding="0" cellspacing="0" border="0"> <!-- 1. Your Account --> <tr> <td rowspan="5" valign="top">"></td> <td rowspan="5" valign="top" background="http://www.washington-institute.com/tab6/images/odd_left_bg.gif"></td> <td colspan="3" background="http://www.washington-institute.com/tab6/images/odd_top_bg.gif"></td> <td rowspan="5" valign="top" background="http://www.washington-institute.com/tab6/images/odd_right_bg.gif"></td> <td rowspan="5"></td> </tr> <tr> <td colspan="3" bgcolor="#F5F5F5"> <b>Your Account</b> </td> </tr> <tr> <td bgcolor="#F5F5F5" width="30%">User Name</td> <td bgcolor="#F5F5F5"><input type="text" name="login" size="13" maxlength="32" value=""></td> <td rowspan="3" class="note" bgcolor="#F5F5F5">Your user user name and password will be needed to access your Web site management console</td> </tr> <tr> <td bgcolor="#F5F5F5">Password</td> <td bgcolor="#F5F5F5"><input type="password" name="password" size="13" maxlength="32"></td> </tr> <tr> <td bgcolor="#F5F5F5">Verify Password</td> <td bgcolor="#F5F5F5"><input type="password" name="password1" size="13" maxlength="32"></td> </tr> <!-- 2. Pick a Web Address --> <tr> <td rowspan="4" valign="top">"></td> <td rowspan="4" valign="top" background="http://www.washington-institute.com/tab6/images/even_left_bg.gif"></td> <td colspan="3" background="http://www.washington-institute.com/tab6/images/even_top_bg.gif"></td> <td rowspan="4" valign="top" background="http://www.washington-institute.com/tab6/images/even_right_bg.gif"></td> <td rowspan="4"></td> </tr> <tr> <td colspan="3" bgcolor="#FFFFFF"> <b>Pick a Web Address</b><br> The name you choose for your Web site will be your actual internet (Web) address (e.g., http://yourbusiness.pitneyworks.com). As a member, you can apply your own URL or register for a personalized address within the Web site management console. </td> </tr> <tr> <td colspan="3" bgcolor="#FFFFFF">&nbsp;</td> </tr> <tr> <td align="right" bgcolor="#FFFFFF">http://&nbsp;</td> <td bgcolor="#FFFFFF"><input type="text" name="hostname" size="20" maxlength="20" value="">.pitneyworks.com</td> <td width="25%" class="note" bgcolor="#FFFFFF">Please use only letters, numbers and hyphens when choosing your URL.</td> </tr> <!-- 3. Company Information --> <tr> <td rowspan="4" valign="top">"></td> <td rowspan="4" valign="top" background="http://www.washington-institute.com/tab6/images/odd_left_bg.gif"></td> <td colspan="3" background="http://www.washington-institute.com/tab6/images/odd_top_bg.gif"></td> <td rowspan="4" valign="top" background="http://www.washington-institute.com/tab6/images/odd_right_bg.gif"></td> <td rowspan="4"></td> </tr> <tr> <td colspan="3" bgcolor="#F5F5F5"><b>Company Information</b></td> </tr> <tr> <td bgcolor="#F5F5F5">Company Name</td> <td colspan="2" bgcolor="#F5F5F5"><input type="text" name="company_name" size="40" maxlength="80" value="Ortho Washington"></td> </tr> <tr> <td bgcolor="#F5F5F5">Company Type</td> <td colspan="2" bgcolor="#F5F5F5"> <select name="community_type"><option value="">[select business type]<option value="Accounting, Auditing, and Bookeeping">Accounting, Auditing, and Bookeeping<option value="Advertising">Advertising<option value="Animal Services, except Veterinary">Animal Services, except Veterinary<option value="Architectural Services">Architectural Services<option value="Artists and Art Studios">Artists and Art Studios<option value="Auto Repair, Services, and Garages">Auto