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<!DOCTYPE html>
<html lang="tc-HK" prefix="og: http://ogp.me/ns#">
<head>
<title>愛華時商店 - Alfex Watches</title>
<meta charset="utf-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1, user-scalable=0">
<meta name="description" content="web_description">
<meta property="og:type" content="website" />
<meta property="og:url" content="web_domain" />
<meta property="og:title" content="web_title" />
<meta property="og:description" content="web_description" />
<meta property="og:image" content="web_img" />
<meta property="og:site_name" content="Web" />
<meta name="twitter:card" content="summary" />
<meta name="twitter:description" content="web_description" />
<meta name="twitter:title" content="web_title" />
<meta name="twitter:image" content="web_img" />
<link rel="shortcut icon" href="../img/favicon.ico">
<link rel="stylesheet" href="../css/osicons.css">
<!-- my css -->
<link rel="stylesheet" href="../css/reset.css">
<link rel="stylesheet" href="../css/animations.css">
<link rel="stylesheet" href="../css/navbar.css">
<link rel="stylesheet" href="../css/slick.css">
<link rel="stylesheet" href="../css/slick-theme.css">
<link rel="stylesheet" href="../css/style.css">
<link rel="stylesheet" href="../css/responsive.css">
</head>
<body>
<!-- sidemenu -->
<?php include 'include/sidemenu.php';?>
<!-- end of sidemenu -->
<div class="wrapper">
<!-- header -->
<?php include 'include/header.php';?>
<!-- end of header -->
<!-- pagelocation -->
<div class="pagelocation">
<div class="container">
<div class="location">
<a href="#">主頁</a> / <span>創建帳戶</span>
</div>
</div>
</div>
<!-- end location -->
<div class="subcontent">
<div class="container">
<div class="registerform_contianer">
<h1 class="text-left mb-20">創建一個帳戶</h1>
<h2>您的個人信息</h2>
<p class="colorRed">*必填項目</p>
<!-- form -->
<form class="form" method="post" action="deliveryaddress.php">
<div class="register_form">
<div class="form_row">
<div class="formlabel">標題</div>
<div class="forminput optionstyle">
<input id="gender_male" name="gender" type="radio">
<label for="gender_male">先生</label>
<input id="gender_female" name="gender" type="radio">
<label for="gender_female">女士</label>
<input id="gender_miss" name="gender" type="radio">
<label for="gender_miss">Miss</label>
</div>
<div class="clear"></div>
</div>
<div class="form_row">
<div class="formlabel">名字 <span class="colorRed">*</span></div>
<div class="forminput"><input type="text" class="form-control"></div>
<div class="clear"></div>
</div>
<div class="form_row">
<div class="formlabel">姓 <span class="colorRed">*</span></div>
<div class="forminput"><input type="text" class="form-control"></div>
<div class="clear"></div>
</div>
<div class="form_row">
<div class="formlabel">電子郵件 <span class="colorRed">*</span></div>
<div class="forminput"><input type="text" class="form-control"></div>
<div class="clear"></div>
</div>
<div class="form_row">
<div class="formlabel">密碼 <span class="colorRed">*</span></div>
<div class="forminput"><input type="text" class="form-control"><p>(最少五個字符)</p></div>
<div class="clear"></div>
</div>
<div class="form_row">
<div class="formlabel">出生日期</div>
<div class="forminput">
<div class="row">
<div class="col_33">
<select class="form-control" id="days" name="days"><option value="">-</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><option value="13">13 </option><option value="14">14 </option><option value="15">15 </option><option value="16">16 </option><option value="17">17 </option><option value="18">18 </option><option value="19">19 </option><option value="20">20 </option><option value="21">21 </option><option value="22">22 </option><option value="23">23 </option><option value="24">24 </option><option value="25">25 </option><option value="26">26 </option><option value="27">27 </option><option value="28">28 </option><option value="29">29 </option><option value="30">30 </option><option value="31">31 </option> </select>
</div>
<div class="col_33">
<select class="form-control" id="months" name="months"><option value="">-</option><option value="1">一月 </option><option value="2">二月 </option><option value="3">三月 </option><option value="4">四月 </option><option value="5">五月 </option><option value="6">六月 </option><option value="7">七月 </option><option value="8">八月 </option><option value="9">九月 </option><option value="10">十月 </option><option value="11">十一月 </option><option value="12">十二月 </option> </select>
