{template 'phpcms','header'}
<script type="text/javascript" src="{PHPCMS_PATH}include/js/MyCalendar.js"></script>
<script type="text/javascript">
<!--
function CheckForm() {
if (document.myform.username.value=="")
	{
	  alert("請輸入用戶名！")
	  document.myform.username.focus()
	  return false
	 }
if (document.myform.password.value=="")
	{
	  alert("請輸入密碼！")
	  document.myform.password.focus()
	  return false
	 }
if (document.myform.pwdconfirm.value!=document.myform.password.value)
	{
	  alert("兩次輸入的密碼不一致！")
      document.myform.password.value = ""
      document.myform.pwdconfirm.value = ""
	  document.myform.password.focus()
	  document.myform.password.select()
	  return false
	 }
if (document.myform.email.value=="")
	{
	  alert("請輸入E-mail！")
	  document.myform.email.focus()
	  return false
	 }
{if $_PHPCMS[enableregcheckcode]}
if (document.myform.checkcode.value=="")
	{
	  alert("請輸入驗證碼！")
	  document.myform.checkcode.focus()
	  return false
	 }
{/if}
    document.myform.phpcms_user.value = escape(document.myform.username.value);
    document.myform.province.value=area.document.regionform.province.value;
    document.myform.city.value=area.document.regionform.city.value;
    document.myform.submit.disabled=true;
}
//-->
</script>
<div class="main">
<div class="main_content">

		<div class="box_1">
			<ul style="padding:6px;">
			<li class="li_header"><img src="{$skindir}/images/arrow.gif" width="15" height="15" alt="" />基本資料[必填]</li>
			</ul>
			<table cellpadding="1" cellspacing="1" border="0" width="98%" align="center">
			<form name="myform" method="post" action="{PHPCMS_PATH}member/register.php" onSubmit='return CheckForm();'>
			<tr>
			<td width="22%" class="li_bg_1">&nbsp;用戶名︰</td>
			<td class="li_line"><input name="username" type="text" id="username" value="{$username}" size="15">
			<input name="phpcms_user" type="hidden" id="phpcms_user" />
			<input type="button" name="submit" value="檢查用戶名" onClick="javascript:openwinx('{PHPCMS_PATH}member/checkuser.php?username='+myform.username.value,'checkuser','490','110')" class="btn" />
			<span class="f_red">3到20個字符，不得包含非法字符！</span></td>
			</tr>
			<tr>
			<td class="li_bg_1">&nbsp;密　碼︰</td>
			<td class="li_line"><input name="password" type="password" id="password" size="15" />
			<span class="f_red">4到20個字符</span></td>
			</tr>
			<tr>
			<td class="li_bg_1">&nbsp;確認密碼︰</td>
			<td class="li_line"><input name="pwdconfirm" type="password" id="pwdconfirm" size="15" /></td>
			</tr>
			<tr>
			<td class="li_bg_1">&nbsp;密碼提示問題︰</td>
			<td class="li_line"><input name="question" type="text" id="question" size="30" /></td>
			</tr>
			<tr>
			<td class="li_bg_1">&nbsp;問題答案︰</td>
			<td class="li_line"><input name="answer" type="text" id="answer" size="30" /></td>
			</tr>
			<tr>
			<td class="li_bg_1">&nbsp;Email地址︰</td>
			<td class="li_line">
			<input name="email" type="text" id="email" size="30" maxlength="50">
			<input type="checkbox" name="showemail" id="showemail" value="1" class="radio" />
			<span class="f_red">是否公開</span> </td>
			</tr>
			{if $_PHPCMS[enableregcheckcode]}
			<tr>
			<td class="li_bg_1">&nbsp;驗證碼︰</td>
			<td class="li_line">
			<input name="checkcode" type="text" size="15" />
			<img src="{PHPCMS_PATH}checkcode.php" border="0">
			<span class="f_red">請把圖形中的字符填寫到輸入框中</span> </td>
			</tr>
			{/if}
			<tr>
			<td colspan="2" height="8"></td>
			</tr>
			</table>
		</div>

		<div class="blank10"><img src="{PHPCMS_PATH}images/spacer.gif" width="1" height="10" alt="" /></div>

