<html>
<head>
<meta http-equiv="X-UA-Compatible" content="IE=7" />
<title>HSN.com</title>
</head>
<body class="secure" topmargin="0" leftmargin="0" marginheight="0" marginwidth="0">
<form name="Form" method="post" action="account_information.aspx?phonecm=False" id="Form">
<div>
<input type="hidden" name="__EVENTTARGET" id="__EVENTTARGET" value="" />
<input type="hidden" name="__EVENTARGUMENT" id="__EVENTARGUMENT" value="" />
<input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE" value="/wEPDwUKLTMwOTQ4ODYzMGQYAQUeX19Db250cm9sc1JlcXVpcmVQb3N0QmFja0tleV9fFggFH0JvZHkkQmlsbGluZ0lzU2hpcHBpbmdDaGVja2JveEIFEUJvZHkkTW9iaWxlQWxlcnRzBRFCb2R5JEtyYWZ0U2lnbnVwMgUcQm9keSRXZWVrbHlOZXdzbGV0dGVyU2lnbnVwMgUdQm9keSRXZWVrbHlOZXdzbGV0dGVyU2lnbnVwMTIFGEJvZHkkVFNOZXdzbGV0dGVyU2lnbnVwMgURQm9keSRTYXZlQ0M0TGF0ZXIFE0JvZHkkQ29udGludWVCdXR0b24=" />
</div>
<table cellpadding="0" cellspacing="0" border="0" width="100%">
<tr>
<td id="Body_headertitle" class="bcTitle">your information</td>
<td style="padding: 10px 10px 0px;" align="right">
<style type="text/css">
.bcStart { background: url('https://img.hsni.com/images/formatting/spacer.gif') no-repeat ; height:50px; width:5px;}
.bcEnd { background: url('https://img.hsni.com/images/formatting/bc_v2_end.gif') no-repeat ; height:50px; width:5px;}
.bcOn { background: url('https://img.hsni.com/images/formatting/bc_v2_active.gif') no-repeat ; height:50px; width:81px; color: #5d5d5d; font-weight:bold; font-size:11px; padding-top:15px;}
.bcOff { background: url('https://img.hsni.com/images/formatting/bc_v2_inactive.gif') no-repeat ; height:50px; width:81px; color: #999; font-size:11px; padding-top:15px;}
.bcOffLink { text-decoration: none; color: #666666; color: #999; font-size:11px;}
</style>
<div style="padding: 5px 0px;">
<table cellpadding='0' cellspacing='0' border='0'>
<tr>
<td class='bcStart' style='width:5px;'> </td>
<td class='bcOff' align='center' style='width:81px; cursor:pointer; cursor:hand;' ><a style='text-decoration: none; color: #666666; color: #999; font-size:11px;' href='http://www.hsn.com/cmr/shopping_cart/default.aspx'>shopping<BR/>bag</a></td>
<td class='bcOn' align='center' style='width:81px;'>account<BR/>information</td>
<td class='bcOff' align='center' style='width:81px;'>order<BR/>review</td>
<td class='bcOff' align='center' style='width:81px;'>order<BR/>confirmation</td>
<td valign='top' style='padding-left:5px;'><img src='https://img.hsni.com/images/formatting/bc_v2_box.gif' alt='' width='41' height='43' /></td></tr>
</table>
</div>
</td>
</tr>
</table>
<table border="0" cellpadding="0" cellspacing="10" width="770">
<tr>
<td valign="top" align="left">
<div id="MiniBagDiv">
<table cellpadding="0" cellspacing="0" border="0" class="CheckoutSectionTable">
<tr>
<td colspan="4">
<table width="100%" cellpadding="0" cellspacing="0" border="0" style="background-color: #f1f1f1; border-bottom:1px solid #6587AA;">
<tr>
<td> <strong>order summary</strong></td>
<td align="right" style="width:100%; padding:3px;"> </td>
</tr>
</table>
</td>
</tr>
<tr>
<td> </td>
<td style="width:290px;">
<dl style="vertical-align: bottom;">
<dt>Subtotal:</dt>
<dd id="ItemSubTotal" class="price">$89.95</dd>
</dl>
</td>
<td> </td>
</tr>
<tr>
<td> </td>
<td>
<dl style="vertical-align: bottom;">
<dt>S&H:</dt>
<dd id="TotalSH" class="price">$5.95</dd>
</dl>
</td>
<td> </td>
</tr>
<tr>
<td> </td>
<td>
<dl style="vertical-align: bottom;">
