function Calculate_Sub_Total(me)
{
var total=0;
document.SubmitRegistration.intSubTotal.value=0;
document.SubmitRegistration.intGST.value=0;
document.SubmitRegistration.intTotal.value=0;
intProv_err = 1;
taxlable = document.SubmitRegistration.taxlable;
strProvince = document.SubmitRegistration.strProvince;
province_array = new Array();
province_array[0] = new Array("British Columbia","HST", .12, "Add 12% HST");
province_array[1] = new Array("New Brunswick","HST", .13,"Add 13% HST");
province_array[2] = new Array("New Foundland and Labrador", "HST", .13, "ADD 13% HST");
province_array[3] = new Array("Nova Scotia", "HST", 0.15, "ADD 15% HST");
province_array[4] = new Array("Ontario", "HST", 0.13, "ADD 13% HST");
province_array[5] = new Array("Alberta", "GST", 0.05, "ADD 5% GST");
province_array[6] = new Array("Manitoba", "GST", 0.05, "ADD 5% GST");
province_array[7] = new Array("Prince Edward Island", "GST", 0.05, "ADD 5% GST");
province_array[8] = new Array("Quebec", "GST", 0.05, "ADD 5% GST");
province_array[9] = new Array("Saskatchewan", "GST", 0.05, "ADD 5% GST");
province_array[10] = new Array("North West Territories", "GST", 0.05, "ADD 5% GST");
province_array[11] = new Array("Yukon", "GST", 0.05, "ADD 5% GST");
province_array[12] = new Array("Nunavut", "GST", 0.05, "ADD 5% GST");
//lets do a bit of validation because we need to know the province before we can accuratly calculate
// the tax on the form.
for(x in province_array) {
if(province_array[x][0] == strProvince.options[strProvince.selectedIndex].value) intProv_err = 0;
}
if(strProvince.options[strProvince.selectedIndex].value == '' || intProv_err == 1 ) {
alert("Please complete your address information");
strProvince.focus();
if(me.checked)
{
me.checked = false;
} else {
me.value = '';
}
return false;
} else {
}
for (i1=0; i1<6; i1++)
{
if (total == 0)
{
if (document.SubmitRegistration.intOption[i1].checked==true)
{
//((i1 == 0) || (i1 == 1) || (i1 == 3)) &&
//if (todaydate <= discountdate)
//{
// document.SubmitRegistration.intSave.checked = false;
//}
//else{
// if(i1 == 2 || i1 == 3){
// document.SubmitRegistration.intSave.checked = false;
// }else{
// document.SubmitRegistration.intSave.checked = true;
//}
//}
total = document.SubmitRegistration.intOption[i1].value;
}
}
}
//if (document.SubmitRegistration.intSave.checked ==true)
//{
// total = eval(eval(total)+eval(document.SubmitRegistration.intSave.value));
//}
//lets figure out what tax this province is going to use
/* Modified this morning fltTax = 0.13 */
tax_label = '';
strProvince_name = strProvince.options[strProvince.selectedIndex].value;
for(x in province_array) {
if(province_array[x][0] == strProvince_name) {
fltTax = parseFloat(province_array[x][2]);
tax_label = province_array[x][3];
}
}
document.getElementById('taxlabel').innerHTML = tax_label;
document.SubmitRegistration.intSubTotal.value=ToDollarsAndCents(total);
document.SubmitRegistration.intGST.value= ToDollarsAndCents(eval(total*fltTax));
document.SubmitRegistration.intGSTNumber.value=trimString(document.SubmitRegistration.intGSTNumber.value);
if (document.SubmitRegistration.intGSTNumber.value.length == 0)
{
document.SubmitRegistration.intTotal.value=ToDollarsAndCents(eval(eval(document.SubmitRegistration.intSubTotal.value) + eval(document.SubmitRegistration.intGST.value)));
