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"Other" should be your last resort; but if it's necessary, you may change your designation after joining. </div> <div class="Reg-form-flex"> <div class="Reg-form-block1"> <div class="Reg-form-0"> <div class="Card-ln2a"> <div class="select-wrapper"> <input type="hidden" id="srole" name="role" value=""> <select id="status" name="status" required style="width:100%; background-color:#fff;" onchange="setRole(this);"> <option value="0" style="color:#666;">Role*</option> <option value="1">Writer</option> <option value="8">Agent</option> <option value="5">Editor</option> <option value="3">Editorial services</option> <option value="7">Publisher</option> <option value="6">Packager</option> <option value="2">Scout</option> <option value="14">Consultant</option> <option value="15">Publicity/marketing</option> <option value="11">Technology/Services provider</option> <option value="17">Film/TV</option> <option value="13">Other</option> </select> </div> </div> <div style="flex:0; width:31px; text-align:right;"> <div class="Tooltip"> <img class="Qmark" src="/images/Qmark.svg" alt="?"> <div class="Tip"> <div class="Tooltip-header">Roles</div> <div class="Tooltip-body"> The role you choose will be used as an identifying label if you create a Publishers Marketplace page. It may also come into play in our search results. </div> <i></i> </div> </div> </div> </div> <div class="Reg-form-0"> <div class="Card-ln2a"> <input type="text" id="username" name="username" placeholder="Username*" value="" maxlength="16" autocomplete="off" required onchange="checkExp(this,this.value,'user name');" onfocus="this.select();"> <div id="un_notice" style="margin-right: 26px; display:none;"></div> </div> <div style="flex:0; width:31px; text-align:right;"> <div class="Tooltip"> <img class="Qmark" src="/images/Qmark.svg" alt="?"> <div class="Tip"> <div class="Tooltip-header">Usernames</div> <div class="Tooltip-body"> Your <b>Username</b> (up to 16 letters/numbers) is a "log-in name" or "screen name"—which is different from your actual name—and is <b>not</b> private if you create a Marketplace Web page. If your user name is "JaneDoe," the address of your Web page will be <em>www.publishersmarketplace.com/members/JaneDoe.</em> Please choose your user name carefully. </div> <i></i> </div> </div> </div> </div> <div class="Reg-form-0"> <div class="Card-ln2a"> <input type="password" id="pass" name="pass" placeholder="Password*" value="" autocomplete="new-password" placeholder="(at least 8 characters)" required onchange="if (window.checkExpPassword) checkExpPassword(this,this.value,8,0);" onfocus="this.select();"> </div> <div style="flex:0; width:31px; text-align:right;"> <div class="Tooltip"> <img class="Qmark" src="/images/Qmark.svg" alt="?"> <div class="Tip"> <div class="Tooltip-header">Passwords</div> <div class="Tooltip-body"> Your <b>Password</b> must be at least 8 characters long and may contain the standard letters, numbers, and symbols found on QWERTY keyboards, with or without the Shift key. Accented characters, non-Latin characters, and symbols that require the Alt/Option key are not allowed. </div> <i></i> </div> </div> </div> </div> <div class="Reg-form-0"> <div class="Card-ln2a"> <input type="password" id="pass2" name="pass2" placeholder="Confirm password*" value="" autocomplete="new-password" required onfocus="this.select();"> <div id="pw_notice" style="margin-right: 26px; display:none;"></div> </div> <div style="flex:0; width:31px; text-align:right;"> <span style="display:inline-block; width:18px; height:18px;"> </span> </div> </div> </div> <div class="Reg-form-block2"> <div class="Reg-step" style="margin-bottom:0;"> Choose a Payment Plan </div> <div class="Selector"> <div class="payOpt"> <div><input type="radio" name="months" value="1" checked="checked"> </div> <div class="Body">Charge my card $25.00 every month</div> </div> <div class="payOpt"> <div><input type="radio" name="months" value="6"> </div> <div class="Body">Charge my card $140.00 every 6 months (save 7%)</div> </div> <div class="payOpt"> <div><input