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<br><h1>Afiliacion a enlacesjudios.com</h1>


        <script>
        function valida_envia(){
                

       if (document.join.country.selectedIndex=="0"){
                alert("Pais no seleccionado");
                document.join.country.focus();
                return 0;
            }


       if (document.join.website.value=="http://"){
             alert("website incompleto");
             document.join.website.focus();
             return 0;
        }


       if (document.join.tematica.value==""){
             alert("clasificación del website incompleto");
             document.join.tematica.focus();
             return 0;
        }


       if (document.join.email.value==""){
             alert("email incompleto");
             document.join.email.focus();
             return 0;
        }


       if (document.join.username.value==""){
             alert("Nombre de usuario incompleto");
             document.join.username.focus();
             return 0;
        }


       if (document.join.pass.value==""){
             alert("password incompleto");
             document.join.pass.focus();
             return 0;
        }

                document.join.submit();
}
</script>




        <style type="text/css">
        <!--

        h1{
            color:black;
            text-align:center;
            font-size: 20 px;
            font-weight: bold;
            font-family: Verdana, Arial, Helvetica, sans-serif;
        }

        a:link {
            font-family:"Arial";
            font-size:13px;
            color: 538B8D;
            text-decoration: none ;
            font-weight: bold;
        }
 
        a:visited {
            /* text-decoration: line-through; */
            font-family:"Arial";
            font-size:13px;
            color: 538B8D;
            text-decoration: none ;
            font-weight: bold;
        }
 
        a:hover {
            /* text-decoration: line-through; */
            font-family:"Arial";
            font-size:13px;
            color: Blue;
            font-weight: bold;
            /* text-decoration : underline ; */
        }


        .Estilo1 {
            font-family: Verdana, Arial, Helvetica, sans-serif;
            font-weight: bold;
            font-size: 13px;
            color: #333333;
        }

        .Estilo2 {
            font-family: Verdana, Arial, Helvetica, sans-serif;
            font-size: 13px;
            color: #333333;
        }
        -->
        </style>

<FORM name="join" action="./" method="POST"><br>
<table width="61%" border="1" align="center" cellpadding="1" cellspacing="0" bordercolor="#CCCCCC" bgcolor="#F7FAFF"><tr>
        <td><table width="100%" border="0" cellspacing="0" cellpadding="0">
            <tr>
             <td width="32%">&nbsp;&nbsp;<span class="Estilo1">Pais:(*)</span></td>
<td width="68%">
<select name="country" id="country"  >
            <option value="n/a" >Seleccion&aacute; una opci&oacute;n</option>
</select>
</td>
          </tr>
        </table></td>
          </tr><tr>
        <td><table width="100%" border="0" cellspacing="0" cellpadding="0">
            <tr>
             <td width="32%">&nbsp;&nbsp;<span class="Estilo1">website:(*)</span></td>
<td width="68%"><INPUT type="website" value="http://" name="website" id="website" size="30"  rows="1" ></td>
          </tr>
        </table></td>
          </tr><tr>
        <td><table width="100%" border="0" cellspacing="0" cellpadding="0">
            <tr>
             <td width="32%">&nbsp;&nbsp;<span class="Estilo1">clasificación del website:(*)</span></td>
<td width="68%"><INPUT type="tematica" value="" name="tematica" id="tematica" size="30"  rows="1" ></td>
          </tr>
        </table></td>
          </tr><tr>
        <td><table width="100%" border="0" cellspacing="0" cellpadding="0">
            <tr>
             <td width="32%">&nbsp;&nbsp;<span class="Estilo2">Nombre completo (pagos):</span></td>
<td width="68%"><INPUT type="real_name" value="" name="real_name" id="real_name" size="30"  rows="1" ></td>
          </tr>
        </table></td>
          </tr><tr>
        <td><table width="100%" border="0" cellspacing="0" cellpadding="0">
            <tr>
             <td width="32%">&nbsp;&nbsp;<span class="Estilo1">email:(*)</span></td>
<td width="68%"><INPUT type="email" value="" name="email" id="email" size="30"  rows="1" ></td>
          </tr>
        </table></td>
          </tr><tr>
        <td><table width="100%" border="0" cellspacing="0" cellpadding="0">
            <tr>
             <td width="32%">&nbsp;&nbsp;<span class="Estilo2">Direccion (para pagos):</span></td>
<td width="68%"><INPUT type="address" value="" name="address" id="address" size="30"  rows="1" ></td>
          </tr>
        </table></td>
          </tr><tr>
        <td><table width="100%" border="0" cellspacing="0" cellpadding="0">
            <tr>
             <td width="32%">&nbsp;&nbsp;<span class="Estilo1">Nombre de usuario(*)</span></td>
<td width="68%"><INPUT type="username" value="" name="username" id="username" size="30"  rows="1" ></td>
          </tr>
        </table></td>
          </tr><tr>
        <td><table width="100%" border="0" cellspacing="0" cellpadding="0">
            <tr>
             <td width="32%">&nbsp;&nbsp;<span class="Estilo1">password(*)</span></td>
<td width="68%"><INPUT type="pass" value="" name="pass" id="pass" size="30"  rows="1" ></td>
          </tr>
        </table></td>
          </tr><tr>
        <td><table width="100%" border="0" cellspacing="0" cellpadding="0">
            <tr>
             <td width="32%">&nbsp;&nbsp;<span class="Estilo1">Notificar x email cuando hagan una compra.(*)</span></td>
<td width="68%"><input type="checkbox" name="email_on_payment" value="1" checked > <span class="Estilo2">Activado</span></td>
          </tr>
        </table></td>
          </tr><tr>
        <td>&nbsp;    <div align="center">
    <span class="Estilo1">Escriba la siguiente palabra:</span><br><br>
    <a href="#" style="Estilo2" onclick="
    document.getElementById('captcha').src='../../captcha/captcha.php?'+Math.random();
    document.getElementById('captcha-form').focus();"
    id="change-image"><font color="blue">No puede leerlo? Cambie el texto.</font></a><br>
    <img src="../../captcha/captcha.php"/><br>
    escriba la palabra aqui:<input type="text" name="corcho" /></div></td>
        </tr><tr>
        <td>&nbsp;<div align=center><input type="button" value="Continuar" onclick="valida_envia()"></form></div></td>
        </tr></table>
</body>
</html>