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擔宱傾儊儕僇幮
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bgcolor="#000000"> <td> <table cellspacing="1" cellpadding="3" width="600" border="0"> <tr align="left"> <td colspan="4"><span class="smallwhite"><strong>Account information</strong></span></td> </tr> <tr bgcolor="#FFFFFF"> <td align="right"><span class="smallernikkeired">*</span><span class="nikkeiblack">Company Name丗</span> </td> <td colspan="3"> <input maxlength="30" size="35" name="company" style="IME-MODE: disabled"> </td> </tr> <tr bgcolor="#FFFFFF"> <td align="right"><span class="smallernikkeired">*</span><span class="nikkeiblack">Department丗</span> </td> <td colspan="3"> <input maxlength="30" size="35" name="dept" style="IME-MODE: disabled"> </td> </tr> <tr bgcolor="#FFFFFF"> <td align="right"><span class="smallnikkeired">*</span><span class="nikkeiblack">Prefix丗</span></td> <td colspan="3"><select name="mr" id="mr"> <option value="Mr." selected>Mr.</option> <option value="Mrs.">Mrs.</option> <option value="Ms.">Ms.</option> <option value="Miss.">Miss.</option> </select></td> 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align="right"><span class="smallnikkeired">*</span> <span class="nikkeiblack">City丗</span></td> <td colspan="3"> <input maxlength="30" size="35" name="CITY" style="IME-MODE: disabled" value=""> </td> </tr> <tr bgcolor="#FFFFFF"> <td align="right"><span class="smallnikkeired">*</span> <span class="nikkeiblack">State/Province丗 </span></td> <td> <input maxlength="2" size="5" name="STATE" style="IME-MODE: disabled" value=""> </td> <td align="right" width="120"><span class="smallnikkeired">*</span> <span class="nikkeiblack">Zip/Postal Code丗</span> </td> <td> <input maxlength="12" size="10" name="ZIP" style="IME-MODE: disabled" value=""> </td> </tr> <tr bgcolor="#FFFFFF"> <td align="right"><span class="smallnikkeired">*</span> <span class="nikkeiblack">Country丗</span></td> <td colspan="3"> <input maxlength="30" size="35" name="COUNTRY" style="IME-MODE: disabled" value=""> </td> </tr> <tr bgcolor="#FFFFFF"> <td align="right"><span class="smallnikkeired">*</span><span class="nikkeiblack">Phone丗</span> </td> <td colspan="3"> <span class="nikkeiblack"><input maxlength="30" size="35" name="PHONE" style="IME-MODE: disabled" value=""><br> </span> </td> </tr> <tr bgcolor="#FFFFFF"> <td align="right"> <span class="smallernikkeired">*</span> <span class="nikkeiblack">E-mail Address丗</span> </td> <td colspan="3"> <input maxlength="40" size="35" name="email" style="IME-MODE: disabled" value=""> </td> </tr> <tr align="left" bgcolor="#FFFFFF"> <td colspan="4"><span class="smallernikkeired">仸Please enter below if the billing email address differs from the above email address. Otherwise all future invoices will be sent to the email address you entered above.</span></td> </tr> <tr bgcolor="#FFFFFF"> <td align="right"> <span class="smallernikkeired"></span> <span class="nikkeiblack">E-mail Address丗</span><br> <span class="smallerdarkblue"></span></td> <td colspan="3" valign="top"> <input maxlength="40" size="35" name="aemail" style="IME-MODE: disabled" value=""> </td> </tr> <tr align="left" bgcolor="#FFFFFF"> <td colspan="4"><span class="smallernikkeired">仛The first month of your subscription is free! You will be charged from the 2nd month.</span></td> </tr> <tr> <td align="right" bgcolor="#FFFFFF" nowrap> <span class="smallnikkeired">*</span><span class="nikkeiblack">Starting Date丗</span></td> <td colspan="3" bgcolor="#FFFFFF"> <span class="nikkeiblack"> <select name="year" size="1"> <option value="2015" selected>2015</option> <option value="2016">2016</option> <option value="2017">2017</option> </select> (Year) <select name="month" size="1"> <option value="-" selected>-</option> <option value="1">1</option> <option value="2">2</option> <option value="3">3</option> <option value="4">4</option> <option value="5">5</option> <option value="6">6</option> <option value="7">7</option> <option