}
else
{
document.SubmitRegistration.intTotal.value=document.SubmitRegistration.intSubTotal.value;
document.SubmitRegistration.intGST.value="";
}
}
function CheckRadioButton(obj)
{
for (i=0; i < obj.length; i++)
{
if (obj[i].checked)
return true;
}
return false;
}
function isInteger(s)
{
for (var i = 0; i < s.length; i++)
{
var c = s.charAt(i);
if (!((c >= "0") && (c <= "9")))
{
return false;
}
}
return true;
}
function trimString (str)
{
str = this != window? this : str;
return str.replace(/^\s+/g, '').replace(/\s+$/g, '');
}
<table border="0" cellspacing="0" cellpadding="0" width="100%">
<tr>
<td width="98%" valign="top"><label for="intOption575">Fellows, Affiliates or Correspondents of an actuarial organization or CFA members</label></td>
<td width="1%"><cfoutput><cfset intRate = int(val(getRates.rate))>
<input type="radio" name="intOption" id="intOption575" value="#intRate#" onClick="Calculate_Sub_Total(this)" class="formWidget"></cfoutput></td>
<td width="5"><img src="images/spacer.gif" height="1" width="5" border="0" alt=""></td>
<td width="1%" nowrap><label for="intOption575"><cfoutput query="getrates">#getRates.rate#</cfoutput></label><span class="asterisk">*</span></td>
</tr>
<!--<tr><td colspan="4"><img src="images/spacer.gif" height="6" width="1" border="0" alt=""></td></tr>
<tr>
<td valign="top"><label for="intOption525">Associates of an actuarial organization</label></td>
<td><input type="radio" name="intOption" id="intOption525" value="525" onClick="Calculate_Sub_Total(this)" class="formWidget"></td>
<td width="5"><img src="images/spacer.gif" height="1" width="5" border="0" alt=""></td>
<td nowrap><label for="intOption525">$525</label><span class="asterisk">*</span></td>
</tr>
<tr><td colspan="4"><img src="images/spacer.gif" height="6" width="1" border="0" alt=""></td></tr>-->
Do more with
function Calculate_Sub_Total(me)
{
var total=0;
document.SubmitRegistration.intSubTotal.value=0;
document.SubmitRegistration.intGST.value=0;
document.SubmitRegistration.intTotal.value=0;
intProv_err = 1;
taxlable = document.SubmitRegistration.taxlable;
strProvince = document.SubmitRegistration.strProvince;
province_array = new Array();
province_array[0] = new Array("British Columbia","HST", .12, "Add 12% HST");
province_array[1] = new Array("New Brunswick","HST", .13,"Add 13% HST");
province_array[2] = new Array("New Foundland and Labrador", "HST", .13, "ADD 13% HST");
province_array[3] = new Array("Nova Scotia", "HST", 0.15, "ADD 15% HST");
province_array[4] = new Array("Ontario", "HST", 0.13, "ADD 13% HST");
province_array[5] = new Array("Alberta", "GST", 0.05, "ADD 5% GST");
province_array[6] = new Array("Manitoba", "GST", 0.05, "ADD 5% GST");
province_array[7] = new Array("Prince Edward Island", "GST", 0.05, "ADD 5% GST");
province_array[8] = new Array("Quebec", "GST", 0.05, "ADD 5% GST");
province_array[9] = new Array("Saskatchewan", "GST", 0.05, "ADD 5% GST");
province_array[10] = new Array("North West Territories", "GST", 0.05, "ADD 5% GST");
province_array[11] = new Array("Yukon", "GST", 0.05, "ADD 5% GST");
province_array[12] = new Array("Nunavut", "GST", 0.05, "ADD 5% GST");
//lets do a bit of validation because we need to know the province before we can accuratly calculate
// the tax on the form.