</div>
<div class="col_33">
<select class="form-control" id="years" name="years"><option value="">-</option><option value="2019">2019 </option><option value="2018">2018 </option><option value="2017">2017 </option><option value="2016">2016 </option><option value="2015">2015 </option><option value="2014">2014 </option><option value="2013">2013 </option><option value="2012">2012 </option><option value="2011">2011 </option><option value="2010">2010 </option><option value="2009">2009 </option><option value="2008">2008 </option><option value="2007">2007 </option><option value="2006">2006 </option><option value="2005">2005 </option><option value="2004">2004 </option><option value="2003">2003 </option><option value="2002">2002 </option><option value="2001">2001 </option><option value="2000">2000 </option><option value="1999">1999 </option><option value="1998">1998 </option><option value="1997">1997 </option><option value="1996">1996 </option><option value="1995">1995 </option><option value="1994">1994 </option><option value="1993">1993 </option><option value="1992">1992 </option><option value="1991">1991 </option><option value="1990">1990 </option><option value="1989">1989 </option><option value="1988">1988 </option><option value="1987">1987 </option><option value="1986">1986 </option><option value="1985">1985 </option><option value="1984">1984 </option><option value="1983">1983 </option><option value="1982">1982 </option><option value="1981">1981 </option><option value="1980">1980 </option><option value="1979">1979 </option><option value="1978">1978 </option><option value="1977">1977 </option><option value="1976">1976 </option><option value="1975">1975 </option><option value="1974">1974 </option><option value="1973">1973 </option><option value="1972">1972 </option><option value="1971">1971 </option><option value="1970">1970 </option><option value="1969">1969 </option><option value="1968">1968 </option><option value="1967">1967 </option><option value="1966">1966 </option><option value="1965">1965 </option><option value="1964">1964 </option><option value="1963">1963 </option><option value="1962">1962 </option><option value="1961">1961 </option><option value="1960">1960 </option><option value="1959">1959 </option><option value="1958">1958 </option><option value="1957">1957 </option><option value="1956">1956 </option><option value="1955">1955 </option><option value="1954">1954 </option><option value="1953">1953 </option><option value="1952">1952 </option><option value="1951">1951 </option><option value="1950">1950 </option><option value="1949">1949 </option><option value="1948">1948 </option><option value="1947">1947 </option><option value="1946">1946 </option><option value="1945">1945 </option><option value="1944">1944 </option><option value="1943">1943 </option><option value="1942">1942 </option><option value="1941">1941 </option><option value="1940">1940 </option><option value="1939">1939 </option><option value="1938">1938 </option><option value="1937">1937 </option><option value="1936">1936 </option><option value="1935">1935 </option><option value="1934">1934 </option><option value="1933">1933 </option><option value="1932">1932 </option><option value="1931">1931 </option><option value="1930">1930 </option><option value="1929">1929 </option><option value="1928">1928 </option><option value="1927">1927 </option><option value="1926">1926 </option><option value="1925">1925 </option><option value="1924">1924 </option><option value="1923">1923 </option><option value="1922">1922 </option><option value="1921">1921 </option><option value="1920">1920 </option><option value="1919">1919 </option><option value="1918">1918 </option><option value="1917">1917 </option><option value="1916">1916 </option><option value="1915">1915 </option><option value="1914">1914 </option><option value="1913">1913 </option><option value="1912">1912 </option><option value="1911">1911 </option><option value="1910">1910 </option><option value="1909">1909 </option><option value="1908">1908 </option><option value="1907">1907 </option><option value="1906">1906 </option><option value="1905">1905 </option><option value="1904">1904 </option><option value="1903">1903 </option><option value="1902">1902 </option><option value="1901">1901 </option><option value="1900">1900 </option> </select>
