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TorahForm.html
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TorahForm.html
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<!DOCTYPE html>
<html>
<head>
<meta name="description" content="This site has Torah שיעורים"/>
<meta name="keywords" content="Torah Shiurim"/>
<meta name="author" content="Rachamim Dabbah"/>
<meta charset="UTF-8"/>
<title>Torah Tapes</title>
<link rel="stylesheet" type="text/css" href="Torah-Tapes.css"/>
<link rel="shortcut icon" type ="image/x-icon" href="favicon.ico">
</head>
<body>
<div class="whole">
<h1>Torah-Tapes תורה טייפס</h1>
<h2>Please join our worthy cause!<br>Joining our website gives you the זכות of thousands of hours of תורה!</h2>
<div id="nav">
<ul id="top">
<div class="drop"><div id="button" class="button"><li id="resize"><b>Donate and buy</b>
</li></div><div id="dropdown"><a href="TorahForm.html">Donate and Buy</a><a href="TorahMap.html">Location</a><a href="#Don't know">Keep learning!</a></div></div><a href="http://www.torahstream.org/#/topic/Contemporary_Kashrus_Topics_5776"><li><b>Hashkafah </b>
</li></a><a href="http://www.torahstream.org/#/topic/Contemporary_Kashrus_Topics_5776"><li><b>Mussar </b>
</li></a><a href="http://www.torahstream.org/#/topic/Contemporary_Kashrus_Topics_5776"><li><b>Parshah </b>
</li></a><a href="http://www.torahstream.org/#/topic/Contemporary_Kashrus_Topics_5776"><li><b>Moadim </b>
</li></a><a href="http://www.torahstream.org/#/topic/Contemporary_Kashrus_Topics_5776"><li><b>Help </b>
</li></a><a href="Torah-Tapes.html"><li><b>Home </b></li></a>
</ul> </div><div id="clock"><h2>We're having a super special on our yearly memberships! 25% off!!<br>But hurry!! This offer is only valid until April 1st!!</h2>
<h2 id="countdown"> </h2></div>
<br>
<div class="form">
<form action="thanx.html" method="post" id="torahform">
<table>
<tr>
<td><label for="first">First Name:</label></td>
<td><input type="text" placeholder="First" required name="first" id="first"</td></tr>
<tr><td><label for="last">Last Name:</label></td>
<td><input type="text" placeholder="Last" required="Hi" name="last" id="last"/></td></tr>
<tr>
<td>Password:</td>
<td><input type="password" placeholder="Password" name="password" id="password"/></td></tr>
<tr>
<td>Gender:</td><td><input type="radio" value="male" id="male" name="gender"/><label for="male">Male</label>
<input type="radio" value="female" id="female" name="gender"/><label for="female">Female</label></td>
</tr>
<tr><td><label for="reveal">Click here to tell us your age:</label><td><input type="checkbox" value="reveal" id="reveal" name="reveal"/></td></tr>
<tr id="age">
<td valign="top">Age Range:</td>
<td><input type="radio" id="under18" value="0" name="age"/><label for="under18">Under 18</label><br/>
<input type="radio" id="1939" value="1" name="age"/><label for="1939">19 to 39</label> <br/>
<input type="radio" id="4059" value="2" name="age"/><label for="4059">40-59</label><br/>
<input type="radio" id="60plus" value="0" name="age"/><label for="60plus">60-עד מאה ועשרים בע"ה</label>
</td>
</tr>
<tr>
<td valign="top">Your Favorite Speaker:<br/><sub><sup>(Select all that apply)</sup></sub></td>
<td><input type="checkbox" value="rpeskrohn" id="rpeskrohn" name="speakers"/><label for="rpeskrohn">R' Pesach Krohn</label><br/>
<input type="checkbox" value="rreisman" id="rreisman" name="speakers"/><label for="rreisman">R' Yisroel Reisman</label><br/>
<input type="checkbox" value="rfrand" id="rfrand" name="speakers"/><label for="rfrand">R' Yissochor Frand</label>
</td>
</tr>
<tr>
<td>Platinum Member $1000/yr</td><td><input type="radio" id="platinum" value="1000" name="member"/></td>
</tr>
<tr>
<td>Gold Member $120/yr</td><td><input type="radio" id="gold" value="120" name="member"/></td>
</tr>
<tr>
<td>Silver Member $100/yr</td><td><input type="radio" id="silver" value="100" name="member"/></td>
</tr>
<tr>
<td>Copper Member $80/yr</td><td><input type="radio" id="copper" value="80" name="member"/></td>
</tr>
<tr>
<td>חי Member $18/yr</td><td><input type="radio" id="חי" value="18" name="member"/></td>
</tr>
<tr>
<td colspan=2><h3>For your convenience we have CD's Flash drives and MP3 players preloaded with your favorite שיעורים! Any order over $30 qualifies for free standard shipping!</h3></td>
</tr>
<tr>
<td>CD <sub><sup>(1 שיעור each)</sup></sub>$1: </td><td><input type="number" name="cd" id="cd" min="0" placeholder="0"/> </td></tr>
<tr>
<td>Flash Drives<sub><sup>(150 שיעורים each/2GB)</sup></sub>$15: </td><td><input type="number" name="flash" id="flash" min="0" placeholder="0"/></td>
</tr>
<tr>
<td>MP3 Players<sub><sup>(2500 שיעורים each/16GB)</sup></sub>$150: </td><td><input type="number" name="mp3" id="mp3" min="0" placeholder="0"/></td>
</tr>
<tr>
<td>Please select your shipping state:</td><td>
<select id="state">
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District Of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
US Outlying Territories
<option value="AS">American Samoa</option>
<option value="GU">Guam</option>
<option value="MP">Northern Mariana Islands</option>
<option value="PR">Puerto Rico</option>
<option value="UM">United States Minor Outlying Islands</option>
<option value="VI">Virgin Islands</option>
<option value="AA">Armed Forces Americas</option>
<option value="AP">Armed Forces Pacific</option>
<option value="AE">Armed Forces Others</option>
</select>
</td>
</tr>
<tr>
<td>Choose your shipping preference:
</td><td>
<select id="shipping">
<option value="standard">Standard Shipping (7-10 business days) $2.75</option>
<option value="speedy">Speedy (2-5 business days) $10.40</option>
<option value="over">Overnight $93.75</option>
</select></td>
</tr>
<tr><td valign="top"><input type="reset"/></td>
<td><input type="submit" id="est" value="Submit Order"/>  <br><br><input type="text" placeholder=$0.00 id="estimate"</td></tr>
</table>
<div id="absolute"><p id="sub"></p></div>
</form><br>
<footer><hr> We'd love to hear from you! <a href="mailto:dabbahray@yahoo.com">Please Email Us Here</a><br />רחמים דבאח<br/>
1471 Lanes Mill Rd Lakewood NJ<br />
© Rachamim Dabbah Religious Productions</footer>
</div>
</div>
<script src="form.js"> </script>
<!--<script src="form2.js"> </script>-->
</body>
</html>