		<div class="box_1">
			<ul style="padding:6px;">
			<li class="li_header"><img src="{$skindir}/images/arrow.gif" width="15" height="15" alt="" />詳細資料[選填]</li>
			</ul>
			<table cellpadding="1" cellspacing="1" border="0" width="98%" align="center">
			<tr>
			<td width="22%" class="li_bg_1">&nbsp;真實姓名︰</td>
			<td class="li_line"><input name="truename" type="text" id="truename" size="20" maxlength="50" /></td>
			</tr>
			<tr>
			<td class="li_bg_1">&nbsp;性　　別︰</td>
			<td class="li_line">
			<input name="gender" type="radio" style="border:0px " value="1" checked />
			<span class="f_blue">男</span>        <input type="radio" name="gender" value="0" class="radio" />
			<span class="f_blue">女</span></td>
			</tr>
			<tr>
			<td class="li_bg_1">&nbsp;生　　日︰</td>
			<td class="li_line">
			<input name="byear" type="text" size="4" value="19" />
			<span class="f_blue">年</span>        <select name="bmonth" id="bmonth">
			<option value="00"></option>
			<option value="01">1</option>
			<option value="02">2</option>
			<option value="03">3</option>
			<option value="04">4</option>
			<option value="05">5</option>
			<option value="06">6</option>
			<option value="07">7</option>
			<option value="08">8</option>
			<option value="09">9</option>
			<option value="10">10</option>
			<option value="11">11</option>
			<option value="12">12</option>
			</select>
			<span class="f_blue">月</span>        <select name="bday" id="bday">
			<option value="00"></option>
			<option value="01">1</option>
			<option value="02">2</option>
			<option value="03">3</option>
			<option value="04">4</option>
			<option value="05">5</option>
			<option value="06">6</option>
			<option value="07">7</option>
			<option value="08">8</option>
			<option value="09">9</option>
			<option value="10">10</option>
			<option value="11">11</option>
			<option value="12">12</option>
			<option value="13">13</option>
			<option value="14">14</option>
			<option value="15">15</option>
			<option value="16">16</option>
			<option value="17">17</option>
			<option value="18">18</option>
			<option value="19">19</option>
			<option value="20">20</option>
			<option value="21">21</option>
			<option value="22">22</option>
			<option value="23">23</option>
			<option value="24">24</option>
			<option value="25">25</option>
			<option value="26">26</option>
			<option value="27">27</option>
			<option value="28">28</option>
			<option value="29">29</option>
			<option value="30">30</option>
			<option value="31">31</option>
			</select>
			<span class="f_blue">日</span></td>
			</tr>
			<tr>
			<td class="li_bg_1">&nbsp;證件類別︰</td>
			<td class="li_line">
			<select name="idtype">
			<option value="身份證" >身份證</option>
			<option value="學生證" >學生證</option>
			<option value="軍人證" >軍人證</option>
			<option value="護照" >護照</option>
			</select>
			</td>
			</tr>
			<tr>
			<td class="li_bg_1">&nbsp;證件號碼︰</td>
			<td class="li_line"><input type=text name="idcard" value="" size="22" maxlength="18" /></td>
			</tr>
			<tr>
			<td class="li_bg_1">&nbsp;所在地︰</td>
			<td class="li_line">
			<iframe name="area" id="area" src="../region.php?country=&province=&city=" width="300" height="60" frameborder="0" scrolling="no"></iframe>
			<input name="province" type="hidden" />
			<input name="city" type="hidden" />
			</td>
			</tr>
			<tr>
			<td class="li_bg_1">&nbsp;所屬行業︰</td>
			<td class="li_line">
			<select name="industry">
			<option value="">請選擇　　</option>
			<option value="金融業">金融業</option>
			<option value="服務業">服務業</option>
			<option value="信息產業">信息產業</option>
			<option value="制造業">制造業</option>
			<option value="傳播業">傳播業</option>
			<option value="教育">教育</option>
			<option value="政府機構">政府機構</option>
			<option value="醫療保健">醫療保健</option>
			<option value="房地產">房地產</option>
			<option value="其它">其它</option>
			</select>
			</td>
			</tr>
			<tr>
			<td class="li_bg_1">&nbsp;教育水平︰</td>
			<td class="li_line">
			<select name="edulevel" size=1>