Repair, Services, and Garages<option value="Banking">Banking<option value="Barber Shops">Barber Shops<option value="Beauty Shops">Beauty Shops<option value="Building Materials and Garden Supplies">Building Materials and Garden Supplies<option value="Business - General">Business - General<option value="Camps and Recreational Vehicle Parks">Camps and Recreational Vehicle Parks<option value="Childcare, Daycare Services">Childcare, Daycare Services<option value="Clothing Stores">Clothing Stores<option value="Commercial Art">Commercial Art<option value="Communication">Communication<option value="Computer and Data Processing Services">Computer and Data Processing Services<option value="Computer and Office Equipment">Computer and Office Equipment<option value="Construction">Construction<option value="Consulting">Consulting<option value="Educational Services">Educational Services<option value="Engineering">Engineering<option value="Finance/Money">Finance/Money<option value="Furniture and Home Furnishings Stores">Furniture and Home Furnishings Stores<option value="General Contractors and Operative">General Contractors and Operative<option value="Graphic Design">Graphic Design<option value="Health Professionals">Health Professionals<option value="Health Services">Health Services<option value="Hotels and Lodging">Hotels and Lodging<option value="Industrial Machinery and Equipment">Industrial Machinery and Equipment<option value="Insurance Agents, Brokers, and Service">Insurance Agents, Brokers, and Service<option value="Landscape and Horticultural Services">Landscape and Horticultural Services<option value="Laundry, Drycleaning, Alterations">Laundry, Drycleaning, Alterations<option value="Legal Services">Legal Services<option value="Management Services, Administrative">Management Services, Administrative<option value="Medical - Dentists">Medical - Dentists<option value="Medical - Doctors">Medical - Doctors<option value="Membership Organizations">Membership Organizations<option value="Mortgage Bankers and Brokers">Mortgage Bankers and Brokers<option value="Nurseries and Garden Stores">Nurseries and Garden Stores<option value="Photography">Photography<option value="Printing and Publishing">Printing and Publishing<option value="Radio, Television and Consumer Electronics Stores">Radio, Television and Consumer Electronics Stores<option value="Real Estate">Real Estate<option value="Religious Organizations">Religious Organizations<option value="Repair Services">Repair Services<option value="Restaurants and Eating Establishments">Restaurants and Eating Establishments<option value="Retail">Retail<option value="Services">Services<option value="Storage, Warehousing">Storage, Warehousing<option value="Tour Operators">Tour Operators<option value="Travel Agencies">Travel Agencies<option value="Trucking">Trucking<option value="Veterinary Services">Veterinary Services<option value="Wholesale">Wholesale</select> </td> </tr> <!