type="radio" name="months" value="12"> </div> <div class="Body">Charge my card $275.00 every 12 months (save 9%)</div> </div> <div> <div></div> <div class="Body"> <div style="margin-top:1em;"> Promo code: <input type="text" id="promo_code" name="promo_code" size="10" maxlength="31" value="" style="width:15em;"> <button type="button" class="Button-rad-fill applyBut" onclick="applyPromo(0)">apply</button> </div> <div id="promo_notice" style="display:none;"></div> </div> </div> </div>  </div> </div> </div> <div id="BI-gift"> <div id="billing_info" class="Body" style="margin-bottom:12px"> We do not require credit card information to activate your gift membership, but we do need your mailing address as part of our member records. We will create a standard Publishers Marketplace account for you, and should you wish to continue your subscription after the end of the gift term, you will need to supply a credit card before that date. </div> <div class="Body Para"> You may cancel your account at any time through the billing section of the <a style="border-bottom:1px dotted !important;" href="/account/">Account page</a> of the Publishers Marketplace Web site. </div> </div>   <div class="Reg-block"> <div class="Reg-step"> <span>Step 3:</span> <span id="Billing-slug">Billing Information</span> <span class="Reg-reqd"> * Required field </span> </div> <div class="Reg-form-flex"> <div class="Reg-form-block1"> <div class="Reg-form-1"> <input type="text" id="billing_name" name="billing_name" placeholder="Name on card*" value="" maxlength="64" required> </div> <div class="Reg-form-2"> <div style="flex: 1 1 50%;"> <input type="text" id="billing_address" name="billing_address" placeholder="Address*" value="" maxlength="63" required> </div> <div style="flex: 1 1 50%;"> <input type="text" id="billing_address2" name="billing_address2" placeholder="Floor/Apt/Suite" value="" maxlength="63"> </div> </div> <div class="Reg-form-2"> <div style="flex: 1 1 50%;"> <input type="text" id="billing_city" name="billing_city" placeholder="City*" value="" maxlength="24" required> </div> <div style="flex: 1 1 50%;"> <div class="select-wrapper"> <select id="billing_state" name="billing_state" style="background-color:#fff;"> <option value="" style="color:#666;">State (US/Canada*)</option> <option title="Alabama" value="AL">AL</option> <option title="Alaska" value="AK">AK</option> <option title="Alberta" value="AB">AB</option> <option title="Arizona" value="AZ">AZ</option> <option title="Arkansas" value="AR">AR</option> <option title="Armed Forces Americas" value="AA">AA</option> <option title="Armed Forces Europe" value="AE">AE</option> <option title="Armed Forces Pacific" value="AP">AP</option> <option title="British Columbia" value="BC">BC</option> <option title="California" value="CA">CA</option> <option title="Colorado" value="CO">CO</option> <option title="Connecticut" value="CT">CT</option> <option title="Delaware" value="DE">DE</option> <option title="District of Columbia" value="DC">DC</option> <option title="Florida" value="FL">FL</option> <option title="Georgia" value="GA">GA</option> <option title="Hawaii" value="HI">HI</option> <option title="Idaho" value="ID">ID</option> <option title="Illinois" value="IL">IL</option> <option title="Indiana" value="IN">IN</option> <option title="Iowa" value="IA">IA</option> <option title="Kansas" value="KS">KS</option> <option title="Kentucky" value="KY">KY</option> <option title="Louisiana" value="LA">LA</option> <option title="Maine" value="ME">ME</option> <option title="Manitoba" value="MB">MB</option> <option title="Maryland" value="MD">MD</option> <option title="Massachusetts" value="MA">MA</option> <option title="Michigan" value="MI">MI</option> <option title="Minnesota" value="MN">MN</option> <option title="Mississippi" value="MS">MS</option> <option title="Missouri" value="MO">MO</option> <option title="Montana" value="MT">MT</option> <option title="Nebraska" value="NE">NE</option> <option title="Nevada" value="NV">NV</option> <option title="New Brunswick" value="NB">NB</option> <option title="New Hampshire" value="NH">NH</option> <option