ÿþ<!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> <meta http-equiv="Content-Type" content="text/html; charset=Windows-1252" /> <title>Challenger Registration</title> <link rel="stylesheet" type="text/css" href="V-text.css" /> </head> <body> <div id="header"> <h1>Challenger Registration</h1> <p>With our registration service you automatically receive the latest news from Challenger direct to your email. To Register simply complete the form below, and click Submit. If&nbsp;you&nbsp;wish to cancel an existing Challenger Registration please <a href="WformEN.htm">click here</a>.</p> </div> <div class="hr2"><hr /></div> <form action="V-Form.aspx" method="post" id="VForm" name="VForm" onsubmit="javascript:return validateForm();"> <table width="630px" border="0"> <tr> <td width="107px"><p><label for="prefix"><b><em>*</em>Title</b>:</label></p></td> <td width="178px"> <select id="prefix" name="prefix" style="width:67" tabindex="1"> <option selected="selected"></option> <option value="Mr">Mr</option> <option value="Mrs.">Mrs.</option> <option value="Miss">Miss</option> <option value="Ms.">Ms.</option> <option value="Master">Master</option> <option value="Dr.">Dr.</option> <option value="Prof.">Prof.</option> <option value="Other">Other</option> </select></td> <td colspan="2"><p>(<b><em>*</em>Bold Text</b> denotes a required field)</p></td> </tr> <tr> <td><p><label for="firstname"><b><em>*</em>First Name</b>:</label></p></td> <td><input type="text" id="firstname" name="firstname" size="28" tabindex="2" /></td> <td width="157px"><p><label for="phone"><b><em>*</em>Phone</b>:</label></p></td> <td width="178px"><input type="text" id="phone" name="phone" size="28" tabindex="10" /></td> </tr> <tr> <td><p><label for="lastname"><b><em>*</em>Last Name</b>:</label></p></td> <td><input type="text" id="lastname" name="lastname" size="28" tabindex="3" /></td> <td><p><label for="fax">Fax:</label></p></td> <td><input type="text" id="fax" name="fax" size="28" tabindex="11" /></td> </tr> <tr> <td><p><label for="address1"><b><em>*</em>Address</b>:</label></p></td> <td><input type="text" id="address1" name="address1" size="28" tabindex="4" /></td> <td><p><label for="mobile">Mobile:</label></p></td> <td><input type="text" id="mobile" name="mobile" size="28" tabindex="12" /></td> </tr> <tr> <td><p><label for="address2">Address 2:</label></p></td> <td><input type="text" id="address2" name="address2" size="28" tabindex="5" /></td> <td><p><label for="email"><b><em>*</em>Email</b>:</label></p></td> <td><input type="text" id="email" name="email" size="28" tabindex="13" /></td> </tr> <tr> <td><p><label for="city"><b><em>*</em>City / Town</b>:</label></p></td> <td><input type="text" id="city" name="city" size="28" tabindex="6" /></td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td><p><label for="area">County/Province:</label></p></td> <td><input type="text" id="area" name="area" size="28" tabindex="7" /></td> <td><p><label for="btype"><b><em>*</em>Business Type</b>:</label></p></td> <td><select id="btype" name="btype" tabindex="14"> <option selected="selected"></option> <option value="Farmer">Farmer</option> <option value="Contractor">Contractor</option> <option value="Local Authority">Local Authority</option> <option value="Public Utility">Public Utility</option> <option value="Government Department">Government Department</option> <option value="Industry">Industry</option> <option value="Leisure">Leisure</option> <option value="Research Institute">Research Institute</option> <option value="Trader">Trader</option> <option value="Dealer">Dealer</option> <option value="Agricultural Student">Agricultural Student</option> <option value="Non-Agricultural Student">Non-Agricultural Student</option> <option value="Other">Other</option> </select></td> </tr> <tr> <td><p><label for="zip"><b><em>*</em>Postcode</b>:</label></p></td> <td><input type="text" id="zip" name="zip" size="28" tabindex="8" /></td> <td><p><label for="bname"><b><em>*</em>Business / Farm Name</b>:</label></p></td> <td><input type="text" id="bname" name="bname" tabindex="15" size="40" /></td> </tr> <tr> <td><p><label for="country"><b><em>*</em>Country</b>:</label></p></td> <td><input