<form name="accountinfo" method="post" action="signup.php" onKeyUp="highlight(event)" onClick="highlight(event)">
    <input type="hidden" name="step" value="3" />
    <input type="hidden" name=clienttype value="{CLIENTTYPE}" />
    <input type="hidden" name=memberuserid value="0" />
    <input type="hidden" name=domain value="{DOMAIN}" />
    <input type="hidden" name=transfer value="{TRANSFER}" />
    <input type="hidden" name="hasDomainNameRegistration" value="{HASDOMAINNAMEREGISTRATION}" />
    <input type="hidden" name="packageUnproratedFee" value="{PACKAGEUNPRORATEDAMOUNT}" />
    <input type="hidden" name="packageProratedFee" value="{PACKAGEPRORATEDAMOUNT}" />
    <input type="hidden" name="proNextBill" value="{PRONEXTBILL}" />
    <input type="hidden" name="proTmpNextBill" value="{TMPNEXTBILL}" />
    <input type="hidden" name="packageSetupFee" value="{PACKAGESETUP}" />
    <input type="hidden" name="domainTaxable" value="{DOMAINTAXABLE}" />
    <input type="hidden" name="packageTaxable" value="{TTAXABLE}" />
    <input type="hidden" name="isCountrySet" value="{ISCOUNTRYSET}" />
    <input type="hidden" name="prorating" value="{PRORATING}" />
    <input type="hidden" name="includeFollowingPayment" value="{INCLUDEFOLLOWINGPAYMENT}" />
    <input type="hidden" name="currency" value="{TCURRENCY}" />
    <input type="hidden" name="currencysymbol" value="{CURRENCYSYMBOLVAR}" />
    <input type="hidden" name="currencyprecision" value="{CURRENCYPRECISIONVAR}" />
    <input type="hidden" name="currencyalignment" value="{CURRENCYALIGNMENTVAR}" />
    <input type="hidden" name="proratedDays" value="{PRORATEDDAYS}" />
    <input type="hidden" name="disablesubscriptions" id="disablesubscriptions" value="{DISABLESUBSCRIPTIONS}" />
    <input type="hidden" name="taxrate" value="" />
    <input type="hidden" name="discount" value="" />
    <input type="hidden" name="addonChargesStr" value="" />
    <input type="hidden" name="totalBill" value="" />
    <input type="hidden" name="setup" value="" />
    <input type="hidden" name="addonsRadioButtons" value="{ADDONS_RADIOBUTTONS}" />

    <br />
    <!-- BEGIN DYNAMIC BLOCK: boxnosubmiterror -->
    {BOXNOSUBMITERROR}
    <br>
    <!-- END DYNAMIC BLOCK: boxnosubmiterror -->
    <!-- BEGIN DYNAMIC BLOCK: packagecustomfields -->
    {BOXNOSUBMIT1}
    <!-- END DYNAMIC BLOCK: packagecustomfields -->
    <!-- BEGIN DYNAMIC BLOCK: packageAddons -->
    {BOXNOSUBMIT12}
    <!-- END DYNAMIC BLOCK: packageAddons -->
    <!-- BEGIN DYNAMIC BLOCK: billinginformation -->
    {BOXNOSUBMIT2}
    <!-- END DYNAMIC BLOCK: billinginformation -->
    <!-- BEGIN DYNAMIC BLOCK: accountinformation -->
    {BOXNOSUBMIT3}
    <!-- END DYNAMIC BLOCK: accountinformation -->
    <!-- BEGIN DYNAMIC BLOCK: totalinfo -->
    {BOXSUBMIT4}
    <!-- END DYNAMIC BLOCK: totalinfo -->
    <input type="hidden" name="customTagsArray" value="{VARQUERYSTRING}">
</form>
<script language="javascript">
    mainForm = document.forms['accountinfo'];

    <!-- BEGIN DYNAMIC BLOCK: prorateddaysmorethan90 -->
        $('use_paypal_subscriptions').checked = false;
        $('recurringField').style.visibility = 'hidden';
    <!-- END DYNAMIC BLOCK: prorateddaysmorethan90 -->
    <!-- BEGIN DYNAMIC BLOCK: validateCoupon -->
        validateCoupon(document.forms.accountinfo);
    <!-- END DYNAMIC BLOCK: validateCoupon-->
    getTax();   // this calls regenerateBill at the end
</script>