for(x in province_array) {
if(province_array[x][0] == strProvince.options[strProvince.selectedIndex].value) intProv_err = 0;
}
if(strProvince.options[strProvince.selectedIndex].value == '' || intProv_err == 1 ) {
alert("Please complete your address information");
strProvince.focus();
if(me.checked)
{
me.checked = false;
} else {
me.value = '';
}
return false;
} else {
}
/*console.log("actual Element : "+document.SubmitRegistration.intOption);
console.log("0 Element : "+document.SubmitRegistration.intOption[0]);
console.log("1 Element : "+document.SubmitRegistration.intOption[1]);
console.log("2 Element : "+document.SubmitRegistration.intOption[2]);
console.log("3 Element : "+document.SubmitRegistration.intOption[3]);
console.log("4 Element : "+document.SubmitRegistration.intOption[4]);
console.log("5 Element : "+document.SubmitRegistration.intOption[5]);*/
if(total == 0) {
total = document.SubmitRegistration.intOption.value; }
/*for (i1=0; i1<6; i1++)
{
if (total == 0)
{
if (document.SubmitRegistration.intOption[i1].checked==true)
{
//((i1 == 0) || (i1 == 1) || (i1 == 3)) &&
//if (todaydate <= discountdate)
//{
// document.SubmitRegistration.intSave.checked = false;
//}
//else{
// if(i1 == 2 || i1 == 3){
// document.SubmitRegistration.intSave.checked = false;
// }else{
// document.SubmitRegistration.intSave.checked = true;
//}
//}
total = document.SubmitRegistration.intOption[i1].value;
}
}
}*/
//if (document.SubmitRegistration.intSave.checked ==true)
//{
// total = eval(eval(total)+eval(document.SubmitRegistration.intSave.value));
//}
//lets figure out what tax this province is going to use
/* Modified this morning fltTax = 0.13 */
tax_label = '';
strProvince_name = strProvince.options[strProvince.selectedIndex].value;
for(x in province_array) {
if(province_array[x][0] == strProvince_name) {
fltTax = parseFloat(province_array[x][2]);
tax_label = province_array[x][3];
}
}
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN">
<html>
<head>
<title>CIA Network (CIANET) Subscription | Fees & Application Forms | Membership & Education | Canadian Institute of Actuaries</title>
<script language="JavaScript">
<!--
var todaydate = new Date();
var discountdate = new Date();
discountdate.setMonth('09');
discountdate.setDate('13');
discountdate.setYear('2012');
function ToDollarsAndCents(n)
{
var s = "" + Math.round(n * 100) / 100
var i = s.indexOf('.')
if (i < 0)
return s + ".00"
var t = s.substring(0, i + 1) + s.substring(i + 1, i + 3)
if (i + 2 == s.length)
t += "0"
return t;
}
function Calculate_Sub_Total(me)
{
var total=0;
document.SubmitRegistration.intSubTotal.value=0;
document.SubmitRegistration.intGST.value=0;
document.SubmitRegistration.intTotal.value=0;
intProv_err = 1;
taxlable = document.SubmitRegistration.taxlable;
strProvince = document.SubmitRegistration.strProvince;
province_array = new Array();
province_array[0] = new Array("British Columbia","HST", .12, "Add 12% HST");
province_array[1] = new Array("New Brunswick","HST", .13,"Add 13% HST");
province_array[2] = new Array("New Foundland and Labrador", "HST", .13, "ADD 13% HST");
province_array[3] = new Array("Nova Scotia", "HST", 0.15, "ADD 15% HST");
province_array[4] = new Array("Ontario", "HST", 0.13, "ADD 13% HST");
province_array[5] = new Array("Alberta", "GST", 0.05, "ADD 5% GST");
province_array[6] = new Array("Manitoba", "GST", 0.05, "ADD 5% GST");
province_array[7] = new Array("Prince Edward Island", "GST", 0.05, "ADD 5% GST");
province_array[8] = new Array("Quebec", "GST", 0.05, "ADD 5% GST");
province_array[9] = new Array("Saskatchewan", "GST", 0.05, "ADD 5% GST");
province_array[10] = new Array("North West Territories", "GST", 0.05, "ADD 5% GST");
province_array[11] = new Array("Yukon", "GST", 0.05, "ADD 5% GST");
province_array[12] = new Array("Nunavut", "GST", 0.05, "ADD 5% GST");
//lets do a bit of validation because we need to know the province before we can accuratly calculate
// the tax on the form.
