<form name="checkdomain" method="Post" action="signup.php">
<input type="hidden" name="currency" value="{CURRENCY}">
<input type="hidden" name="package" value="{PACKAGE}">
<input type="hidden" name="step" value="2">
<input type="hidden" name="clienttype" value="{CLIENTTYPE}">
<input type="hidden" name="domain" value="{DOMAIN}">
<table cellpadding="4" cellspacing="4" border="0">
<tr>
<td valign="top" height="150">
<!-- Get list of supported domain extensions -->
<script language="javascript">
<!--
function PopupTLD(){
    var mywin = window.open('','cewindow','scrollbars=no,menubar=no,location=no,width=250,height=45,resizable=yes,screenX=400,screenY=400,top=400,left=400');
    mywin.document.write("<html><body bgcolor=\"#efefef\" marginheight=\"0\" marginwidth=\"0\" topmargin=\"0\" leftmargin=\"0\">\n");
    mywin.document.write("<table width=\"100%\" cellpadding=\"3\" cellspacing=\"0\"><tr><td bgcolor=\"Navy\" align=\"center\"><font size=2 face=\"verdana\"color=\"White\">[l]Supported domain extensions.[/l]</font></td></tr></table><center><br>");
    mywin.document.write("<font size=2 face=verdana>{STRPOPUP}</font>\n");
    mywin.document.write("</body>\n</html>\n");
    mywin.document.close();
    mywin.focus();
}
-->
</script>
{FORM_INPUTS}
<!-- BEGIN DYNAMIC BLOCK: boxsubmit -->
{BOXSUBMIT}
<!-- END DYNAMIC BLOCK: boxsubmit -->
<!-- BEGIN DYNAMIC BLOCK: boxsubmitback -->
{BOXSUBMIT}
<!-- END DYNAMIC BLOCK: boxsubmitback -->
<!-- BEGIN DYNAMIC BLOCK: boxsearch -->
{BOXSUBMIT}
<!-- END DYNAMIC BLOCK: boxsearch -->
</td>
<!-- BEGIN DYNAMIC BLOCK: domainoptions -->
<td rowspan="2">
<!-- BEGIN DYNAMIC BLOCK: boxsubmit1 -->
{BOXSUBMIT1}
<!-- END DYNAMIC BLOCK: boxsubmit1 -->
<!-- BEGIN DYNAMIC BLOCK: boxsubmitback1-->
{BOXSUBMIT1}
<!-- END DYNAMIC BLOCK: boxsubmitback1 -->
<!-- BEGIN DYNAMIC BLOCK: boxsearch1 -->
{BOXSUBMIT1}
<!-- END DYNAMIC BLOCK: boxsearch1 -->
</td>
<!-- END DYNAMIC BLOCK: domainoptions -->
</tr>
<tr><td valign="top" align="center">
<!-- enter hidden div for result of domain check -->
<div id="domainwindow_main" style="display:none">
<!-- BEGIN DYNAMIC BLOCK: divdomainwindow1 -->
<br><br>
<table border="0" width="400" cellpadding="0" cellspacing="0">
<!-- END DYNAMIC BLOCK: divdomainwindow1 -->
<!-- BEGIN DYNAMIC BLOCK: divdomainwindow2 -->
<table border="0" width="326" cellpadding="0" cellspacing="0">
<!-- END DYNAMIC BLOCK: divdomainwindow2 -->
<tr><td valign="top" id="domainwindow">
</td></tr></table>
</div>
<div id="domainsearch" image style="display:none">
<table border="0" width="326">
<tr><td valign="middle" align="center"><Br>[l]Searching[/l] ...<p><img src="images/loading.gif">
</td></tr></table>
</div>
<!-- end hidden divs -->
</td></tr>
</table>
</form>
