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KOTI MAHATIDANA - KALTIM | USER
<h1 class="titlepage">Registrasi Pengguna (Artikel)</h1>
<p>Untuk menjadi anggota <b>Artikel Publisher</b> Koti Mahatidana Kaltimantan Timur, Silahkan lengkapi formulir pendaftaran di bawah ini. Bagian yang ditandai (<b>*</b>) wajib diisi.</p>
<form name="fReg" enctype="multipart/form-data" method="POST">
<table style="padding:15px;background:#fef4e5;">
<tr>
<td align="center" colspan="2"></td>
</tr>
<tr>
<td valign="top">
<p>Nama Lengkap</p>
</td>
<td valign="top">
<p><input type="text" name="fullname" maxlength="50" size="35"> *</p>
</td>
</tr>
<tr>
<td>
<p>Alamat Lengkap</p>
</td>
<td>
<p><input type="text" name="alamat" maxlength="50" size="35"></p>
</td>
</tr>
<tr>
<td>
<p>No Telp/HP</p>
</td>
<td>
<p><input type="text" name="telp" maxlength="30" size="20"><br>
<font color="#b0b0b0" size="1">Contoh: +6285222222222</font></p>
</td>
</tr>
<tr>
<td valign="top">
<p>Username</p>
</td>
<td valign="top">
<p><input type="text" name="username" maxlength="10"> *</p>
</td>
</tr>
<tr>
<td valign="top">
<p>Password</p>
</td>
<td valign="top">
<p><input type="password" name="password" maxlength="50"> *</p>
</td>
</tr>
<tr>
<td valign="top">
<p>Ketik Ulang Password</p>
</td>
<td valign="top">
<p><input type="password" name="verify" maxlength="50"> *</p>
</td>
</tr>
<tr>
<td valign="top">
<p>Email</p>
</td>
<td>
<p><input type="text" name="email" maxlength="50" size="35"> *</p>
</td>
</tr>
<tr>
<td valign="top">
<p>Pertanyaan Keamanan</p>
</td>
<td>
<p><input type="text" name="tanya" maxlength="100" size="35"> *<br>
<font color="#b0b0b0" size="1">Contoh: Apa nama hewan peliharaan anda ?</font>
</p>
</td>
</tr>
<tr>
<td valign="top">
<p>Jawaban</p>
</td>
<td>
<p><input type="text" name="jawab" maxlength="50"> *<br>
<font color="#b0b0b0" size="1">Contoh: Burung</font>
</p>
</td>
</tr>
<tr>
<td valign="top">
<p>Foto Avatar</p>
</td>
<td>
<p><input type="file" name="foto"> *<br>
</p>
</td>
</tr>
<tr>
<td>
</td>
<td>
<input type="hidden" name="pro" value="daftar">
<p><input type="checkbox" name="agree"> Setuju dengan ketentuan yang ada ?</p>
</td>
</tr>
<tr>
<td></td>
<td>
<p><input type="button" onClick="daftar()" value="Daftar">
<input type="reset" value="Batal"></p>
</td>
</tr>
</table>
</form>
</td>
<td id="r_wrap" valign="top" width="180">
<div class="widget">
<h3>Hari Ini</h3>
<div class="div-cont">
<center><object classid="clsid:D27CDB6E-AE6D-11cf-96B8-444553540000" id="anaclock" codebase="http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,0,0" width="160" align="" height="160">
<param value="includes/envotime_ora_cal.swf" name="movie">
<param value="high" name="quality">
<param value="#FFFFFF" name="bgcolor">
<param value="transparent" name="wmode">
<param value="false" name="menu">
<embed menu="false" pluginspage="http://www.macromedia.com/go/getflashplayer" quality="high" type="application/x-shockwave-flash" src="includes/envotime_ora_cal.swf" bgcolor="#FFFFFF" wmode="transparent" width="160" align="" height="160">
</object></center>
</div>
<h3>Jajak Pendapat</h3>
<div class="div-cont">
<iframe frameborder="0" height="210" width="100%" marginheight="0" name="poll" scrolling="auto" marginwidth="0" src="includes/polling.php"></iframe>
</div>
<h3>Shout Box</h3>
<div class="div-cont">
<center>
<table width="165" border="0" align="center" cellpadding="0"
cellspacing="0">
<tr>
<td> <script language="JavaScript">
function clrTh() {
document.sms.smsnama.value="";
}
function clrThs() {
document.sms.smspesan.value="";
}
function opnsmile() {