for(x in province_array) {
if(province_array[x][0] == strProvince.options[strProvince.selectedIndex].value) intProv_err = 0;
}
if(strProvince.options[strProvince.selectedIndex].value == '' || intProv_err == 1 ) {
alert("Please complete your address information");
strProvince.focus();
if(me.checked)
{
me.checked = false;
} else {
me.value = '';
}
return false;
} else {
}
/*console.log("actual Element : "+document.SubmitRegistration.intOption);
console.log("0 Element : "+document.SubmitRegistration.intOption[0]);
console.log("1 Element : "+document.SubmitRegistration.intOption[1]);
console.log("2 Element : "+document.SubmitRegistration.intOption[2]);
console.log("3 Element : "+document.SubmitRegistration.intOption[3]);
console.log("4 Element : "+document.SubmitRegistration.intOption[4]);
console.log("5 Element : "+document.SubmitRegistration.intOption[5]);*/
if(total == 0) {
total = document.SubmitRegistration.intOption.value; }
/*for (i1=0; i1<6; i1++)
{
if (total == 0)
{
if (document.SubmitRegistration.intOption[i1].checked==true)
{
//((i1 == 0) || (i1 == 1) || (i1 == 3)) &&
//if (todaydate <= discountdate)
//{
// document.SubmitRegistration.intSave.checked = false;
//}
//else{
// if(i1 == 2 || i1 == 3){
// document.SubmitRegistration.intSave.checked = false;
// }else{
// document.SubmitRegistration.intSave.checked = true;
//}
//}
total = document.SubmitRegistration.intOption[i1].value;
}
}
}*/
//if (document.SubmitRegistration.intSave.checked ==true)
//{
// total = eval(eval(total)+eval(document.SubmitRegistration.intSave.value));
//}
//lets figure out what tax this province is going to use
/* Modified this morning fltTax = 0.13 */
tax_label = '';
strProvince_name = strProvince.options[strProvince.selectedIndex].value;
for(x in province_array) {
if(province_array[x][0] == strProvince_name) {
fltTax = parseFloat(province_array[x][2]);
tax_label = province_array[x][3];
}
}
document.getElementById('taxlabel').innerHTML = tax_label;
document.SubmitRegistration.intSubTotal.value=ToDollarsAndCents(total);
document.SubmitRegistration.intGST.value= ToDollarsAndCents(eval(total*fltTax));
document.SubmitRegistration.intGSTNumber.value=trimString(document.SubmitRegistration.intGSTNumber.value);
if (document.SubmitRegistration.intGSTNumber.value.length == 0)
{
document.SubmitRegistration.intTotal.value=ToDollarsAndCents(eval(eval(document.SubmitRegistration.intSubTotal.value) + eval(document.SubmitRegistration.intGST.value)));
}
else
{
document.SubmitRegistration.intTotal.value=document.SubmitRegistration.intSubTotal.value;
document.SubmitRegistration.intGST.value="";
}
}
function CheckRadioButton(obj)
{
for (i=0; i < obj.length; i++)
{
if (obj[i].checked)
return true;
}
return false;
}
function isInteger(s)
{
for (var i = 0; i < s.length; i++)
{
var c = s.charAt(i);
if (!((c >= "0") && (c <= "9")))
{
return false;
}
}
return true;
}
function trimString (str)
{
str = this != window? this : str;
return str.replace(/^\s+/g, '').replace(/\s+$/g, '');
}
function ValidateForm()
{
var strFields = ""; strField = ""; strtCR = "\n\r";
var boolOne = false;
var onefield, boolChecked, i, strMsg;
var strFirstName=eval("document.SubmitRegistration.strFirstName");
var strEmail=eval("document.SubmitRegistration.strEmail");
var intPaymentType=eval("document.SubmitRegistration.intPaymentType");
var intCardNo=eval("document.SubmitRegistration.intCardNo");
var intExpirationDate=eval("document.SubmitRegistration.intExpirationDate");
var strCardName=eval("document.SubmitRegistration.strCardName");