value="8">8</option> <option value="9">9</option> <option value="10">10</option> <option value="11">11</option> <option value="12">12</option> </select> (Month) </span> </td> </tr> <tr align="left"> <td colspan="4"><span class="smallwhite"><strong>Subscription plan (up to three users can be registerd)</strong></span></td> </tr> <tr bgcolor="#FFFFFF"> <td valign="top" align="right"><span class="smallnikkeired">*</span> <span class="nikkeiblack">Subscription period丗 </span></td> <td colspan="3"> <table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td><span class="nikkeiblack"></span></td> <td><span class="nikkeiblack"></span></td> </tr> <tr> <td> <input type="radio" value="6 months" name="DELIVERY" checked> <span class="nikkeiblack">6 months: US$234 (3 IDs + Print Edition 1 Copy)</span> </td> <td><span class="nikkeiblack"></span></td> </tr> <tr> <td><input type="radio" value="12 months" name="DELIVERY"> <span class="nikkeiblack">12 months: US:432 (3 IDs + Print Edition 1 Copy) </span></td> <td><span class="nikkeiblack"></span><br></td> </tr> </table> </td> </tr> <tr align="left" bgcolor="#FFFFFF"> <td colspan="4"><span class="smallernikkeired">仸Please enter all if you already know the end user乫s name and email address. (We need at least one end user's name and e-mail for issuing IDs.)</span></td> </tr> <tr bgcolor="#FFFFFF"> <td valign="top" align="right"><span class="smallnikkeired"></span> <br><br> <span class="nikkeiblack">User Name and Email丗 </span></td> <td colspan="3"> <table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td><span class="nikkeiblack">First Last</span></td> <td><span class="nikkeiblack">e-mail</span></td> </tr> <tr> <td> <span class="smallernikkeired">*</span><input maxlength="30" size="10" name="fname1" style="IME-MODE: disabled"><span class="smallernikkeired">*</span><input maxlength="30" size="10" name="lname1" style="IME-MODE: disabled"> </td> <td><span class="smallernikkeired">*</span><input maxlength="30" size="25" name="email1" style="IME-MODE: disabled"></td> </tr> <tr> <td> <input maxlength="30" size="10" name="fname2" style="IME-MODE: disabled"> <input maxlength="30" size="10" name="lname2" style="IME-MODE: disabled"> </td> <td> <input maxlength="30" size="25" name="email2" style="IME-MODE: disabled"></td> </tr> <tr> <td> <input maxlength="30" size="10" name="fname3" style="IME-MODE: disabled"> <input maxlength="30" size="10" name="lname3" style="IME-MODE: disabled"> </td> <td> <input maxlength="30" size="25" name="email3" style="IME-MODE: disabled"></td> </tr> </table> </td> </tr> <tr align="left"> <td colspan="4"><span class="smallwhite"><strong>Registration of additional user IDs</strong></span></td> </tr> <tr align="left" bgcolor="#FFFFFF"> <td colspan="4"><span class="smallernikkeired">仸Please see additional user IDs price table <a href="https://web.archive.org/web/20151210000313/http://www.nikkeius.com/asianreview/corporate_generalinfo/#price" target="_blank">here</a> for your reference.</span></td> </tr> <tr bgcolor="#FFFFFF"> <td align="right"> <span class="smallernikkeired"></span> <span class="nikkeiblack">Additional ID丗</span><br> </td> <td colspan="3" valign="top"> <input maxlength="5" size="5" name="additionalid" style="IME-MODE: disabled" value=""><span class="smallerdarkblue">*If none please type 0(zero).</span> </td> </tr> <tr align="left" bgcolor="#FFFFFF"> <td colspan="4"><span class="smallernikkeired">仸Please enter below if you already know the additional user's name and email address</span></td> </tr> <tr bgcolor="#FFFFFF"> <td valign="top" align="right"><span class="smallnikkeired"></span> <br><br> <span class="nikkeiblack">User Name and Email丗 </span></td> <td colspan="3"> <table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td><span class="nikkeiblack">First Last</span></td> <td><span class="nikkeiblack">e-mail</span></td> </tr> <tr> <td> <input maxlength="30" size="10" name="fname4" style="IME-MODE: disabled"><input