type="text" id="country" name="country" size="28" tabindex="9" /></td> <td><p><label for="language"><b><em>*</em>Publication Language</b>:</label></p></td> <td><select id="language" name="language" tabindex="16"> <option selected="selected"></option> <option value="English">English</option> <option value="French">French</option> <option value="Italian">Italian</option> <option value="German">German</option> <option value="Danish">Danish</option> <option value="Dutch">Dutch</option> <option value="Russian">Russian</option> <option value="Czech">Czech</option> <option value="Romanian">Romanian</option> <option value="Slovakian">Slovakian</option> <option value="Hungarian">Hungarian</option> <option value="Polish">Polish</option> </select></td> </tr> </table> <div class="hr"><hr /></div> <table width="630px" border="0"> <tr> <td><b>Data Protection Statement</b> (Please refer to our <a href="javascript:void(0);" onclick="window.open('http://www.challenger-ag.com/agco/Challenger/ChallengerUK/Legal2.htm','','height=400,width=600,resizable=yes,toolbar=no,scrollbars=yes')">Privacy Statement</a> for more information.)<br /> The details you provide on this form will result in you receiving the latest news from Challenger to your e-mail. We would also like to use your information to let you know about other products and services offered by AGCO, which we think will be of interest to you. If you wish to receive this other information from AGCO, please tick the box below, which will allow us to contact you with material and special offers or promotions that may be of interest to you. At any time you can always return to this screen and unsubscribe from receiving information.</td> </tr> <tr> <td>&nbsp;</td> </tr> <tr> <td><input type="checkbox" id="datap" name="datap" value="I would like to receive information" /><label for="datap">I would like to receive information from AGCO about its other products and services or promotions.</label></td> </tr> </table> <div class="hr"><hr /></div> <input type="hidden" id="nextpage" name="nextpage" value="VformEN2.htm" /> <input type="hidden" id="usubject" name="usubject" value="Your Challenger Registration" /> <input type="hidden" id="asubject" name="asubject" value="Challenger Registration" /> <input type="hidden" id="to1" name="to1" value="ChallengerEservice" /> <input type="hidden" id="to2" name="to2" value="challenger.nl.agcocorp.com" /> <!-- <input type="hidden" id="to1" name="to1" value="alanhendry" /> <input type="hidden" id="to2" name="to2" value="uk.agcocorp.com" /> --> <input type="hidden" id="from1" name="from1" value="Registration" /> <input type="hidden" id="from2" name="from2" value="Challenger-Ag.com" /> <input type="hidden" id="langmsg" name="langmsg" value="<p>Thank you for registering with Challenger, for your confirmation these are your sign-up details:</p>" /> <noscript><p><input type="submit" name="submit" value="Submit" /> <input type="reset" name="reset" value="Reset" /></p></noscript> </form> <script type="text/javascript"> document.write('<p id="buttons"><input type="image" id="submit" name="submit" src="images/buttonSubmit.jpg" onclick="javascript:return validateForm();" /> <input type="image" id="reset" name="reset" src="images/buttonReset.jpg" onclick="document.VForm.reset();return false;" /></p>') </script> <div class="hr2"><hr /></div> <div id="footer"> <p><b>CAT&reg;</b>, <b>Caterpillar&reg;</b> and <b>Challenger&reg;</b> are registered trademarks<br /> of Caterpillar Inc. and used under licence by <b>AGCO Corporation</b></p> </div> <script type="text/javascript"> var TitleM = "Title is required!";var FirstNameM = "First Name is required!";var LastNameM = "Last Name is required!";var Address1M = "Address 1 is required!";var PostalCodeM = "Zip/Post Code is required!";var CityM = "City/Town is required!";var CountryM = "Country is required!";var PhoneM = "Phone is required!";var eMailM = "A valid E-mail address is required!";var BusinessTypeM = "Business Type is required!";var BusinessNameM = "Business Name is required!";var LanguageM = "Publication Language is required!"; </script> <script type="text/javascript" src="V-Form.js"></script> </body> </html>