var intTotal=eval("document.SubmitRegistration.intTotal");
var intOption=eval("document.SubmitRegistration.intOption");
var strCAPTCHA=eval("document.SubmitRegistration.strCAPTCHA");
var strAddress = eval("document.SubmitRegistration.strAddress");
var strCity = eval("document.SubmitRegistration.strCity");
var strProvince = eval("document.SubmitRegistration.strProvince");
var strCountry = eval("document.SubmitRegistration.strCountry");
var strPostal = eval("document.SubmitRegistration.strPostal");
//Mandatory fields
if (strFirstName.value.length < 1)
{
strFields = strFields + "First Name" + strtCR;
if (boolOne == false)
{
onefield = strFirstName;
}
boolOne = true;
}
if (strAddress.value == '' ) {
strFields = strFields + "Street Address " + strtCR;
if (boolOne == false)
{
onefield = strAddress;
}
boolOne = true;
}
if (strCity.value == '' ) {
strFields = strFields + "City " + strtCR;
if (boolOne == false)
{
onefield = strCity;
}
boolOne = true;
}
if (strPostal.value == '' ) {
strFields = strFields + "Postal Code " + strtCR;
if (boolOne == false)
{
onefield = strPostal;
}
boolOne = true;
}
if (strProvince.value == '' ) {
strFields = strFields + "Province " + strtCR;
if (boolOne == false)
{
onefield = strProvince;
}
boolOne = true;
}
if (strEmail.value.length < 1)
{
strFields = strFields + "Email" + strtCR;
if (boolOne == false)
{
onefield = strEmail;
}
boolOne = true;
}
if (strCAPTCHA.value.length < 1)
{
strFields = strFields + "Write the characters in the image above " + strtCR;
if (boolOne == false)
{
onefield = strCAPTCHA;
}
boolOne = true;
}
if (boolOne == true)
{
alert("Please enter information in the following fields: " + strtCR + strtCR + strFields);
onefield.focus();
return false;
}
if (CheckRadioButton(intPaymentType) == false)
{
alert("Please select a payment type for your registration");
intPaymentType[0].focus();
return false;
}
if (intTotal.value.length == 0 || intTotal.value <=0)
{
alert("Please select a registration option.");
return false;
}
if (intPaymentType[0].checked || intPaymentType[1].checked || intPaymentType[2].checked)
{
intCardNo.value=trimString(intCardNo.value);
intExpirationDate.value=trimString(intExpirationDate.value);
strCardName.value=trimString(strCardName.value);
if (intCardNo.value.length == 0 || !isInteger(intCardNo.value))
{
alert("Please enter a valid credit Card Number");
intCardNo.focus();
return false;
}
//var card = document.getElementById('cardNum').value;
if (intExpirationDate.value.length == 0 || intExpirationDate.value.length < 4 || !isInteger(intExpirationDate.value))
{
alert("Please enter a valid credit card expiration date (MMYY)");
intExpirationDate.focus();
return false;
}
expiry_date_month = intExpirationDate.value.substring(0,2);
expiry_date_year = intExpirationDate.value.substring(2,4);
if (expiry_date_month ==0 || expiry_date_month >12 || expiry_date_year <1)
{
alert("Please enter a valid credit card expiration date (MMYY)");
intExpirationDate.focus();
return false;
}
if (strCardName.value.length ==0)
{
alert("Please enter the credit card holder name");
strCardName.focus();
return false;
}
}
document.SubmitRegistration.submit();
}
//-->
</script>
</head>
<body>
<table align="center" border="0" cellpadding="0" cellspacing="0" width="1001">
<tr valign="top">
<td width="17"><img src="../images/spacer.gif" alt="" width="17" height="1" border="0"></td>
<td width="225" id="leftnav">
<img src="../images/wrapper/options-spacer1.gif" alt="" width="225" height="21" border="0"><br>
<img src="../images/wrapper/leftnav-top.gif" alt="" width="225" height="10" border="0"><br>