maxlength="30" size="10" name="lname4" style="IME-MODE: disabled"> </td> <td><input maxlength="30" size="25" name="email4" style="IME-MODE: disabled"></td> </tr> <tr> <td> <input maxlength="30" size="10" name="fname5" style="IME-MODE: disabled"><input maxlength="30" size="10" name="lname5" style="IME-MODE: disabled"> </td> <td><input maxlength="30" size="25" name="email5" style="IME-MODE: disabled"></td> </tr> <tr> <td> <input maxlength="30" size="10" name="fname6" style="IME-MODE: disabled"><input maxlength="30" size="10" name="lname6" style="IME-MODE: disabled"> </td> <td><input maxlength="30" size="25" name="email6" style="IME-MODE: disabled"></td> </tr> </table> </td> </tr> <tr align="left"> <td colspan="4"><span class="smallwhite"><strong>Print delivery address</strong></span></td> </tr> <tr align="left" bgcolor="#FFFFFF"> <td colspan="4"><span class="smallernikkeired">仸Please enter below if different from account information above. </span></td> </tr> <tr bgcolor="#FFFFFF"> <td align="right"><span class="smallernikkeired"></span><span class="nikkeiblack">Company Name丗</span> </td> <td colspan="3"> <input maxlength="30" size="35" name="delcompany" style="IME-MODE: disabled"> </td> </tr> <tr bgcolor="#FFFFFF"> <td align="right"><span class="smallernikkeired"></span><span class="nikkeiblack">Department丗</span> </td> <td colspan="3"> <input maxlength="30" size="35" name="ddept" style="IME-MODE: disabled"> </td> </tr> <tr bgcolor="#FFFFFF"> <td align="right"><span class="smallnikkeired"></span><span class="nikkeiblack">Prefix丗</span></td> <td colspan="3"><select name="dmr" id="dmr"> <option value="Mr." selected>Mr.</option> <option value="Mrs.">Mrs.</option> <option value="Ms.">Ms.</option> <option value="Miss.">Miss.</option> </select></td> </tr> <tr bgcolor="#FFFFFF"> <td align="right"><span class="smallernikkeired"></span> <span class="nikkeiblack">First Name丗</span> </td> <td colspan="3"> <input maxlength="30" size="35" name="dfname" style="IME-MODE: disabled"> </td> </tr> <tr bgcolor="#FFFFFF"> <td align="right"> <span class="smallernikkeired"></span> <span class="nikkeiblack">Last Name丗</span> </td> <td colspan="3"> <input maxlength="30" size="35" name="dlname" style="IME-MODE: disabled" value=""> </td> </tr> <tr bgcolor="#FFFFFF"> <td align="right"><span class="smallnikkeired"></span> <span class="nikkeiblack">Address丗 </span></td> <td colspan="3"> <input maxlength="60" size="35" name="daddress" style="IME-MODE: disabled" value=""> </td> </tr> <tr bgcolor="#FFFFFF"> <td align="right"><span class="smallnikkeired"></span> <span class="nikkeiblack">City丗</span></td> <td colspan="3"> <input maxlength="30" size="35" name="dcity" style="IME-MODE: disabled" value=""> </td> </tr> <tr bgcolor="#FFFFFF"> <td align="right"><span class="smallnikkeired"></span> <span class="nikkeiblack">State/Province丗 </span></td> <td> <input maxlength="2" size="5" name="dstate" style="IME-MODE: disabled" value=""> </td> <td align="right" width="120"><span class="smallnikkeired"></span> <span class="nikkeiblack">Zip/Postal Code丗</span> </td> <td> <input maxlength="12" size="10" name="dzipcode" style="IME-MODE: disabled" value=""> </td> </tr> <tr bgcolor="#FFFFFF"> <td align="right"><span class="smallnikkeired"></span> <span class="nikkeiblack">Country丗</span></td> <td colspan="3"> <input maxlength="30" size="35" name="dcountry" style="IME-MODE: disabled" value=""> </td> </tr> <tr bgcolor="#FFFFFF"> <td align="right"><span class="smallnikkeired"></span><span class="nikkeiblack"> Phone丗</span> </td> <td colspan="3"> <span class="nikkeiblack"><input maxlength="30" size="35" name="dphone" style="IME-MODE: disabled" value=""><br> </span> </td> </tr> <tr bgcolor="#FFFFFF"> <td align="right"> <span class="smallernikkeired"></span> <span class="nikkeiblack">Additional Copy丗</span><br> <span class="smallerdarkblue"></span></td> <td colspan="3" valign="top"> <input maxlength="5" size="5" name="additionalcopy" style="IME-MODE: disabled" value=""><span class="smallerdarkblue">*If none please type 0(zero).