rendered paste body<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"><html xmlns="http://www.w3.org/1999/xhtml"><head><title>ID Builder » Start - NovaVision</title><meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" /><script src="/ui/js/mootools.v1.11.js" type="text/javascript"></script>window.onload = init;function init() {//$('photo_preview').style.width = '200px';//$('photo_preview').style.display = 'inline';$('shipping_same').addEvent('click', billingIsShipping);}function billingIsShipping(evt) { var clickEvent = new Event(evt); if(clickEvent.target.getProperty('checked') != 'checked') { $$('#billing_info input').each(function(field) { var fieldId = field.getProperty('id');//.substr(8); $('shipping_'+fieldId).value = $(fieldId).value; }); } else { $$('#billing_info input').each(function(field) { var fieldId = field.getProperty('id');//.substr(8); $('shipping_'+fieldId).value = ''; }); }} <table width="650" border="0" align="center"> <tr> <td colspan="2" align="left" valign="top"><h3>Is this ID Card Order a Reprint or Reorder? </h3> <p> <label> <input type="radio" name="reorder" value="1" id="reorder_1" /> Yes, I am ordering a replacement with no changes to the information on the card.</label> <br /> <label> <input type="radio" name="reorder" value="2" id="reorder_2" /> Yes, but my information on the id card has changed since my last order.</label> <br /> <label> <input type="radio" name="reorder" value="0" id="reorder_0" /> No, I have never placed an order for this exact id card in the past.</label><br /> </p></td> </tr> <tr> <td width="295" align="left" valign="top"><h3>Billing Address</h3> <div id="billing_info"> <p> <label>Full Name: <input name="name" type="text" id="name" tabindex="1" value="" /> </label> </p> <p> <label>Address: <input name="address" type="text" id="address" tabindex="2" value="" /> </label> </p> <p> <label> <input name="address2" type="text" id="address2" tabindex="3" value="" /> </label> </p> <p> <label>City: <input name="city" type="text" id="city" tabindex="4" value="" /> </label> </p> <p> <label>State: <input name="state" type="text" id="state" tabindex="5" value="" size="4" maxlength="2" /> </label><label>Zip: <input name="zip" type="text" id="zip" tabindex="6" value="" size="10" maxlength="5" /> </label> </p> <p> <label>Phone: <input type="text" name="phone" id="phone" tabindex="7" value="" /> </label> </p> </div> <p> <label> <input type="checkbox" name="shipping_same" id="shipping_same" value="1" tabindex="8" /> Shipping address is the same as the billing address</label> </p> <p> </p></td> <td width="295" align="left" valign="top"><h3>Shipping Address</h3> <div id="shipping_info"> <p> <label>Full Name: <input name="shipping_name" type="text" id="shipping_name" tabindex="9" value="" /> </label> </p> <p> <label>Address: <input name="shipping_address" type="text" id="shipping_address" tabindex="10" value="" /> </label> </p> <p> <label> <input name="shipping_address2" type="text" id="shipping_address2" tabindex="11" value="" /> </label> </p> <p> <label>City: <input name="shipping_city" type="text" id="shipping_city" tabindex="12" value="" /> </label> </p> <p> <label>State: <input name="shipping_state" type="text" id="shipping_state" tabindex="13" value="" size="4" maxlength="2" /> </label><label>Zip: <input name="shipping_zip" type="text" id="shipping_zip" tabindex="14" value="" size="10" maxlength="5" /> </label> </p> <p> <label>Phone: <input type="text" name="shipping_phone" tabindex="15" value="" /> </label> </p> </div> <p>Note: If the shipping address differs from the billing, you will need to enter this in again when entering your credit card details on the payment site. </p></td> </tr> </table></html></body>