<img src="../images/spacer.gif" alt="" width="1" height="2" border="0"><br>
<img src="../images/wrapper/leftnav-bottom.gif" alt="" width="225" height="79" border="0"></td>
<td width="36"><img src="../images/wrapper/options-spacer1.gif" alt="" width="36" height="21" border="0"></td>
<td width="464">
<div id="breadcrumbs">
</div>
<div id="print-content">
<h1>Membership & Education</h1>
<h2>CIA Network (CIANET) Subscription</h2>
<h3>The annual subscription fee for CIANET is $100<br>(pro-rated quarterly)</h3>
<p align="justify">The CIA Network was created in 2012 for individuals who do not qualify.....</p>
<p align="left">To subscribe to CIANET, please complete the following. (each field is mandatory): </p>
<form action="registration_confirmation_14_e.cfm" method="post" name="SubmitRegistration">
<fieldset><legend>Delegate Information</legend>
<br>
<table border="0" cellspacing="0" cellpadding="0" width="100%">
<tr><td colspan="2"> </td></tr>
<tr>
<td width="26%" >
<label for="strFirstName"><strong>First Name:</strong></label><br>
<input type="text" name="strFirstName" id="strFirstName" value="" maxlength="255" size="30" style="width: 215px;">
</td>
<td >
<label for="strLastName"><strong>Last Name:</strong></label><br>
<input type="text" name="strLastName" id="strLastName" value="" maxlength="255" size="30" style="width: 215px;">
</td>
</tr>
<tr><td colspan="2"> </td></tr>
<tr>
<td width="100%" colspan="2">
<label for="strCompany"><strong>Company:</strong></label><br>
<input type="text" name="strCompany" id="strCompany" value="" maxlength="255" size="30" style="width: 430px;">
</td>
</tr>
<tr><td colspan="2"> </td></tr>
<tr>
<td width="100%" colspan="2">
<label for="strAddress"><strong>Street Address:</strong></label><br>
<input type="text" name="strAddress" id="strAddress" value="" maxlength="255" size="30" style="width: 430px;">
</td>
</tr>
<tr><td colspan="2"> </td></tr>
<tr>
<td width="26%">
<label for="strCity"><strong>City:</strong></label><br>
<input type="text" name="strCity" id="strCity" value="" maxlength="100" size="30" style="width: 215px;">
</td>
<td>
<label for="strCity"><strong>Province:</strong></label><br>
<select name="strProvince" style="width: 215px;" onChange="Calculate_Sub_Total(document.getElementById('strCity'))">
<option value=""> </option>
<option value="Alberta">Alberta</option>
<option value="British Columbia">British Columbia</option>
<option value="Manitoba">Manitoba</option>
<option value="New Brunswick">New Brunswick</option>
<option value="New Foundland and Labrador">New Foundland and Labrador</option>
<option value="North West Territories">North West Territories</option>
<option value="Nova Scotia">Nova Scotia</option>
<option value="Nunavut">Nunavut</option>
<option value="Ontario">Ontario</option>
<option value="Prince Edward Island">Prince Edward Island</option>
<option value="Quebec">Quebec</option>
<option value="Saskatchewan">Saskatchewan</option>
<option value="Yukon">Yukon</option>
</select>
</td>
</tr>
<tr><td colspan="2"> </td></tr>
<tr>
<td width="26%" >
<label for="strAddress"><strong>Country:</strong></label><br>
<input type="text" name="strCountry" id="strCountry" value="" maxlength="100" size="30" style="width: 215px;">
</td>
<td >
<label for="strPostal"><strong>Postal Code:</strong></label><br>
<input type="text" name="strPostal" id="strPostal" value="" maxlength="100" size="30" style="width: 215px;">
</td>
</tr>
</table>
<br>
<table border="0" cellspacing="0" cellpadding="0" width="100%">
<tr>
<td width="26%">