-- 4. General Information --> <tr> <td rowspan="12" valign="top">"></td> <td rowspan="12" valign="top" background="http://www.washington-institute.com/tab6/images/even_left_bg.gif"></td> <td colspan="3" background="http://www.washington-institute.com/tab6/images/even_top_bg.gif"></td> <td rowspan="12" valign="top" background="http://www.washington-institute.com/tab6/images/even_right_bg.gif"></td> <td rowspan="12"></td> </tr> <tr> <td colspan="3" bgcolor="#FFFFFF"><b>General Information</b></td> </tr> <tr> <td bgcolor="#FFFFFF">First Name</td> <td colspan="2" bgcolor="#FFFFFF"><input type="text" name="owner_name1" size="23" maxlength="15" value="Steven"></td> </tr> <tr> <td bgcolor="#FFFFFF">Last Name</td> <td colspan="2" bgcolor="#FFFFFF"><input type="text" name="owner_name2" size="23" maxlength="19" value="Bramwell"></td> </tr> <tr> <td bgcolor="#FFFFFF">Address 1</td> <td colspan="2" bgcolor="#FFFFFF"><input type="text" name="owner_addr1" size="40" maxlength="36" value="12707 120th Ave NE # 203"></td> </tr> <tr> <td bgcolor="#FFFFFF">Address 2</td> <td bgcolor="#FFFFFF"><input type="text" name="owner_addr2" size="40" maxlength="36" value=""></td> <td class="note" bgcolor="#FFFFFF">Optional</td> </tr> <tr> <td bgcolor="#FFFFFF">City</td> <td colspan="2" bgcolor="#FFFFFF"><input type="text" name="city" size="20" maxlength="19" value="Kirkland"></td> </tr> <tr> <td bgcolor="#FFFFFF">State/Province</td> <td colspan="2" bgcolor="#FFFFFF"> <select name="state" size="1"> <option value="AL">Alabama <option value="AK">Alaska <option value="AZ">Arizona <option value="AR">Arkansas <option value="CA">California <option value="CO">Colorado <option value="CT">Connecticut <option value="DE">Delaware <option value="DC">District of Columbia <option value="FL">Florida <option value="GA">Georgia <option value="HI">Hawaii <option value="ID">Idaho <option value="IL">Illinois <option value="IN">Indiana <option value="IA">Iowa <option value="KS">Kansas <option value="KY">Kentucky <option value="LA">Louisiana <option value="ME">Maine <option value="MD">Maryland <option value="MA">Massachusetts <option value="MI">Michigan <option value="MN">Minnesota <option value="MS">Mississippi <option value="MO">Missouri <option value="MT">Montana <option value="NE">Nebraska <option value="NV">Nevada <option value="NH">New Hampshire <option value="NJ">New Jersey <option value="NM">New Mexico <option value="NY">New York <option value="NC">North Carolina <option value="ND">North Dakota <option value="OH">Ohio <option value="OK">Oklahoma <option value="OR">Oregon <option value="PA">Pennsylvania <option value="RI">Rhode Island <option value="SC">South Carolina <option value="SD">South Dakota <option value="TN">Tennessee <option value="TX">Texas <option value="UT">Utah <option value="VT">Vermont <option value="VA">Virginia <option selected value="WA"> Washington <option value="WV">West Virginia <option value="WI">Wisconsin <option value="WY">Wyoming <option value="AB">Alberta <option value="BC">British Columbia <option value="MB">Manitoba <option value="NB">New Brunswick <option value="NF">Newfoundland <option value="NT">Northwest Territories <option value="NS">Nova Scotia <option value="NU">Nunavut Territory <option value="ON">Ontario <option value="PE">Prince Edward Island <option value="QC">Quebec <option value="SK">Saskatchewan <option value="YT">Yukon <option value="OO">Other </select> </td> </tr> <tr> <td bgcolor="#FFFFFF">ZIP/Postal Code</td> <td colspan="2" bgcolor="#FFFFFF"><input type="text" name="zip" size="10" maxlength="7" value="98034"></td> </tr> <tr> <td bgcolor="#FFFFFF">Country</td> <td colspan="2" bgcolor="#FFFFFF"> <select name="country" size="1"> <option value="-1">[Select Country]<option value="ALBANIA">Albania <option value="ALGERIA">Algeria <option value="AMERICAN SAMOA">American Samoa <option value="ANDORRA">Andorra <option value="ANGOLA">Angola <option value="ANGUILLA">Anguilla <option value="ANTARCTICA">Antarctica <option value="ANTIGUA AND BARBUDA">Antigua and Barbuda <option value="ARGENTINA">Argentina <option value="ARMENIA">Armenia <option value="ARUBA">Aruba <option value="AUSTRALIA">Australia <option value="AUSTRIA">Austria <option value="AZERBAIJAN">Azerbaijan <option value="BAHAMAS">Bahamas <option value="BAHRAIN">Bahrain <option value="BANGLADESH">Bangladesh <option value="BARBADOS">Barbados <option value="BELARUS">Belarus <option value="BELGIUM">Belgium <option value="BELIZE">Belize <option value="BENIN">Benin <option value="BERMUDA">Bermuda <option value="BHUTAN">Bhutan <option value="BOLIVIA">Bolivia <option value="BOSNIA AND HERZEGOVINA">Bosnia and Herzegovina <option value="BOTSWANA">Botswana <option value="BOUVET ISLAND">Bouvet Island <option value="BRAZIL">Brazil <option value="BRITISH INDIAN OCEAN TERRITORY">British Indian Ocean Territory <option value="BRUNEI DARUSSALAM">Brunei Darussalam <option value="BULGARIA">Bulgaria <option value="BURKINA FASO">Burkina Faso <option value="BURUNDI">Burundi <option value="CAMBODIA">Cambodia <option value="CAMEROON">Cameroon <option value="CANADA">Canada <option value="CAPE VERDE">Cape Verde <option value="CAYMAN ISLANDS">Cayman Islands <option value="CENTRAL AFRICAN REPUBLIC">Central African Republic <option value="CHAD">Chad <option value="CHILE">Chile <option value="CHINA">China <option value="CHRISTMAS ISLAND">Christmas Island <option value="COCOS (KEELING) ISLANDS">Cocos (Keeling) Islands <option value="COLOMBIA">Colombia <option value="COMOROS">Comoros <option value="CONGO">Congo <option value="CONGO, DEMOCRATIC REPULIC OF">Congo, Democratic Repulic of <option value="COOK ISLANDS">Cook Islands <option value="COSTA RICA">Costa Rica <option value="COTE DIVOIRE">Cote dIvoire <option value="CROATIA (HRVATSKA)">Croatia (Hrvatska) <option value="CUBA">Cuba <option value="CYPRUS">Cyprus <option value="CZECH REPUBLIC">Czech Republic <option value="DENMARK">Denmark <option value="DJIBOUTI">Djibouti <option value="DOMINICA">Dominica <option value="DOMINICAN REPUBLIC">Dominican Republic <option value="EAST TIMOR">East Timor <option value="ECUADOR">Ecuador <option value="EGYPT">Egypt <option value="EL SALVADOR">El Salvador <option value="EQUATORIAL GUINEA">Equatorial Guinea <option value="ERITREA">Eritrea <option value="ESTONIA">Estonia <option value="ETHIOPIA">Ethiopia <option value="FALKLAND ISLANDS (MALVINAS)">Falkland Islands (Malvinas) <option value="FAROE ISLANDS">Faroe Islands <option value="FIJI">Fiji <option value="FINLAND">Finland <option value="FRANCE">France <option value="FRANCE, METROPOLITAN">France, Metropolitan <option value="FRENCH GUIANA">French Guiana <option value="FRENCH POLYNESIA">French Polynesia <option value="FRENCH SOUTHERN TERRITORIES">French Southern Territories <option value="GABON">Gabon <option value="GAMBIA">Gambia <option value="GEORGIA">Georgia <option value="GERMANY">Germany <option value="GHANA">Ghana <option value="GIBRALTAR">Gibraltar <option value="GREECE">Greece <option value="GREENLAND">Greenland <option value="GRENADA">Grenada <option value="GUADELOUPE">Guadeloupe <option value="GUAM">Guam <option value="GUATEMALA">Guatemala <option value="GUINEA">Guinea <option value="GUINEA-BISSAU">Guinea-Bissau <option value="GUYANA">Guyana <option value="HAITI">Haiti <option value="HEARD AND MC DONALD ISLANDS">Heard and Mc Donald Islands <option value="HOLY SEE (VATICAN CITY