<dt>Estimated Tax:</dt>
<dd id="EstimatedTax" class="price"><u>$0.00</u></dd>
</dl>
</td>
<td> </td>
</tr>
<tr>
<td> </td>
<td>
<dl style="vertical-align: bottom;">
<dt style="font-weight:bold;">Order Total:</dt>
<dd id="GrandTotal" class="price" style="font-weight:bold;">$95.90</dd>
</dl>
</td>
<td> </td>
</tr>
<tr><td colspan="3"><img src="#" alt="" width="1" height="5" /></td></tr>
</table>
</div>
<!-- CUST INFO ARTICLE 3725 -->
<div style="padding-top:10px;" id="MiniCustService"><!-- Article Id = 3725 --><table cellpadding="0" cellspacing="0" border="0" class="CheckoutSectionTable" style="width:260px;">
<tr>
<td style="color:#333333; padding:3px; background-color: #f1f1f1; border-bottom:1px solid #6587AA;"> <strong>hsn.com info</strong></td>
</tr>
<tr>
<td style="width:100%;">
<table cellpadding="2" cellspacing="0" border="0">
<tr>
<td valign="top" style="padding: 5px 0px 5px 5px;">
<strong><u>Guarantee</u></strong><br />
If you are not satisfied with your purchase, simply return it within 30 days for a full refund.<br/><br/>
<strong><u>Security</u></strong> <a style="text-decoration:underline;" class="hdr" >(policy details)</a><br />
HSN.com makes sure your information is protected and secure.<br /><br />
<strong><u>Privacy</u></strong><br />
HSN.com values your privacy rights. View <a style="text-decoration:underline;" class="hdr" >HSN's privacy policy</a> as it applies to your account.
</td>
</tr>
</table>
</td>
</tr>
</table>
<div style="padding-top:10px;">
<div style="padding-bottom:10px;"><a href="https://sentinel.whitehatsec.com/gateway/certified/confirmed.html?badge_key=23e15e4f-c769-4db6-9fe3-fec5556b7fe9"><img src="#" border="0" /></a></div>
<div style="padding-bottom:10px;"></div>
<div><a ><img src="#" alt="BizRate Customer Certified (GOLD) Site" width="125" height="73" align="top" border="0" target="_blank"></a></div>
</div></div>
</td>
<td valign="top" style="width:480px;">
<div id="Body_ErrorMessageBlock" align="left" style="color:Red; font-weight:bold;"></div>
<div style="border:1px solid #007DCA;">
<table id="AddressInformation" cellpadding="0" cellspacing="0" border="0" width="100%">
<tr>
<td align="left" class="CheckoutHeader" style="padding:3px;">Enter billing information (as it appears on your statement)</td>
</tr>
<tr id="Body_trBillingIsShippingCheckboxB">
<td align="left" style="PADDING:0px 0px 10px 25px;">
<input name="Body$BillingIsShippingCheckboxB" type="checkbox" id="Body_BillingIsShippingCheckboxB" checked="checked" />Use my billing address as my shipping address.
</td>
</tr>
<tr>
<td style="padding:10 10 0 10;" id="BillingAddressForm">
<input name="Body$BillingAddress$_ab_id" type="hidden" id="Body_BillingAddress__ab_id" />
<table border="0" align="center" id="AddressValues">
<tr>
<td align="right" class="hdr" width="110">
<div id="Body_BillingAddress__firstName_label" style="font-weight:bold;">First Name</div>
</td>
<td valign="middle" align="left"><input name="Body$BillingAddress$_firstName" type="text" id="Body_BillingAddress__firstName" maxlength="15" size="25" /></td>
<td align="right" valign="top" rowspan="7" width="*" style="padding-left:20px;">
<div align="left" style="border:1px solid #6587AA; padding:3px; width:150px;">
<strong>HSN Tip:</strong><br/> We respect the privacy of our customers and the information you entrust in us. View <a tabIndex='-1' class='hdr' >HSN's privacy<br/>policy</a>, which applies to your account.