<label for="strPhone"><strong>Telephone:</strong></label><br>
<input type="text" name="strPhone" id="strPhone" value="" maxlength="255" size="15" style="width: 215px;">
</td>
<td>
<label for="strFax"><strong>Fax:</strong></label><br>
<input type="text" name="strFax" id="strFax" value="" maxlength="255" size="15" style="width: 215px;">
</td>
</tr>
<tr><td colspan="3"> </td></tr>
<tr>
<td colspan="3">
<label for="strEmail"><strong>E-mail:</strong></label><br>
<input type="text" name="strEmail" id="strEmail" value="" maxlength="255" size="30" style="width: 430px;">
</td>
</tr>
</table>
<br>
</fieldset>
<br>
<fieldset><legend>Registration Fees</legend>
<br>
<table border="0" cellspacing="0" cellpadding="0" width="100%">
<tr>
<td width="98%" valign="top"><label for="intOption575">Fellows, Affiliates or Correspondents of an actuarial organization or CFA members</label></td>
<td width="1%">
<input type="radio" name="intOption" id="intOption575" value="1" onClick="Calculate_Sub_Total(this)" class="formWidget"></td>
<td width="5"><img src="images/spacer.gif" height="1" width="5" border="0" alt=""></td>
<td width="1%" nowrap><label for="intOption575">1.00</label><span class="asterisk">*</span></td>
</tr>
<!--<tr><td colspan="4"><img src="images/spacer.gif" height="6" width="1" border="0" alt=""></td></tr>
<tr>
<td valign="top"><label for="intOption525">Associates of an actuarial organization</label></td>
<td><input type="radio" name="intOption" id="intOption525" value="525" onClick="Calculate_Sub_Total(this)" class="formWidget"></td>
<td width="5"><img src="images/spacer.gif" height="1" width="5" border="0" alt=""></td>
<td nowrap><label for="intOption525">$525</label><span class="asterisk">*</span></td>
</tr>
<tr><td colspan="4"><img src="images/spacer.gif" height="6" width="1" border="0" alt=""></td></tr>-->
<tr><td colspan="4"><hr size="1"></td></tr>
<tr>
<td valign="top"><strong>Sub Total</strong></td>
<td> </td>
<td width="5"><img src="images/spacer.gif" height="1" width="5" border="0" alt=""></td>
<td nowrap><strong>$</strong><input type="text" name="intSubTotal" value="0.00" maxlength="255" size="6" style="border: 0; background-color: #FFFFFF; font-family: Arial, Heveltica, sans-serif; font-size: 12px; font-weight: bold; width: 55px;" readonly></td>
</tr>
<tr><td colspan="4"><img src="images/spacer.gif" height="6" width="1" border="0" alt=""></td></tr>
<tr>
<td valign="top"><span id="taxlabel">Add 13% HST</span> (<strong>106861503RT</strong>)</td>
<td> </td>
<td width="5"><img src="images/spacer.gif" height="1" width="5" border="0" alt=""></td>
<td nowrap>$<input type="text" name="intGST" value="0.00" maxlength="255" size="6" style="border: 0; background-color: #FFFFFF; font-family: Arial, Heveltica, sans-serif; font-size: 12px; width: 55px;" readonly></td>
</tr>
<tr><td colspan="4"><img src="images/spacer.gif" height="6" width="1" border="0" alt=""></td></tr>
<tr>
<td valign="top"><strong>Total Amount Due</strong></td>
<td> </td>
<td width="5"><img src="images/spacer.gif" height="1" width="5" border="0" alt=""></td>
<td nowrap><strong>$</strong><input type="text" name="intTotal" value="0.00" maxlength="255" size="6" style="border: 0; background-color: #FFFFFF; font-family: Arial, Heveltica, sans-serif; font-size: 12px; font-weight: bold; width: 55px;" readonly></td>
</tr>
<tr><td colspan="4"><img src="images/spacer.gif" height="6" width="1" border="0" alt=""></td></tr>
<tr>
<td valign="top" colspan="4">
<strong>Full payment</strong> is required at the time of registration or your registration will not be processed!