STATE)">Holy See (Vatican City State) <option value="HONDURAS">Honduras <option value="HONG KONG">Hong Kong <option value="HUNGARY">Hungary <option value="ICELAND">Iceland <option value="INDIA">India <option value="INDONESIA">Indonesia <option value="IRELAND">Ireland <option value="ISRAEL">Israel <option value="ITALY">Italy <option value="JAMAICA">Jamaica <option value="JAPAN">Japan <option value="JORDAN">Jordan <option value="KAZAKHSTAN">Kazakhstan <option value="KENYA">Kenya <option value="KIRIBATI">Kiribati <option value="KOREA, DEMOCRATIC PEOPLES REPUBLIC OF">Korea, Democratic Peoples Republic of <option value="KOREA, REPUBLIC OF">Korea, Republic of <option value="KUWAIT">Kuwait <option value="KYRGYZSTAN">Kyrgyzstan <option value="LAO PEOPLES DEMOCRATIC REPUBLIC">Lao Peoples Democratic Republic <option value="LATVIA">Latvia <option value="LEBANON">Lebanon <option value="LESOTHO">Lesotho <option value="LIBERIA">Liberia <option value="LIBYAN ARAB JAMAHIRIYA">Libyan Arab Jamahiriya <option value="LIECHTENSTEIN">Liechtenstein <option value="LITHUANIA">Lithuania <option value="LUXEMBOURG">Luxembourg <option value="MACAU">Macau <option value="MACEDONIA, FORMER YUGOSLAV REPUBLIC OF">Macedonia, Former Yugoslav Republic of <option value="MADAGASCAR">Madagascar <option value="MALAWI">Malawi <option value="MALAYSIA">Malaysia <option value="MALDIVES">Maldives <option value="MALI">Mali <option value="MALTA">Malta <option value="MARSHALL ISLANDS">Marshall Islands <option value="MARTINIQUE">Martinique <option value="MAURITANIA">Mauritania <option value="MAURITIUS">Mauritius <option value="MAYOTTE">Mayotte <option value="MEXICO">Mexico <option value="MICRONESIA, FEDERATED STATES OF">Micronesia, Federated States of <option value="MOLDOVA, REPUBLIC OF">Moldova, Republic of <option value="MONACO">Monaco <option value="MONGOLIA">Mongolia <option value="MONTSERRAT">Montserrat <option value="MOROCCO">Morocco <option value="MOZAMBIQUE">Mozambique <option value="MYANMAR">Myanmar <option value="NAMIBIA">Namibia <option value="NAURU">Nauru <option value="NEPAL">Nepal <option value="NETHERLANDS">Netherlands <option value="NETHERLANDS ANTILLES">Netherlands Antilles <option value="NEW CALEDONIA">New Caledonia <option value="NEW ZEALAND">New Zealand <option value="NICARAGUA">Nicaragua <option value="NIGER">Niger <option value="NIGERIA">Nigeria <option value="NIUE">Niue <option value="NORFOLK ISLAND">Norfolk Island <option value="NORTHERN MARIANA ISLANDS">Northern Mariana Islands <option value="NORWAY">Norway <option value="OMAN">Oman <option value="PAKISTAN">Pakistan <option value="PALAU">Palau <option value="PANAMA">Panama <option value="PAPUA NEW GUINEA">Papua New Guinea <option value="PARAGUAY">Paraguay <option value="PERU">Peru <option value="PHILIPPINES">Philippines <option value="PITCAIRN">Pitcairn <option value="POLAND">Poland <option value="PORTUGAL">Portugal <option value="PUERTO RICO">Puerto Rico <option value="QATAR">Qatar <option value="REUNION">Reunion <option value="ROMANIA">Romania <option value="RUSSIAN FEDERATION">Russian Federation <option value="RWANDA">Rwanda <option value="SAINT KITTS AND NEVIS">Saint Kitts and Nevis <option value="SAINT LUCIA">Saint Lucia <option value="SAINT VINCENT GRENADINES">Saint Vincent Grenadines <option value="SAMOA">Samoa <option value="SAN MARINO">San Marino <option value="SAO TOME AND PRINCIPE">Sao Tome and Principe <option value="SAUDI ARABIA">Saudi Arabia <option