title="New Jersey" value="NJ">NJ</option> <option title="New Mexico" value="NM">NM</option> <option title="New York" value="NY">NY</option> <option title="Newfoundland" value="NF">NF</option> <option title="North Carolina" value="NC">NC</option> <option title="North Dakota" value="ND">ND</option> <option title="Northwest Territories" value="NT">NT</option> <option title="Nova Scotia" value="NS">NS</option> <option title="Ohio" value="OH">OH</option> <option title="Oklahoma" value="OK">OK</option> <option title="Ontario" value="ON">ON</option> <option title="Oregon" value="OR">OR</option> <option title="Pennsylvania" value="PA">PA</option> <option title="Prince Edward Island" value="PE">PE</option> <option title="Puerto Rico" value="PR">PR</option> <option title="Quebec" value="QC">QC</option> <option title="Rhode Island" value="RI">RI</option> <option title="Saskatchewan" value="SK">SK</option> <option title="South Carolina" value="SC">SC</option> <option title="South Dakota" value="SD">SD</option> <option title="Tennessee" value="TN">TN</option> <option title="Texas" value="TX">TX</option> <option title="Utah" value="UT">UT</option> <option title="Vermont" value="VT">VT</option> <option title="Virginia" value="VA">VA</option> <option title="Virgin Islands" value="VI">VI</option> <option title="Washington" value="WA">WA</option> <option title="West Virginia" value="WV">WV</option> <option title="Wisconsin" value="WI">WI</option> <option title="Wyoming" value="WY">WY</option> <option title="Yukon" value="YT">YT</option> </select> </div> </div> </div> <div class="Reg-form-2"> <div style="flex: 1 1 50%;"> <input type="text" id="billing_postalcode" name="billing_postalcode" placeholder="ZIP/Postal Code*" value="" maxlength="16" required> </div> <div style="flex: 1 1 50%;"> <div class="select-wrapper"> <select id="billing_country" name="billing_country" style="width:100; background-color:#fff;"> <option style="color:#666;" value="" selected>Country (if not the US*)</option> <option value="AF">Afghanistan</option> <option value="AX">Aland Islands</option> <option value="AL">Albania</option> <option value="DZ">Algeria</option> <option value="AS">American Samoa</option> <option value="AD">Andorra</option> <option value="AO">Angola</option> <option value="AI">Anguilla</option> <option value="AQ">Antarctica</option> <option value="AG">Antigua and Barbuda</option> <option value="AR">Argentina</option> <option value="AM">Armenia</option> <option value="AW">Aruba</option> <option value="AU">Australia</option> <option value="AT">Austria</option> <option value="AZ">Azerbaijan</option> <option value="BS">Bahamas</option> <option value="BH">Bahrain</option> <option value="BD">Bangladesh</option> <option value="BB">Barbados</option> <option value="BY">Belarus</option> <option value="BE">Belgium</option> <option value="BZ">Belize</option> <option value="BJ">Benin</option> <option value="BM">Bermuda</option> <option value="BT">Bhutan</option> <option value="BO">Bolivia</option> <option value="BQ">Bonaire, Sint Eustatius and Saba</option> <option value="BA">Bosnia and Herzegovina</option> <option value="BW">Botswana</option> <option value="BV">Bouvet Island</option> <option value="BR">Brazil</option> <option value="IO">British Indian Ocean Territory</option> <option value="VG">British Virgin Islands</option> <option value="BN">Brunei Darussalam</option> <option value="BG">Bulgaria</option> <option value="BF">Burkina Faso</option> <option value="BI">Burundi</option> <option value="CV">Cabo Verde</option> <option value="KH">Cambodia</option> <option value="CM">Cameroon</option> <option value="CA">Canada</option> <option value="KY">Cayman Islands</option> <option value="CF">Central African Republic</option> <option value="TD">Chad</option> <option value="CL">Chile</option> <option value="CN">China</option> <option value="CX">Christmas Island</option> <option value="CC">Cocos (Keeling) Islands</option> <option value="CO">Colombia</option> <option value="KM">Comoros</option> <option value="CD">Congo, Dem. 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