<form action="[target]/myprofile.asp" method="POST" name="form2">
<p> </p>
<table align="center" cellpadding="1" cellspacing="1">
<tr valign="baseline">
<td align="right" nowrap class="title">
Change Profile=>Username <input type="text" name="MM_recordId" value="ajann">
</td>
<td> <input type="text" name="U_PASSWORD" value="password" size="35" maxlength="10" class="inputFieldIE">
</td>
</tr>
<tr valign="baseline">
<td align="right" nowrap class="title"><strong><font face="Verdana, Arial, Helvetica, sans-serif">FIRST:</font></strong></td>
<td> <input type="text" name="U_FIRST" value="deneme" size="35" class="inputFieldIE">
</td>
</tr>
<tr valign="baseline">
<td align="right" nowrap class="title"><strong><font face="Verdana, Arial, Helvetica, sans-serif">LAST:</font></strong></td>
<td> <input type="text" name="U_LAST" value="deneme" size="35" class="inputFieldIE">
</td>
</tr>
<tr valign="baseline">
<td align="right" nowrap class="title"><strong><font face="Verdana, Arial, Helvetica, sans-serif">ADDRESS:</font></strong></td>
<td> <input type="text" name="U_ADDRESS" value="deneme" class="inputFieldIE" size="35">
</td>
</tr>
<tr valign="baseline">
<td align="right" nowrap class="title"><strong><font face="Verdana, Arial, Helvetica, sans-serif">CITY/TOWN:</font></strong></td>
<td> <input type="text" name="U_CITY" value="deneme" size="35" class="inputFieldIE">
</td>
</tr>
<tr valign="baseline">
<td align="right" nowrap class="title"><strong><font face="Verdana, Arial, Helvetica, sans-serif">STATE/PROVINCE:</font></strong></td>
<td> <input type="text" name="U_STATE" value="123456" size="35" class="inputFieldIE">
</td>
</tr>
<tr valign="baseline">
<td align="right" nowrap class="title"><strong><font face="Verdana, Arial, Helvetica, sans-serif">ZIP/POSTAL:</font></strong></td>
<td> <input type="text" name="U_ZIP" value="1234565" size="35" class="inputFieldIE">
</td>
</tr>
<tr valign="baseline">
<td align="right" nowrap class="title"><strong><font face="Verdana, Arial, Helvetica, sans-serif">EMAIL:</font></strong></td>
<td> <input type="text" name="U_EMAIL" value="ajann1@ajann1.com" size="35" class="inputFieldIE">
</td>
</tr>
<tr valign="baseline">
<td align="right" nowrap class="title"><strong><font face="Verdana, Arial, Helvetica, sans-serif">PHONE:</font></strong></td>
<td> <input type="text" name="U_PHONE" value="53453453453454" size="35" maxlength="15" class="inputFieldIE">
</td>
</tr>
<tr valign="baseline">
<td align="right" nowrap class="title"><strong><font face="Verdana, Arial, Helvetica, sans-serif">FAX:</font></strong></td>
<td> <font size="1"> <i> <font face="Verdana, Arial, Helvetica, sans-serif">
</font><font size="1"><i><font face="Verdana, Arial, Helvetica, sans-serif">
<input type="text" name="U_FAX" value="534534543543" size="35" maxlength="15" class="inputFieldIE">
</font></i></font><font face="Verdana, Arial, Helvetica, sans-serif">(Optional)</font></i></font>
</td>
</tr>
<tr valign="baseline">
<td align="right" nowrap class="title"><strong><font face="Verdana, Arial, Helvetica, sans-serif">RECEIVE
NEWS</font></strong></td>
<td> <input checked name="subscribe" type="checkbox" id="subscribe" value="checkbox">
<span class="content"> (LEAVE EMPTY TO UNSUBSCIBE)</span></td>
</tr>
<tr valign="baseline">
<td height="44" align="right" nowrap><font color="#333333"> </font></td>
<td> <input name="submit" type="submit" class="Buttons" onClick="MM_validateForm('U_FIRST','','R','U_LAST','','R','U_ADDRESS','','R','U_CITY','','R','U_STATE','','R','U_ZIP','','R','U_EMAIL','','RisEmail','U_PHONE','','R','U_PASSWORD','','R');return document.MM_returnValue" value="Update">
</td>
</tr>
</table>
<input type="hidden" name="MM_update" value="form2">
</form>
# milw0rm.com [2006-12-23]