value="SENEGAL">Senegal <option value="SEYCHELLES">Seychelles <option value="SIERRA LEONE">Sierra Leone <option value="SINGAPORE">Singapore <option value="SLOVAKIA (SLOVAK REPUBLIC)">Slovakia (Slovak Republic) <option value="SLOVENIA">Slovenia <option value="SOLOMON ISLANDS">Solomon Islands <option value="SOMALIA">Somalia <option value="SOUTH AFRICA">South Africa <option value="SPAIN">Spain <option value="SRI LANKA">Sri Lanka <option value="ST. HELENA">St. Helena <option value="ST. PIERRE AND MIQUELON">St. Pierre and Miquelon <option value="SUDAN">Sudan <option value="SURINAME">Suriname <option value="SVALBARD AND JAN MAYEN ISLANDS">Svalbard and Jan Mayen Islands <option value="SWAZILAND">Swaziland <option value="SWEDEN">Sweden <option value="SWITZERLAND">Switzerland <option value="SYRIAN ARAB REPUBLIC">Syrian Arab Republic <option value="TAIWAN, PROVINCE OF CHINA">Taiwan, Province of China <option value="TAJIKISTAN">Tajikistan <option value="TANZANIA, UNITED REPUBLIC OF">Tanzania, United Republic of <option value="THAILAND">Thailand <option value="TOGO">Togo <option value="TOKELAU">Tokelau <option value="TONGA">Tonga <option value="TRINIDAD AND TOBAGO">Trinidad and Tobago <option value="TUNISIA">Tunisia <option value="TURKEY">Turkey <option value="TURKMENISTAN">Turkmenistan <option value="TURKS AND CAICOS ISLANDS">Turks and Caicos Islands <option value="TUVALU">Tuvalu <option value="UGANDA">Uganda <option value="UKRAINE">Ukraine <option value="UNITED ARAB EMIRATES">United Arab Emirates <option value="UNITED KINGDOM">United Kingdom <option selected value="US">United States <option value="UNITED STATES MINOR OUTLYING ISLANDS">United States Minor Outlying Islands <option value="URUGUAY">Uruguay <option value="UZBEKISTAN">Uzbekistan <option value="VANUATU">Vanuatu <option value="VENEZUELA">Venezuela <option value="VIET NAM">Viet Nam <option value="VIRGIN ISLANDS (BRITISH)">Virgin Islands (British) <option value="VIRGIN ISLANDS (U.S.)">Virgin Islands (U.S.) <option value="WALLIS AND FUTUNA ISLANDS">Wallis and Futuna Islands <option value="WESTERN SAHARA">Western Sahara <option value="YEMEN">Yemen <option value="YUGOSLAVIA">Yugoslavia <option value="ZAMBIA">Zambia <option value="ZIMBABWE">Zimbabwe </select> </td> </tr> <tr> <td bgcolor="#FFFFFF">Email</td> <td colspan="2" bgcolor="#FFFFFF"><input type="text" name="email" size="40" maxlength="40" value="parkersite@msn.com"></td> </tr> <tr> <td bgcolor="#FFFFFF">Phone</td> <td colspan="2" bgcolor="#FFFFFF"> <input type="text" name="area" size="3" maxlength="3" value="425">-<input type="text" name="prefix" size="3" maxlength="3" value="820">-<input type="text" name="number" size="4" maxlength="4" value="2110"> </td> </tr> <!-- 5. Billing Plans --> <tr> <td rowspan="2" valign="top">"></td> <td rowspan="2" valign="top" background="http://www.washington-institute.com/tab6/images/odd_left_bg.gif"></td> <td colspan="3" background="http://www.washington-institute.com/tab6/images/odd_top_bg.gif"></td> <td rowspan="2" valign="top" background="http://www.washington-institute.com/tab6/images/odd_right_bg.gif"></td> <td rowspan="2"></td> </tr> <tr> <td colspan="3" bgcolor="#F5F5F5"> <b>Select a Plan&nbsp;-&nbsp;<span style="color:red">This service is Free for 30 days</span></b> </td> </tr> <tr> <td rowspan="1" valign="top" bgcolor="#FFFFFF"></td> <td rowspan="1" valign="top" background="http://www.washington-institute.com/tab6/images/odd_left_bg.gif"></td> <td