ÿþ<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/tr/html4/loose.dtd"> <html lang="en-nz"> <head> <title>GISBoost - Registration Form</title> <meta http-equiv="Content-Type" content="text/html; charset=utf-8"> <meta name="DC.Title" content="About GISBoost/How to Register"> <meta name="Keywords" content="GISBoost, information, GIS, geographic information system, aerial photography, proprty boundaries"> <meta name="Description" content="Information about GISBoost services in New Plymouth District."> <meta name="DC.Description" content="Information about GISBoost services in New Plymouth District."> <meta name="DC.Language" content="en" scheme="RFC3066"> <meta name="Robots" content="follow, index"> <meta name="DC.Subject" content="Communication, Official information"> <meta name="NZGLS.Function" content="Administering government, Informing"> <meta name="DC.Creater" content="corporatename = New Plymouth District Council (NPDC)" scheme="NZGLSAgent"> <meta name="DC.Date.Created" content="2006-07-10" scheme="ISO 8601"> <meta name="DC.Date.Modified" content="2006-07-11" scheme="ISO 8601"> <meta name="DC.Publisher" content="corporatename = New Plymouth District Council (NPDC)" scheme="NZGLSAgent"> <meta name="DC.Type.Category" content="Document" scheme="NZGLS"> <link rel="stylesheet" href="http://www.newplymouthnz.com/styles/print.css" media="print"> <style type="text/css" media="print"> @import "http://www.newplymouthnz.com/styles/styles.css"; @import "http://www.newplymouthnz.com/styles/sIFR-screen.css"; @import "http://www.newplymouthnz.com/styles/print-page.css"; </style> <style type="text/css" media="screen"> @import "http://www.newplymouthnz.com/styles/styles.css"; @import "http://www.newplymouthnz.com/styles/sIFR-screen.css"; </style> <link rel="stylesheet" href="http://www.newplymouthnz.com/styles/CMS.css" media="screen"> <script type="text/javascript" src="http://www.newplymouthnz.com/js/sifr.js"></script> <!--[if IE 6]> <link 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class="selected"><a href="/AtoZOfCouncilServices/" class="on">A-Z of Council Services</a></li> <ul> </ul> <li class=""><a href="/TheCouncilAndItsPeople/" class="">The Council & its People</a></li> <li class=""><a href="/CouncilDocuments/" class="">Council Documents</a></li> <li class=""><a href="/LivinginNewPlymouth/" class="">Living in New Plymouth</a></li> <li class=""><a href="/HaveYourSay/" class="">Have Your Say</a></li> <li class=""><a href="/VisitingNewPlymouth/" class="">Visiting New Plymouth</a></li> </ul> <!--EndNoIndex--> <div class="menuinfo"> </div> </div> <div id="pagecontent"> <div id="sidebar"> <!-- Additional hidden text box due to single input asp.net error with event_target submission --> <input name="RightPanel:_ctl2:Textbox1" type="text" id="RightPanel__ctl2_Textbox1" NAME="Textbox1" style="visibility:hidden;display:none;" /> <div class="searchbox"> <input name="RightPanel:_ctl2:SearchRequest" type="text" id="RightPanel__ctl2_SearchRequest" class="text" onkeydown="if ((event.which &amp;&amp; event.which == 13) || (event.keyCode &amp;&amp; event.keyCode == 13)) {document.getElementById('RightPanel__ctl2_SearchSubmit').click();return false;} else return true; " /> <input type="image" name="RightPanel:_ctl2:SearchSubmit" id="RightPanel__ctl2_SearchSubmit" class="img-btn" src="/images/template/side/go-btn.gif" alt="Go" border="0" style="height:20px;width:23px;" /> </div> </div> <form action='/forms/mailer.asp' method='post'> <h2> GISB<font size='4'>OOST&reg;</font> Registration Form </h2> <p><span class="ast">*</span> field must be populated or application will not be actioned</p> <div class="liner">&nbsp;</div><table border='0'><tr><td align='left' colspan='2'><font class=tablecells>Account type</font></td></tr><input type='hidden' name='input_1' value='form_input_1'><input type='hidden' name='form_input_1_label' value="Account type"> <tr><td width='90' ></td><td class=tablecells align='left' ><input type="radio" checked name="form_input_1" value="Business" alt="Business" onclick="enableReqInput('form_input_4'); enableReqInput('form_input_7'); disableReqInput('form_input_9'); ">&nbsp;Business<br></td></tr> <tr><td width='90' ></td><td class=tablecells align='left' ><input type="radio" name="form_input_1" value="Individual" alt="Individual" onclick="disableReqInput('form_input_4'); disableReqInput('form_input_7'); enableReqInput('form_input_9');" >&nbsp;Individual<br></td></tr> <tr><td height='30' class=tablecells width='90' align='left'><font class=tablecells>Contact name</font></td><td align='left'><input type='hidden' name='input_2' value='fullname'><input type='hidden' name='fullname_label' value="Contact name"><input type='hidden' name='fullname_req' value='true'><input class=textforminput type='text' name='fullname' size='30' alt="Contact name" maxlength='250' ><small><span class="ast">*</span></small></td></tr> <tr><td height='30' class=tablecells width='90' align='left'><font class=tablecells>Business Name</font></td><td align='left'><input type='hidden' name='input_3' value='form_input_4'><input type='hidden' name='form_input_4_label' value="Business Name"><input type='hidden' id='form_input_4_req' name='form_input_4_req' value='true'><input