</div>
<div class="fullcol mt-20">
<input class="styled-checkbox" id="checkbox_01" type="checkbox" value="value1">
<label for="checkbox_01">緊貼ALFEX 最新資訊和優惠</label>
</div>
<div class="fullcol mt-20">
<input class="styled-checkbox" id="checkbox_02" type="checkbox" value="value2">
<label for="checkbox_02">從我們的合作夥伴將得到特別優惠！</label>
</div>
<div class="clear"></div>
</div>
</div>
<div class="clear"></div>
</div>
</div> <!-- end register_form -->
<!-- end form -->
<h2>你的地址</h2>
<div class="register_form form">
<div class="form_row">
<div class="formlabel">名字 <span class="colorRed">*</div>
<div class="forminput"><input type="text" class="form-control"></div>
<div class="clear"></div>
</div>
<div class="form_row">
<div class="formlabel">姓 <span class="colorRed">*</span></div>
<div class="forminput"><input type="text" class="form-control"></div>
<div class="clear"></div>
</div>
<div class="form_row">
<div class="formlabel">公司</div>
<div class="forminput"><input type="text" class="form-control"></div>
<div class="clear"></div>
</div>
<div class="form_row">
<div class="formlabel">地址 <span class="colorRed">*</span></div>
<div class="forminput">
<input type="text" class="form-control">
<p>街道地址，郵政信箱，公司名稱等</p>
</div>
<div class="clear"></div>
</div>
<div class="form_row">
<div class="formlabel">地址(第2行)</div>
<div class="forminput">
<input type="text" class="form-control">
<p>公寓，套房，單位，建築物，地板等...</p>
</div>
<div class="clear"></div>
</div>
<div class="form_row">
<div class="formlabel">市 <span class="colorRed">*</span></div>
<div class="forminput"><input type="text" class="form-control"></div>
<div class="clear"></div>
</div>
<div class="form_row">
<div class="formlabel">國家 <span class="colorRed">*</span></div>
<div class="forminput">
<select class="form-control" name="id_country" id="id_country"><option value="">-</option><option value="231">Afghanistan</option><option value="244">Åland Islands</option><option value="230">Albania</option><option value="38">Algeria</option><option value="39">American Samoa</option><option value="40">Andorra</option><option value="41">Angola</option><option value="42">Anguilla</option><option value="232">Antarctica</option><option value="43">Antigua and Barbuda</option><option value="44">Argentina</option><option value="45">Armenia</option><option value="46">Aruba</option><option value="24">Australia</option><option value="2">Austria</option><option value="47">Azerbaijan</option><option value="48">Bahamas</option><option value="49">Bahrain</option><option value="50">Bangladesh</option><option value="51">Barbados</option><option value="52">Belarus</option><option value="3">Belgium</option><option value="53">Belize</option><option value="54">Benin</option><option value="55">Bermuda</option><option value="56">Bhutan</option><option value="34">Bolivia</option><option value="233">Bosnia and Herzegovina</option><option value="57">Botswana</option><option value="234">Bouvet Island</option><option value="58">Brazil</option><option value="235">British Indian Ocean Territory</option><option value="59">Brunei</option><option value="236">Bulgaria</option><option value="60">Burkina Faso</option><option value="61">Burma (Myanmar)</option><option value="62">Burundi</option><option value="63">Cambodia</option><option value="64">Cameroon</option><option value="4">Canada</option><option value="65">Cape Verde</option><option value="237">Cayman Islands</option><option value="66">Central African Republic</option><option value="67">Chad</option><option value="68">Chile</option><option value="5">China</option><option value="238">Christmas Island</option><option value="239">Cocos (Keeling) Islands</option><option value="69">Colombia</option><option value="70">Comoros</option><option value="71">Congo, Dem. Republic</option><option value="72">Congo, Republic</option><option value="240">Cook Islands</option><option value="73">Costa Rica</option><option value="74">Croatia</option><option value="75">Cuba</option><option value="76">Cyprus</option><option value="16">Czech Republic</option><option value="20">Denmark</option><option value="77">Djibouti</option><option