window.open('smile.php','smile',"scrollbars=yes,toolbar=no,resizable=no,screenX=1,screenY=1,menubar=no,location=no,width=300,height=400,status=no");
}
</script>
<table width="100%" border="0" style="" align="center" cellpadding="0" cellspacing="0">
<tr>
<td><iframe frameborder="0" height="200" width="100%" marginheight="0" name="ifr" scrolling="no" marginwidth="0" src="includes/sms.php"></iframe>
</td>
</tr>
<tr>
<td valign="top" style="font-size:12px;font-family:arial,tahoma"> <form action="includes/sms.php" method="post" name="sms" target="ifr">
Nama<br>
<input name="smsnama" type="text" id="smsnama" style="border:1px solid #CCCCCC;background:#FFFFFF;color:#000000;width:100%;font-size:10;font-family:verdana" onFocus="clrTh();">
<br>
Pesan<br>
<textarea name="smspesan" rows="1" id="smspesan" style="border:1px solid #CCCCCC;background:#FFFFFF;color:#000000;width:100%;font-size:10;font-family:verdana" onFocus="clrThs();"></textarea>
<input name="sendsms" type="submit" id="sendsms" style="background:#FF6600;color:#ffffff;border:0;font-size:12px;padding:1px 4px 1px 4px" value="Kirim">
<input name="sendsms2" type="reset" id="sendsms2" style="background:#FF6600;color:#ffffff;border:0;font-size:12px;padding:1px 4px 1px 4px" value="Hapus">
</td>
</tr>
</table>
</form>
</td>
</tr>
</table>
</center>
</div>
<h3>Link Pendukung</h3>
<div>
<a class="menu" href="http://itshare-smd.blogspot.com" target="blank">It Share Samarinda</a><p style="border-top:1px dotted #c0c0c0;font-size:4px;margin:4px 12px 4px 12px;"></p>
</div>
</div>
</td>
</tr>
<tr>
<td colspan="3" id="content-public" align="center" valign="top">
<div id="cp_left">
<table border="0" cellpadding="2" cellspacing="2">
<tr>
<td id="iklan-title" align="center" valign="center">
<h3>Banner 1</h3>
</td>
</tr>
<tr>
<td id="iklan-cont" align="center" valign="center">
<p><span style="font-family: Courier New;">
<p><span style="color: rgb(255, 153, 0);"><b><span style="font-size: large;">PT. AL-AMANAH TUJUH-TUJUH </span></b></span></p>
</span></p>
<p><span style="font-family: Courier New;">
<p><span style="color: rgb(255, 153, 0);"><b><span style="font-size: large;">CV. TUJUH-TUJUH </span></b></span></p>
</span></p>
<p><span style="font-family: Courier New;">
<p><span style="color: rgb(255, 153, 0);"><b><span style="font-size: large;">CV. PIAWAI BUMI ALAM PERKASA <br />
</span></b></span></p>
</span></p>
<p><span style="font-family: Courier New;"><span style="font-size: large;"><b><span style="color: rgb(255, 153, 0);">KSU MAHATIDANA</span></b></span></span></p> </td>
</tr>
</table>
</div>
<div id="cp_mid">
<table border="0" cellpadding="2" cellspacing="2">
<tr>
<td id="iklan-title" align="center" valign="center">
<h3>Banner 2</h3>
</td>
</tr>
<tr>
<td id="iklan-cont" align="center" valign="center">
</td>
</tr>
</table>
</div>
<div id="cp_right">
<table border="0" cellpadding="2" cellspacing="2">
<tr>
<td id="iklan-title" align="center" valign="center">
<h3>Banner 3</h3>
</td>
</tr>
<tr>
<td id="iklan-cont" align="center" valign="center">
</td>
</tr>
</table>
</div>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td colspan="5" class="b_side">
<img src="images/footer.gif" title="" alt="">
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td align="center" id="botfoot" valign="center">
<div style="width:400px;align:center;float:left;">Copyright©2008 All Rights Reserved</div><div style="float:right;align:right;width:200px;"> Powered By <a href="http://itshare-smd.blogspot.com" target="_blank">IT Share Samarinda</a> </div>
</td>
</tr>
</table>
</center>
</body>
</html> |