align="right" bgcolor="#F5F5F5"><input type="radio" name="billingoption" value="Monthly" checked>&nbsp; <td colspan="2" bgcolor="#F5F5F5">Monthly = $39.95/per month (plus applicable taxes)</td> <td rowspan="1" valign="top" background="http://www.washington-institute.com/tab6/images/odd_right_bg.gif"></td> <td rowspan="1"></td> </tr> <tr> <td rowspan="1" valign="top" bgcolor="#FFFFFF"></td> <td rowspan="1" valign="top" background="http://www.washington-institute.com/tab6/images/odd_left_bg.gif"></td> <td align="right" bgcolor="#F5F5F5"><input type="radio" name="billingoption" value="Yearly">&nbsp; <td colspan="2" bgcolor="#F5F5F5">12 Months = $29.95/per month (plus applicable taxes) paid annually in advance</td> <td rowspan="1" valign="top" background="http://www.washington-institute.com/tab6/images/odd_right_bg.gif"></td> <td rowspan="1"></td> </tr> <tr> <td rowspan="3" valign="top"></td> <td rowspan="3" valign="top" background="http://www.washington-institute.com/tab6/images/odd_left_bg.gif"></td> <td colspan="3" bgcolor="#F5F5F5">&nbsp;</td> <td rowspan="3" valign="top" background="http://www.washington-institute.com/tab6/images/odd_right_bg.gif"></td> <td rowspan="3"></td> </tr> <tr> <td colspan="3" bgcolor="#F5F5F5"> <b>Promotion Code</b><br> If you've been given a promotion code please enter it here. </td> </tr> <tr> <td bgcolor="#F5F5F5">Promotion Code</td> <td colspan="2" bgcolor="#F5F5F5"><input type="text" name="soffer" size="30" maxlength="40" value=""></td> </tr> <!-- 6. Membership Agreement --> <tr> <td rowspan="7" valign="top">"></td> <td rowspan="7" valign="top" background="http://www.washington-institute.com/tab6/images/even_left_bg.gif"></td> <td colspan="3" background="http://www.washington-institute.com/tab6/images/even_top_bg.gif"></td> <td rowspan="7" valign="top" background="http://www.washington-institute.com/tab6/images/even_right_bg.gif"></td> <td rowspan="7"></td> </tr> <tr> <td colspan="3" bgcolor="#FFFFFF"> <b>Membership Agreement</b><br> Please choose "Accept" or "Decline" to signify your acceptance of the membership agreement. By choosing "Accept" you will be able to create your site. If you choose "Decline" you will be returned to the home page. </td> </tr> <tr> <td bgcolor="#FFFFFF"> <a href="javascript: var lic_win=window.open ('/admin/membership_agreement.php?partnerID=2324&amp;partnerName=PitneyWorks -- Beta Vista&amp;domain=pitneyworks.com', 'licWin','scrollbars=yes,status=yes,resizable=yes,width=600,height=450')">Review License Agreement</a> </td> <td colspan="2" bgcolor="#FFFFFF"><input type="radio" name="acceptlic" value="n">Decline&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input type="radio" name="acceptlic" value="y">Accept</td> </tr> <tr> <td colspan="3" bgcolor="#FFFFFF">&nbsp;</td> </tr> <tr> <td colspan="3" bgcolor="#FFFFFF" align="center"><span style="color:red;font-weight:bold">Did you remember to write down your user name and password?</span></td> </tr> <tr> <td colspan="3" bgcolor="#FFFFFF">&nbsp;</td> </tr> <tr> <td colspan="3" bgcolor="#FFFFFF" align="center"><input type="image" name="continue" src="http://www.washington-institute.com/tab6/images/continue.gif" width="123" height="30" border="0" alt="SEE MY SITE >"></td> </tr> <tr> <td></td> <td></td> <td colspan="3" background="http://www.washington-institute.com/tab6/images/even_bottom_bg.gif"></td> <td align="top"></td> <td></td> </tr> </table> </form> </html>