value="78">Dominica</option><option value="79">Dominican Republic</option><option value="80">East Timor</option><option value="81">Ecuador</option><option value="82">Egypt</option><option value="83">El Salvador</option><option value="84">Equatorial Guinea</option><option value="85">Eritrea</option><option value="86">Estonia</option><option value="87">Ethiopia</option><option value="88">Falkland Islands</option><option value="89">Faroe Islands</option><option value="90">Fiji</option><option value="7">Finland</option><option value="8">France</option><option value="241">French Guiana</option><option value="242">French Polynesia</option><option value="243">French Southern Territories</option><option value="91">Gabon</option><option value="92">Gambia</option><option value="93">Georgia</option><option value="1">Germany</option><option value="94">Ghana</option><option value="97">Gibraltar</option><option value="9">Greece</option><option value="96">Greenland</option><option value="95">Grenada</option><option value="98">Guadeloupe</option><option value="99">Guam</option><option value="100">Guatemala</option><option value="101">Guernsey</option><option value="102">Guinea</option><option value="103">Guinea-Bissau</option><option value="104">Guyana</option><option value="105">Haiti</option><option value="106">Heard Island and McDonald Islands</option><option value="108">Honduras</option><option value="22" selected="selected">HongKong</option><option value="143">Hungary</option><option value="109">Iceland</option><option value="110">India</option><option value="111">Indonesia</option><option value="112">Iran</option><option value="113">Iraq</option><option value="26">Ireland</option><option value="29">Israel</option><option value="10">Italy</option><option value="32">Ivory Coast</option><option value="115">Jamaica</option><option value="11">Japan</option><option value="116">Jersey</option><option value="117">Jordan</option><option value="118">Kazakhstan</option><option value="119">Kenya</option><option value="120">Kiribati</option><option value="121">Korea, Dem. Republic of</option><option value="122">Kuwait</option><option value="123">Kyrgyzstan</option><option value="124">Laos</option><option value="125">Latvia</option><option value="126">Lebanon</option><option value="127">Lesotho</option><option value="128">Liberia</option><option value="129">Libya</option><option value="130">Liechtenstein</option><option value="131">Lithuania</option><option value="12">Luxemburg</option><option value="132">Macau</option><option value="133">Macedonia</option><option value="134">Madagascar</option><option value="135">Malawi</option><option value="136">Malaysia</option><option value="137">Maldives</option><option value="138">Mali</option><option value="139">Malta</option><option value="114">Man Island</option><option value="140">Marshall Islands</option><option value="141">Martinique</option><option value="142">Mauritania</option><option value="35">Mauritius</option><option value="144">Mayotte</option><option value="145">Mexico</option><option value="146">Micronesia</option><option value="147">Moldova</option><option value="148">Monaco</option><option value="149">Mongolia</option><option value="150">Montenegro</option><option value="151">Montserrat</option><option value="152">Morocco</option><option value="153">Mozambique</option><option value="154">Namibia</option><option value="155">Nauru</option><option value="156">Nepal</option><option value="13">Netherlands</option><option value="157">Netherlands Antilles</option><option value="158">New Caledonia</option><option value="27">New Zealand</option><option value="159">Nicaragua</option><option value="160">Niger</option><option value="31">Nigeria</option><option value="161">Niue</option><option value="162">Norfolk Island</option><option value="163">Northern Mariana Islands</option><option value="23">Norway</option><option value="164">Oman</option><option value="165">Pakistan</option><option value="166">Palau</option><option value="167">Palestinian Territories</option><option value="168">Panama</option><option value="169">Papua New Guinea</option><option value="170">Paraguay</option><option value="171">Peru</option><option value="172">Philippines</option><option value="173">Pitcairn</option><option