'Your personal information'), $this);?>

'Title'), $this);?> checked="checked" /> 'Mr.'), $this);?> checked="checked" /> 'Ms.'), $this);?>

'First name'), $this);?> ^*

'Last name'), $this);?> ^*

'E-mail'), $this);?> ^*

'Password'), $this);?> ^* '(5 characters min.)'), $this);?>

'Birthday'), $this);?> - _tpl_vars['days']; if (!is_array($_from) && !is_object($_from)) { settype($_from, 'array'); }if (count($_from)): foreach ($_from as $this->_tpl_vars['day']): ?> _tpl_vars['sl_day'] == $this->_tpl_vars['day'] )): ?> selected="selected">_tpl_vars['day'])) ? $this->_run_mod_handler('escape', true, $_tmp, 'htmlall', 'UTF-8') : smarty_modifier_escape($_tmp, 'htmlall', 'UTF-8')); ?>    - _tpl_vars['months']; if (!is_array($_from) && !is_object($_from)) { settype($_from, 'array'); }if (count($_from)): foreach ($_from as $this->_tpl_vars['k'] => $this->_tpl_vars['month']): ?> _tpl_vars['sl_month'] == $this->_tpl_vars['k'] )): ?> selected="selected"> ($this->_tpl_vars['month'])), $this);?>   - _tpl_vars['years']; if (!is_array($_from) && !is_object($_from)) { settype($_from, 'array'); }if (count($_from)): foreach ($_from as $this->_tpl_vars['year']): ?> _tpl_vars['sl_year'] == $this->_tpl_vars['year'] )): ?> selected="selected">_tpl_vars['year'])) ? $this->_run_mod_handler('escape', true, $_tmp, 'htmlall', 'UTF-8') : smarty_modifier_escape($_tmp, 'htmlall', 'UTF-8')); ?>   

checked="checked" /> 'Sign up for our newsletter'), $this);?>

checked="checked" /> 'Receive special offers from our partners'), $this);?>

'Your address'), $this);?>

'Company'), $this);?>

'First name'), $this);?> ^*

'Last name'), $this);?> ^*

'Address'), $this);?> ^*

'Address (2)'), $this);?>

'Postal code / Zip code'), $this);?> ^*

'City'), $this);?> ^*

'Country'), $this);?> - _tpl_vars['countries']; if (!is_array($_from) && !is_object($_from)) { settype($_from, 'array'); }if (count($_from)): foreach ($_from as $this->_tpl_vars['v']): ?> _tpl_vars['sl_country'] == $this->_tpl_vars['v']['id_country'] )): ?> selected="selected">_tpl_vars['v']['name'])) ? $this->_run_mod_handler('escape', true, $_tmp, 'htmlall', 'UTF-8') : smarty_modifier_escape($_tmp, 'htmlall', 'UTF-8')); ?> ^*

'State'), $this);?> - ^*

'Additional information'), $this);?> <?php if (isset ( $_POST['other'] )): ?><?php echo $_POST['other']; ?> <?php endif; ?>

'Home phone'), $this);?>

'Mobile phone'), $this);?>

'Assign an address title for future reference'), $this);?> ! ^*