01.
<h2
class
=
"title"
>สมัครสมาชิก</h2>
02.
<form id=
"form1"
method=
"post"
action=
"login/check_regis.php"
enctype=
"multipart/form-data"
onsubmit=
"return check(this)"
>
03.
<tr>
04.
<td>
05.
<table border=
"0"
width=
"702"
cellspacing=
"0"
cellpadding=
"2"
>
06.
<tr><br />
07.
<td><b>ข้อมูลส่วนตัว</b></td>
08.
<td
class
=
"inputRequirement"
align=
"right"
><font color=
"#FF0000"
>* ช่องที่ต้องกรอกข้อมูล </font></td>
09.
</tr>
10.
</table></td>
11.
</tr>
12.
<tr>
13.
<td><table border=
"1"
width=
"702"
cellspacing=
"1"
cellpadding=
"2"
class
=
"infoBox"
background=
"images/whitebg2.png"
>
14.
<tr
class
=
"infoBoxContents"
>
15.
<td><table border=
"0"
cellspacing=
"2"
cellpadding=
"2"
>
16.
<tr>
17.
<td
class
=
"main"
>ชื่อ-นามสกุล :</td>
18.
<td
class
=
"main"
><input type=
"text"
name=
"name"
id=
"name"
/> <span
class
=
"inputRequirement"
>*</span></td>
19.
</tr>
20.
<tr>
21.
<td
class
=
"main"
>อีเมล์ :</td>
22.
<td
class
=
"main"
><input type=
"text"
name=
"email"
id=
"email"
/> <span
class
=
"inputRequirement"
>*</span></td>
23.
</tr>
24.
<tr>
25.
<td
class
=
"main"
>เบอร์โทรศัพท์บ้าน/มือถือ :</td>
26.
<td
class
=
"main"
><input type=
"text"
name=
"tel"
id=
"tel"
onkeyup=
"inputDigitsOnly(this);"
maxlength=
"10"
/> <span
class
=
"inputRequirement"
>*</span></td>
27.
</tr>
28.
<tr>
29.
<td
class
=
"main"
>ที่อยู่ :</td>
30.
<td
class
=
"main"
><textarea name=
"address"
id=
"address"
cols=
"25"
rows=
"4"
></textarea> <span
class
=
"inputRequirement"
>*</span></td>
31.
</tr>
32.
<tr>
33.
<td
class
=
"main"
>รหัสไปรษณีย์ :</td>
34.
<td
class
=
"main"
><input type=
"text"
name=
"zip"
id=
"zip"
onkeyup=
"inputDigitsOnly(this);"
maxlength=
"5"
/> <span
class
=
"inputRequirement"
>*</span></td>
35.
</tr>
36.
</table></td>
37.
</tr>
38.
</table></td>
39.
</tr>
40.
<tr>
41.
<td><b>ข้อมูลการล็อกอินเข้าระบบ</b></td>
42.
</tr>
43.
<tr>
44.
<td><table border=
"1"
width=
"702"
cellspacing=
"1"
cellpadding=
"2"
class
=
"infoBox"
background=
"images/whitebg2.png"
>
45.
<tr
class
=
"infoBoxContents"
>
46.
<td><table border=
"0"
cellspacing=
"2"
cellpadding=
"2"
>
47.
<tr>
48.
<td
class
=
"main"
>ชื่อเข้าระบบ :</td>
49.
<td
class
=
"main"
><input type=
"text"
name=
"login_name"
id=
"login_name"
maxlength=
"10"
/> <span
class
=
"inputRequirement"
>*</span></td>
50.
</tr>
51.
<tr>
52.
<td
class
=
"main"
>รหัสผ่าน :</td>
53.
<td
class
=
"main"
><input type=
"password"
name=
"login_pw"
id=
"login_pw"
maxlength=
"8"
/> <span
class
=
"inputRequirement"
>* กรุณากรอก password 4 - 8 ตัว</span></td>
54.
</tr>
55.
<tr>
56.
<td
class
=
"main"
>ยืนยันรหัสผ่าน :</td>
57.
<td
class
=
"main"
><input type=
"password"
name=
"login_pw_conf"
id=
"login_pw_conf"
maxlength=
"8"
/> <span
class
=
"inputRequirement"
>* กรุณากรอก password 4 - 8 ตัว</span></td>
58.
</tr>
59.
</table></td>
60.
</tr>
61.
</table></td>
62.
</tr>
63.
<tr>
64.
<td><table border=
"0"
width=
"100%"
cellspacing=
"1"
cellpadding=
"2"
>
65.
<tr>
66.
<td><table border=
"0"
width=
"100%"
cellspacing=
"0"
cellpadding=
"2"
>
67.
<tr>
68.
<td align=
"left"
><input type=
"Submit"
id=
"Submit"
name=
"Submit"
value=
" ตกลง "
/>
69.
<input id=
"inputcancel"
type=
"reset"
name=
"inputcancel"
value=
" ยกเลิก "
onclick=
"window.location='../index.php'"
/></td>
70.
</tr>
71.
</table></td>
72.
</tr>
73.
</table></td>
74.
</tr>
75.
</table>
76.
</form>