</div>
</td>
</tr>
<tr>
<td align="right" class="hdr" width="110">
<div id="Body_BillingAddress__lastName_label" style="font-weight:bold;">Last Name</div>
</td>
<td valign="middle" align="left"><input name="Body$BillingAddress$_lastName" type="text" id="Body_BillingAddress__lastName" maxlength="15" size="25" /></td>
</tr>
<tr>
<td align="right" class="hdr" width="110">
<div id="Body_BillingAddress__address1_label" style="font-weight:bold;">Address Line 1</div>
</td>
<td valign="middle" align="left"><input name="Body$BillingAddress$_address1" type="text" id="Body_BillingAddress__address1" maxlength="25" size="25" /></td>
</tr>
<tr>
<td align="right" class="hdr" width="110">
<div id="Body_BillingAddress__address2_label" style="font-weight:bold;">Address Line 2<br /><font class='optionalText'>(optional) </font></div>
</td>
<td valign="middle" align="left"><input name="Body$BillingAddress$_address2" type="text" id="Body_BillingAddress__address2" maxlength="25" size="25" /></td>
</tr>
<tr>
<td align="right" class="hdr" width="110">
<div id="Body_BillingAddress__city_label" style="font-weight:bold;">City</div>
</td>
<td valign="middle" align="left"><input name="Body$BillingAddress$_city" type="text" id="Body_BillingAddress__city" maxlength="20" size="25" /></td>
</tr>
<tr>
<td align="right" class="hdr" width="110">
<div id="Body_BillingAddress__state_label" style="font-weight:bold;">State</div>
</td>
<td valign="middle" align="left"><select name="Body$BillingAddress$_state" id="Body_BillingAddress__state">
<option value=" ">Select State</option>
<option value="AK">Alaska</option>
<option value="AL">Alabama</option>
<option value="AR">Arkansas</option>
<option value="AZ">Arizona</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DC">District of Columbia</option>
<option value="DE">Delaware</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</option>
<option value="HI">Hawaii</option>
<option value="IA">Iowa</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="MA">Massachusetts</option>
<option value="MD">Maryland</option>
<option value="ME">Maine</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MO">Missouri</option>
<option value="MS">Mississippi</option>
<option value="MT">Montana</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="NE">Nebraska</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NV">Nevada</option>
<option value="NY">New York</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</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="VA">Virginia</option>
<option value="VI">Virgin Islands</option>
<option value="VT">Vermont</option>
<option value="WA">Washington</option>
<option value="WI">Wisconsin</option>
<option value="WV">West Virginia</option>
<option value="WY">Wyoming</option>
</select>
</td>
</tr>
<tr>
<td align="right" class="hdr" width="110">
<div id="Body_BillingAddress__zipcode_label" style="font-weight:bold;">Zip Code</div>
</td>
<td valign="middle" align="left"><input name="Body$BillingAddress$_zipcode" type="text" id="Body_BillingAddress__zipcode" maxlength="10" size="25" /></td>
</tr>
<tr>
<td></td><td></td>
<td>
<table style="width: 170px">
<tr>
<td style="text-align:center"><div id="Body_BillingAddress_Div2" style="COLOR: #999999">home</div></td>
<td style="text-align:center"><div id="Body_BillingAddress_Div3" style="COLOR: #999999">mobile</div></td>
<td style="text-align:center"><div id="Body_BillingAddress_Div4" style="COLOR: #999999; width: 37px;">work</div></td>
</tr>
</table>
</td>
</tr>
<tr>
<td align="right" class="hdr" width="110">
<div id="Body_BillingAddress__PrimaryPhone_label" style="font-weight:bold;">Primary Phone</div>
</td>