<br>*Delivering to multiple locations: Please type each delivery address in the comment box at the bottom of the form.</span> </td> </tr> <tr> <td valign="top" colspan="4"><span class="smallwhite"><strong>Payment information</strong></span> </td> </tr> <tr bgcolor="#FFFFFF"> <td align="right"><span class="smallnikkeired"></span> <span class="nikkeiblack"></span> </td> <td colspan="3"><span class="nikkeiblack"> For your security and protection,​ please let us know payment information over the phone. Call: 1-212-261-6233​</span> </td> <tr> <td valign="top" colspan="4"><span class="smallwhite"><strong>Billing information</strong></span> </td> </tr> <tr align="left" bgcolor="#FFFFFF"> <td colspan="4"><span class="smallernikkeired">仸Please enter below if different from account information above. </span></td> </tr> <tr> <td align="right" bgcolor="#FFFFFF" nowrap> <span class="smallnikkeired"></span><span class="nikkeiblack">Company Name:</span></td> <td colspan="3" bgcolor="#FFFFFF"> <span class="nikkeiblack"> <input size="35" name="Billcompany" value=""></span></td> </tr> <tr bgcolor="#FFFFFF"> <td width="132" align="right"><span class="smallnikkeired"></span><span class="nikkeiblack"> First Name丗</span> </td> <td colspan="3"> <input maxlength="30" size="35" name="BillFIRST" type="text" style="IME-MODE: disabled" value=""> </td> </tr> <tr bgcolor="#FFFFFF"> <td align="right"><span class="smallnikkeired"></span><span class="nikkeiblack"> Last Name丗</span> </td> <td colspan="3"> <input maxlength="30" size="35" name="BillLAST" style="IME-MODE: disabled" value=""> </td> </tr> <tr bgcolor="#FFFFFF"> <td align="right"><span class="smallnikkeired"></span> <span class="nikkeiblack">Address丗 </span></td> <td colspan="3"> <input maxlength="60" size="35" name="BillADDRESS" style="IME-MODE: disabled" value=""> </td> </tr> <tr bgcolor="#FFFFFF"> <td align="right"><span class="smallnikkeired"></span> <span class="nikkeiblack">City丗</span></td> <td colspan="3"> <input maxlength="30" size="35" name="BillCITY" style="IME-MODE: disabled" value=""> </td> </tr> <tr bgcolor="#FFFFFF"> <td align="right"><span class="smallnikkeired"></span> <span class="nikkeiblack">State丗 </span></td> <td width="49"> <input maxlength="2" size="5" name="BillSTATE" style="IME-MODE: disabled" value=""> </td> <td align="right" width="177"><span class="smallnikkeired"></span> <span class="nikkeiblack">Zip/Postal Code丗</span> </td> <td width="113"> <input maxlength="12" size="10" name="BillZIP" style="IME-MODE: disabled" value=""> </td> </tr> <tr bgcolor="#FFFFFF"> <td align="right"><span class="smallnikkeired"></span> <span class="nikkeiblack">Country丗</span></td> <td colspan="3"> <input size="35" name="BillCountry" style="IME-MODE: disabled" value=""> </td> </tr> <tr align="left"> <td colspan="4"><span class="smallwhite"><strong>Contact person乫s information</strong></span></td> </tr> <tr align="left" bgcolor="#FFFFFF"> <td colspan="4"><span class="smallernikkeired">仸Please enter below if different from account information above.</span></td> </tr> <tr bgcolor="#FFFFFF"> <td align="right"><span class="smallernikkeired"></span><span class="nikkeiblack">Department丗</span> </td> <td colspan="3"> <input maxlength="30" size="35" name="cdept" style="IME-MODE: disabled"> </td> </tr> <tr bgcolor="#FFFFFF"> <td align="right"><span class="smallnikkeired"></span><span class="nikkeiblack">Prefix丗</span></td> <td colspan="3"><select name="cmr" id="cmr"> <option value="Mr." selected>Mr.</option> <option value="Mrs.">Mrs.</option> <option value="Ms.">Ms.</option> <option value="Miss.">Miss.