</td>
</tr>
</table>
<br>
</fieldset>
<br>
<fieldset><legend>Payment Information</legend>
<br>
<table border="0" cellspacing="0" cellpadding="0" width="100%">
<tr>
<td width="80%" valign="top"><strong><em>If you are tax-exempt, please provide tax-exempt number:</em></strong></td>
<td width="20%"><input type="text" name="intGSTNumber" value="" maxlength="255" size="10" onChange="javascript:Calculate_Sub_Total(this)"></td>
</tr>
</table>
<br>
All fees/funds are in Canadian Dollars
<br><br>
<table border="0" cellspacing="0" cellpadding="0" width="100%">
<tr>
<td width="100%" valign="top"><input type="radio" name="intPaymentType" id="intPayment1" value="Amex"> <label for="intPayment1">Amex</label></td>
<td rowspan="4" width="98"><a href="https://servicecenter.verisign.com/cgi-bin/Xquery.exe?Template=authCertByIssuer&remote_host=https://digitalid.soltrus.com/secureServerFr/cgi-bin/haydn.exe&form_file=fdf/authCertByIssuer.fdf&issuerSerial=247655dbf493b3805669579525040320" target="_blank"><img src="images/siteseal_maroon_e.gif" alt="" width="98" height="104" border="0"></a>
</tr>
<tr>
<td width="100%" valign="top"><input type="radio" name="intPaymentType" id="intPayment2" value="VISA"> <label for="intPayment2">Visa</label></td>
</tr>
<tr>
<td width="100%" valign="top"><input type="radio" name="intPaymentType" id="intPayment3" value="MC"> <label for="intPayment3">MasterCard</label></td>
</tr>
</table>
<br>
<table border="0" cellspacing="0" cellpadding="0" width="100%">
<tr>
<td width="8"><img src="images/spacer.gif" height="1" width="8" border="0" alt=""></td>
<td width="50%">
<strong><label for="intCardNo">Card #</label>:</strong><br>
<input type="text" name="intCardNo" id="intCardNo" value="" maxlength="255" size="30" style="width: 98%">
<input type="hidden" name="cardType" id="cardType" value=#left(FORM.intCardNo,1)#>
</td>
<td width="25"><img src="images/spacer.gif" height="1" width="25" border="0" alt=""></td>
<td width="50%">
<strong><label for="intExpirationDate">Expiration date</label>: (MMYY)</strong><br>
<input type="text" name="intExpirationDate" id="intExpirationDate" value="" maxlength="255" size="30" style="width: 20%">
</td>
<td width="14"><img src="images/spacer.gif" height="1" width="14" border="0" alt=""></td>
</tr>
<tr>
<td width="8"><img src="images/spacer.gif" height="1" width="8" border="0" alt=""></td>
<td colspan="3">
<br>
<strong><label for="strCardName">Cardholder’s Name</label>:</strong><br>
<input type="text" name="strCardName" id="strCardName" value="" maxlength="255" size="30" style="width: 100%">
</td>
<td width="14"><img src="images/spacer.gif" height="1" width="14" border="0" alt=""></td>
</tr>
</table>
<br>
</fieldset>
<br>
<fieldset><legend>Type the characters you see in the image</legend>
<table border="0" cellspacing="0" cellpadding="0" width="100%">
<tr>
<td width="152" height="32"><strong>Image</strong></td>
<td width="182"><img src="aspcaptcha.asp" alt="This Is CAPTCHA Image" width="86" height="21" /></td>
</tr>
<tr>
<td height="66"><strong>Write the characters in the image above</strong></td>
<td><input name="strCAPTCHA" type="text" id="strCAPTCHA" maxlength="8" /></td>
</tr>
</table>
</fieldset>
<br><br>
<div style="margin-left: 10px;"><p align="left"><strong>General Information</strong>
</div>
<br>
<div style="margin-left: 10px;"><input type="button" value="SUBMIT »" class="button" onClick="ValidateForm()"></div>
<br>
<div style="margin-left: 10px;">
<p>
</div>
</form>
</div></td>
<td width="20"><img src="../images/wrapper/options-spacer2.gif" alt="" width="20" height="33" border="0"></td>
<td width="222">
</td>
<td width="17"><img src="../images/spacer.gif" alt="" width="17" height="1" border="0"></td>
</tr>
</table>
</body>
</html>
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