			<option value="">請選擇　　</option>
			<option value="博士">博士</option>
			<option value="碩士">碩士</option>
			<option value="大學">大學</option>
			<option value="高中">高中</option>
			<option value="初中">初中</option>
			<option value="小學">小學</option>
			</select>
			</td>
			</tr>
			<tr>
			<td class="li_bg_1">&nbsp;從事職業︰</td>
			<td class="li_line">
			<select name="occupation">
			<option value="">請選擇　　</option>
			<option value="學生">學生</option>
			<option value="職員">職員</option>
			<option value="經理">經理</option>
			<option value="專業人士">專業人士</option>
			<option value="公務員">公務員</option>
			<option value="私營主">私營主</option>
			<option value="待業">待業</option>
			<option value="退休">退休</option>
			<option value="其它">其它</option>
			</select>
			</td>
			</tr>
			<tr>
			<td class="li_bg_1">&nbsp;收入水平︰</td>
			<td class="li_line">
			<select name="income">
			<option value="">請選擇　　</option>
			<option value="6000以上">6000以上</option>
			<option value="4001-6000">4001-6000</option>
			<option value="2001-4000">2001-4000</option>
			<option value="1001-2000">1001-2000</option>
			<option value="501-1000">501-1000</option>
			<option value="500以下">500以下</option>
			</select>
			</td>
			</tr>
			<tr>
			<td class="li_bg_1">&nbsp;電　　話︰</td>
			<td class="li_line"><input name="telephone" type="text" id="telephone" size="20" /></td>
			</tr>
			<tr>
			<td class="li_bg_1">&nbsp;手　　機︰</td>
			<td class="li_line"><input name="mobile" type="text" id="mobile" size="20" /></td>
			</tr>
			<tr>
			<td class="li_bg_1">&nbsp;地　　址︰</td>
			<td class="li_line"><input name="address" type="text" id="address" size="50" />
			</td>
			</tr>
			<tr>
			<td class="li_bg_1">&nbsp;郵　　編︰</td>
			<td class="li_line"><input name="postid" type="text" id="postid" size="10" />
			</td>
			</tr>
			<tr>
			<td class="li_bg_1">&nbsp;主　　頁︰</td>
			<td class="li_line"><input name="homepage" type="text" id="homepage" size="20" /></td>
			</tr>
			<tr>
			<td class="li_bg_1">&nbsp;QQ號碼︰</td>
			<td class="li_line"><input name="qq" type="text" id="qq" size="20" maxlength="20" /></td>
			</tr>
			<tr>
			<td class="li_bg_1">&nbsp;MSN帳號︰</td>
			<td class="li_line"><input name="msn" type="text" id="msn" size="20" maxlength="50" /></td>
			</tr>
			<tr>
			<td class="li_bg_1">&nbsp;ICQ號碼︰</td>
			<td class="li_line"><input name="icq" type="text" id="icq" size="20" maxlength="20" /></td>
			</tr>
			<tr>
			<td class="li_bg_1">&nbsp;Skype帳號︰</td>
			<td class="li_line"><input name="skype" type="text" id="skype" size="20" maxlength="50" /></td>
			</tr>
			<tr>
			<td class="li_bg_1">&nbsp;支付寶帳號︰</td>
			<td class="li_line"><input name="alipay" type="text" id="alipay" size="20" maxlength="50" /></td>
			</tr>
			<tr>
			<td class="li_bg_1">&nbsp;貝寶帳號︰</td>
			<td class="li_line"><input name="paypal" type="text" id="paypal" size="20" maxlength="50" /></td>
			</tr>
			<tr>
			<td class="li_bg_1">&nbsp;頭像地址︰</td>
			<td class="li_line"><input name="userface" type="text" id="userface" size="50" maxlength="50" /></td>
			</tr>
			<tr>
			<td class="li_bg_1">&nbsp;頭像大小︰</td>
			<td class="li_line"><span class="f_blue">寬度︰</span>
			<input name="facewidth" type="text" id="facewidth" size="4" maxlength="50" />
			<span class="f_blue">px 高度</span>︰
			<input name="faceheight" type="text" id="faceheight" size="4" maxlength="50" />
			<span class="f_blue">px</span></td>
			</tr>
			<tr>
			<td class="li_bg_1">&nbsp;簽名信息︰</td>
			<td class="li_line"><textarea name="sign" cols="35" rows="5" id="sign"></textarea></td>
			</tr>
			<tr>
			<tr>
			<td class="li_bg_1">&nbsp;</td>
			<td class="li_line">
			<input name="referer" type="hidden" id="referer" value="{$referer}" />
			<input type="submit" name="submit" value=" 注 冊 " class="btn" />&nbsp;&nbsp;
			<input type="reset" name="Submit" value=" 清 除 " class="btn" /></td>
			</tr>
			</form>

			<tr>
			<td colspan="2" height="8"></td>
			</tr>
			</table>
		</div>

</div>
</div>
{template 'phpcms','footer'}