</option> </select></td> </tr> <tr bgcolor="#FFFFFF"> <td align="right"><span class="smallernikkeired"></span> <span class="nikkeiblack">First Name丗</span> </td> <td colspan="3"> <input maxlength="30" size="35" name="cfname" style="IME-MODE: disabled"> </td> </tr> <tr bgcolor="#FFFFFF"> <td align="right"> <span class="smallernikkeired"></span> <span class="nikkeiblack">Last Name丗</span> </td> <td colspan="3"> <input maxlength="30" size="35" name="clname" style="IME-MODE: disabled" value=""> </td> </tr> <tr bgcolor="#FFFFFF"> <td align="right"> <span class="smallernikkeired"></span> <span class="nikkeiblack"> Job Title丗</span> </td> <td colspan="3"> <input maxlength="30" size="35" name="ctitle" style="IME-MODE: disabled" value=""> </td> </tr> <tr bgcolor="#FFFFFF"> <td align="right"><span class="smallnikkeired"></span><span class="nikkeiblack"> Direct Phone丗</span> </td> <td colspan="3"> <span class="nikkeiblack"><input maxlength="30" size="35" name="cPHONE" style="IME-MODE: disabled" value=""><br> </span> </td> </tr> <tr bgcolor="#FFFFFF"> <td align="right"> <span class="smallernikkeired"></span> <span class="nikkeiblack">E-mail Address丗</span> </td> <td colspan="3"> <input maxlength="40" size="35" name="cemail" style="IME-MODE: disabled" value=""> </td> </tr> <tr align="left"> <td colspan="4"><span class="smallnikkeired">*</span><span class="smallwhite"><strong>How did you learn about Nikkei Asian Review?</strong></span></td> </tr> <tr bgcolor="#FFFFFF"> <td>丂 </td> <td colspan="3"> <textarea name="how" rows="8" cols="42" style="border-width:2px 2px 2px 2px; font-size:11pt;"></textarea> </td> </tr> <tr align="left"> <td colspan="4"><span class="smallwhite"><strong>Comments</strong></span></td> </tr> <tr bgcolor="#FFFFFF"> <td>丂 </td> <td colspan="3"> <textarea name="comment" rows="8" cols="42" style="border-width:2px 2px 2px 2px; font-size:11pt;"></textarea> </td> </tr> <tr> <td colspan="4" bgcolor="#FFFFFF"><span class="smallnikkeired">*</span> <span class="nikkeiblack"><input type="checkbox" name="agree_flag" value="Y">I agree to the <a href="term.pdf" target="_blank">Terms of application</a> and <a href="use.pdf" target="_blank">Terms of use</a>.</span> </td> </tr> <tr align="center" bgcolor="#FFFFFF"> <td colspan="4"><p><br> <input type="submit" value=" Send " name="Confirm"> <input type="reset" value=" Reset " name="reset"> <br> <br> <span class="smallernikkeired"></span><br> <br> </p> </td> </tr> </table> </td> </tr> </table> </div> </form> <div align="center"> </div> <div align="center"> <table width="500" border="0" cellspacing="0" cellpadding="0" class="text"> <tr> <td height="30" align="center" valign="top"><img src="/web/20151210000313im_/https://www.nikkeius.com/asianreview/navi/null.gif" width="1" height="1"> </td> </tr> </table> <table width="530" border="0" cellspacing="0" cellpadding="0"> <tr> <td height="25"><img src="/web/20151210000313im_/https://www.nikkeius.com/navi/null.gif" width="1" height="1"></td> </tr> </table> </div> <!-- InstanceEndEditable --></td> <td width="90" valign="top"><img src="/web/20151210000313im_/https://www.nikkeius.com/navi/null.gif" width="1" height="1"></td> </tr> </table> <table width="810" border="0" cellpadding="0" cellspacing="0"> <tr> <td height="20"><img src="/web/20151210000313im_/https://www.nikkeius.com/navi/null.gif" width="1" height="1"></td> </tr> <tr> <td><img src="/web/20151210000313im_/https://www.nikkeius.com/navi/bottom.jpg" width="810" height="35"></td> </tr> <tr> <td valign="top" bgcolor="#FFFFFF"><div align="center"><span class="smallestblack">宖嵹偺婰帠丒幨恀丒恾昞側偳偺柍抐揮嵹傪嬛巭偟傑偡丅 挊嶌尃偼擔杮宱嵪怴暦幮/擔宱傾儊儕僇幮傑偨偼偦偺忣曬採嫙幰偵婣懏偟傑偡丅 </span></div></td> </tr> <tr> <td height="500" valign="top" bgcolor="#FFFFFF"><img src="/web/20151210000313im_/https://www.nikkeius.com/navi/null.gif" width="1" height="1"></td> </tr> </table> <map name="Map"> <area shape="rect" coords="3,3,75,27" href="https://web.archive.org/web/20151210000313/http://www.nikkeius.com/htm/campaign/spring2006.html"><area shape="rect" coords="4,31,74,57" href="https://web.archive.org/web/20151210000313/http://www.nikkeius.com/htm/campaign/majorleague.html"> </map></body> <!-- InstanceEnd --></html> <!-- FILE ARCHIVED ON 00:03:13 Dec 10, 2015 AND RETRIEVED FROM THE INTERNET ARCHIVE ON 22:54:22 Nov 29, 2024. 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