<?xml version="1.0" encoding="UTF-8"?>

<form url="ap_reg_form.php"
 window="_self"
 method="POST"
 fontname="MS Sans Serif"
 width="500"
 height="500"
 bkcolor="0xFFFFFF"
 outlinecolor="0xFFFFFF"
 fontcolor="0x000000"
 themecolor="0xFFFF99"
 fontcolor2="#000000"
 bkcolor2="#FFFFFF"
 includeresults="false"
 emailuser="false"
 reqmessage="One or More Fields are Required"
 autoresponse="">

<hidden
 name="thankyoupage"
 value="http://www.mosdirect.com"
></hidden>

<hidden
 name="mailto"
 value="register@mosdirect.com"
></hidden>

<hidden
 name="subject"
 value="NetSuite A/P Register"
></hidden>

<label
 name="My Text 1"
 x="0"
 y="-6"
 w="341"
 h="22"
 text="NetSuite - Customer A/P Registration"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="19"
></label>

<textinput
 name="company_name"
 x="192"
 y="80"
 w="295"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
>
</textinput>

<label
 name="My Text 2"
 x="12"
 y="82"
 w="178"
 h="16"
 text="* Company or Other Name: "
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 3"
 x="96"
 y="114"
 w="87"
 h="16"
 text="* Your Name:"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<textinput
 name="ap_contact_name"
 x="192"
 y="116"
 w="293"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
>
</textinput>

<label
 name="My Text 4"
 x="84"
 y="150"
 w="102"
 h="16"
 text="* Your Phone #:"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<textinput
 name="phone"
 x="192"
 y="148"
 w="293"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
>
</textinput>

<label
 name="My Text 5"
 x="4"
 y="22"
 w="488"
 h="16"
 text="Accounts Payable Personnel please register below, and click Submit button."
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<submitbutton
 name="Submit Button 1"
 x="192"
 y="420"
 w="100"
 h="20"
 label="Submit"
 fontname="Arial"
 fontcolor="0x000000"
  fontsize="12"
></submitbutton>

<label
 name="My Text 6"
 x="16"
 y="250"
 w="376"
 h="22"
 text="Please indicate your preferences below:"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="19"
></label>

<radiobutton
 name="email_invoices"
 x="24"
 y="288"
 w="173"
 h="19"
 label="Send our invoices via email."
 fontbold="bold"
 labelPos="right"
 groupname="Group 1"
 value="radiobutton1"
 checked="true"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x0000FF"
></radiobutton>

<radiobutton
 name="web_invoices"
 x="24"
 y="320"
 w="389"
 h="19"
 label="I will print invoice copies from the web site. Please provide a login."
 fontbold="bold"
 labelPos="right"
 groupname="Group 1"
 value="radiobutton1"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x0000FF"
></radiobutton>

<radiobutton
 name="email_statements"
 x="24"
 y="352"
 w="232"
 h="19"
 label="Send our monthly statement via email."
 fontbold="bold"
 labelPos="right"
 groupname="Group 2"
 value="radiobutton1"
 checked="true"
  fontsize="12"
  fontname="Arial"
  fontcolor="0xFF0000"
></radiobutton>

<radiobutton
 name="snail_mail_statements"
 x="24"
 y="384"
 w="241"
 h="19"
 label="Send monthly statement via postal mail."
 fontbold="bold"
 labelPos="right"
 groupname="Group 2"
 value="radiobutton1"
  fontsize="12"
  fontname="Arial"
  fontcolor="0xFF0000"
></radiobutton>

<label
 name="My Text 7"
 x="52"
 y="186"
 w="135"
 h="16"
 text="Your email address*:"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<textinput
 name="email"
 x="192"
 y="180"
 w="293"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 emailbox="true"
>
</textinput>

<label
 name="My Text 8"
 x="8"
 y="214"
 w="227"
 h="16"
 text="A/P email (if different from above): "
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<textinput
 name="alternate_email"
 x="236"
 y="212"
 w="244"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<label
 name="My Text 9"
 x="24"
 y="462"
 w="177"
 h="16"
 text="Martin's Office Supply,  Inc."
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

</form>