class=textforminput type='text' name='form_input_4' id='form_input_4' size='30' alt="Business Name" maxlength='250' ><small><span id='form_input_4_req_span' class="ast">*</span></small></td></tr> <tr><td height='30' class=tablecells width='90' align='left'><font class=tablecells>Email</font></td><td align='left'><input type='hidden' name='input_4' value='email'><input type='hidden' name='email_label' value="Email"><input type='hidden' name='email_req' value='true'><input class=textforminput type='text' name='email' size='30' alt="Email" maxlength='250' ><small><span class="ast">*</span></small></td></tr><tr><td width='90' align='left' valign='top'><font class=tablecells>Billing Address</font></td><td align='left'><input type='hidden' name='input_5' value='comments'><input type='hidden' name='comments_label' value="Billing Address"><input type='hidden' name='comments_req' value='true'><textarea class=textforminput name='comments' rows='5' cols='35' alt="Billing Address"></textarea><small><span class="ast">*</span></small></td></tr><tr><td width='90' align='left' valign='top'><font class=tablecells>Postal Address</font></td><td align='left'><input type='hidden' name='input_6' value='form_input_5'><input type='hidden' name='form_input_5_label' value="Postal Address"><textarea class=textforminput name='form_input_5' rows='3' cols='60' alt="Postal Address"></textarea></td></tr><tr><td class=tablecells colspan='2' height='18'><b>Phone Numbers</b></td></tr> <tr><td height='30' class=tablecells width='90' align='left'><font class=tablecells>Business</font></td><td align='left'><input type='hidden' name='input_7' value='form_input_7'><input type='hidden' name='form_input_7_label' value="Business"><input type='hidden' id='form_input_7_req' name='form_input_7_req' value='true'><input class=textforminput type='text' id='form_input_7' name='form_input_7' size='25' alt="Business" maxlength='250' ><small><span id='form_input_7_req_span' class="ast">*</span></small></td></tr> <tr><td height='30' class=tablecells width='90' align='left'><font class=tablecells>Mobile</font></td><td align='left'><input type='hidden' name='input_8' value='form_input_8'><input type='hidden' name='form_input_8_label' value="Mobile"><input class=textforminput type='text' name='form_input_8' size='25' alt="Mobile" maxlength='250' ></td></tr> <tr><td height='30' class=tablecells width='90' align='left'><font class=tablecells>Home</font></td><td align='left'><input type='hidden' name='input_9' value='form_input_9'><input type='hidden' name='form_input_9_label' value="Home"><input type='hidden' id='form_input_9_req' name='form_input_9_req' value=''><input class=textforminput disabled='true' value='not required' style="background-color:#E0E0E0" type='text' name='form_input_9' id='form_input_9' size='25' alt="Home" maxlength='250' ><small><span id='form_input_9_req_span' class="ast"></span></small></td></tr> <tr><td height='30' class=tablecells width='90' align='left'><font class=tablecells>Preferred user name</font></td><td align='left'><input type='hidden' name='input_10' value='form_input_10'><input type='hidden' name='form_input_10_label' value="Preferred user name"><input class=textforminput type='text' name='form_input_10' size='25' alt="Preferred user name" maxlength='250' ></td></tr><tr><td align='left' colspan='2'><font class=tablecells>Have you had an account with New Plymouth District Council before</font></td></tr><input type='hidden' name='input_11' value='form_input_11'><input type='hidden' name='form_input_11_label' value="Have you had an account with New Plymouth District Council before"><tr><td width='90' ></td><td class=tablecells align='left' ><input type="radio" name="form_input_11" value="Yes" alt="Yes" >&nbsp;Yes<br></td></tr><tr><td width='90' ></td><td class=tablecells align='left' ><input type="radio" name="form_input_11" value="No" alt="No" >&nbsp;No<br></td></tr><tr><td align='left' colspan='2'><font class=tablecells>Preferred payment interval</font></td></tr><input type='hidden' name='input_12' value='form_input_14'><input type='hidden' name='form_input_14_label' value="Preferred payment interval"><tr><td width='90' ></td><td class=tablecells align='left' ><input type="radio" name="form_input_14" value="monthly ($60 incl. GST)" alt="monthly ($60 incl. GST)" >&nbsp;monthly ($60 incl. GST)<br></td></tr><tr><td width='90' ></td><td class=tablecells align='left' ><input type="radio" name="form_input_14" value="annually ($720 incl. GST)" alt="annually ($720 incl. GST)" >&nbsp;annually ($720 incl. GST)<br></td></tr></table><br><input type='hidden' name='mailer_subject' value="GISBoost Registration Request"><input type='hidden' name='mailer_recipient_list' value="GasService,gasservicereq^npdc.govt.nz"><input type='hidden' name='g_mailer_hide_unanswered' value="Y"><div class="liner">&nbsp;</div><br> <input type="image" name="Submit" src="/images/template/pg/send-btn.gif" alt="" border="0" style="height:20px;width:34px;" /> <!--<input type="submit" value="Submit">--> <a onclick="document.forms[0].reset();return false;" href="#"> <img alt="Reset form. 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