value="14">Poland</option><option value="15">Portugal</option><option value="174">Puerto Rico</option><option value="175">Qatar</option><option value="176">Reunion Island</option><option value="36">Romania</option><option value="177">Russian Federation</option><option value="178">Rwanda</option><option value="179">Saint Barthelemy</option><option value="180">Saint Kitts and Nevis</option><option value="181">Saint Lucia</option><option value="182">Saint Martin</option><option value="183">Saint Pierre and Miquelon</option><option value="184">Saint Vincent and the Grenadines</option><option value="185">Samoa</option><option value="186">San Marino</option><option value="187">São Tomé and Príncipe</option><option value="188">Saudi Arabia</option><option value="189">Senegal</option><option value="190">Serbia</option><option value="191">Seychelles</option><option value="192">Sierra Leone</option><option value="25">Singapore</option><option value="37">Slovakia</option><option value="193">Slovenia</option><option value="194">Solomon Islands</option><option value="195">Somalia</option><option value="30">South Africa</option><option value="196">South Georgia and the South Sandwich Islands</option><option value="28">South Korea</option><option value="6">Spain</option><option value="197">Sri Lanka</option><option value="198">Sudan</option><option value="199">Suriname</option><option value="200">Svalbard and Jan Mayen</option><option value="201">Swaziland</option><option value="18">Sweden</option><option value="19">Switzerland</option><option value="202">Syria</option><option value="203">Taiwan 臺灣</option><option value="204">Tajikistan</option><option value="205">Tanzania</option><option value="206">Thailand</option><option value="33">Togo</option><option value="207">Tokelau</option><option value="208">Tonga</option><option value="209">Trinidad and Tobago</option><option value="210">Tunisia</option><option value="211">Turkey</option><option value="212">Turkmenistan</option><option value="213">Turks and Caicos Islands</option><option value="214">Tuvalu</option><option value="215">Uganda</option><option value="216">Ukraine</option><option value="217">United Arab Emirates</option><option value="17">United Kingdom</option><option value="21" >United States</option><option value="218">Uruguay</option><option value="219">Uzbekistan</option><option value="220">Vanuatu</option><option value="107">Vatican City State</option><option value="221">Venezuela</option><option value="222">Vietnam</option><option value="223">Virgin Islands (British)</option><option value="224">Virgin Islands (U.S.)</option><option value="225">Wallis and Futuna</option><option value="226">Western Sahara</option><option value="227">Yemen</option><option value="228">Zambia</option><option value="229">Zimbabwe</option><option value="245">科索沃</option> </select>
</div>
<div class="clear"></div>
</div>
<div class="form_row">
<div class="formlabel">附加信息</div>
<div class="forminput">
<textarea class="form-control"></textarea>
</div>
<div class="clear"></div>
</div>
<div class="form_row">
<div class="formlabel">住宅電話</div>
<div class="forminput"><input type="text" class="form-control"></div>
<div class="clear"></div>
</div>
<div class="form_row">
<div class="formlabel">移動電話</div>
<div class="forminput"><input type="text" class="form-control"></div>
<div class="clear"></div>
</div>
<div class="form_row">
<div class="formlabel">分配地址別名以備將來參考。 <span class="colorRed">*</span></div>
<div class="forminput">
<input type="text" class="form-control">
<div class="mt-50 text-right"><input type="submit" class="form-control tc" value="下一步"></div>
</div>
<div class="clear"></div>
</div>
</div><!-- end register_form -->
</form>
</div>
</div>
</div>
<div class="clear"></div>
<!-- footer -->
<?php include 'include/footer.php';?>
<!-- end of footer -->
</div>
<!-- JS -->
<script src="../js/jquery.js"></script>
<!-- responsive images -->
<script type="text/javascript" src="../js/responsiveimages.js"></script>
<!-- animate js css -->
<script type="text/javascript" src="../js/js_animate.js"></script>
<!-- slick -->
<script type="text/javascript" src="../js/slick.min.js"></script>
<script src="../js/script.js"></script>
</body>
</html>
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