<td valign="middle" align="left"><input name="Body$BillingAddress$_PrimaryPhone" type="text" id="Body_BillingAddress__PrimaryPhone" maxlength="14" size="25" />
</td>
<td>
<table id="Body_BillingAddress_rdoPrimary" cellspacing="1" border="0" style="width:157px;margin-left: 0px;text-align:center">
<tr>
<td><input id="Body_BillingAddress_rdoPrimary_0" type="radio" name="Body$BillingAddress$rdoPrimary" value="H" checked="checked" /></td><td><input id="Body_BillingAddress_rdoPrimary_1" type="radio" name="Body$BillingAddress$rdoPrimary" value="M" /></td><td><input id="Body_BillingAddress_rdoPrimary_2" type="radio" name="Body$BillingAddress$rdoPrimary" value="W" /></td>
</tr>
</table>
</td>
</tr>
<tr>
<td align="right" class="hdr" width="110">
<div id="Body_BillingAddress__AlternatePhone_label" style="font-weight:bold;">Alternate Phone2<br /><font class='optionalText'>(optional) </font></div>
</td>
<td valign="middle" align="left"><input name="Body$BillingAddress$_Alt1Phone" type="text" id="Body_BillingAddress__Alt1Phone" maxlength="14" size="25" />
</td>
<td>
<table id="Body_BillingAddress_rdoAlt1" cellspacing="1" border="0" style="width:157px;margin-left: 0px;text-align:center">
<tr>
<td><input id="Body_BillingAddress_rdoAlt1_0" type="radio" name="Body$BillingAddress$rdoAlt1" value="H" /></td><td><input id="Body_BillingAddress_rdoAlt1_1" type="radio" name="Body$BillingAddress$rdoAlt1" value="M" checked="checked" /></td><td><input id="Body_BillingAddress_rdoAlt1_2" type="radio" name="Body$BillingAddress$rdoAlt1" value="W" /></td>
</tr>
</table>
</td>
</tr>
</table>
</td>
</tr>
<tr id="Body_trMobileAlerts">
<td align="left" style="padding-left:120px;padding-bottom:4px">
<input name="Body$MobileAlerts" type="checkbox" id="Body_MobileAlerts" />Send me special promotion mobile alerts
</td>
</tr>
<span id="Body_EmailTop">
<tr><td align="center" colspan="2" style="padding:10px;">Please provide your email address so we can send you order status information.</td></tr>
<tr>
<td id="Body_NewEmailAddress_label2" align="left" style="font-weight:bold;padding-left:34px;padding-right:10px;">Email Address
<input name="Body$NewEmailAddress2" type="text" id="Body_NewEmailAddress2" size="25" /></td>
</tr>
<tr>
<td align="left" style="padding-left:120px;padding-bottom:4px;padding-top:3px;"><input name="Body$WeeklyNewsletterSignup12" type="checkbox" id="Body_WeeklyNewsletterSignup12" checked="checked" />Email me weekly HSN newsletters and special offers</td>
</tr>
<tr>
<td align="left" style="padding-left:120px;padding-bottom:4px"><input name="Body$TSNewsletterSignup2" type="checkbox" id="Body_TSNewsletterSignup2" /> Email me the daily Today's Special</td>
</tr>
</span>
<tr id="Body_ShippingAddressSection" style="display:none;">
<td>
<table cellpadding="0" cellspacing="0" border="0" width="100%">
<tr><td align="left" class="CheckoutHeader" style="padding:3px;">Enter shipping information</td></tr>
<tr>
<td>
<input name="Body$_shipping_exist" type="hidden" id="Body__shipping_exist" />
<div style="padding:10px;" id="ShippingAddressForm">
<input name="Body$ShippingAddress$_ab_id" type="hidden" id="Body_ShippingAddress__ab_id" />
<table border="0" align="center" id="AddressValues">
<tr>
<td align="right" class="hdr" width="110">
<div id="Body_ShippingAddress__firstName_label" style="font-weight:bold;">First Name</div>
</td>
<td valign="middle" align="left"><input name="Body$ShippingAddress$_firstName" type="text" id="Body_ShippingAddress__firstName" maxlength="15" size="25" /></td>
<td align="right" valign="top" rowspan="8" width="*" style="padding-left:20px;">
<div align="left" style="border:1px solid #6587AA; padding:3px; width:150px;">
<strong>HSN tip:</strong><br/>Most items ship <i>faster</i> to a street address than to a P.O. Box
</div>
</td>
</tr>
<tr>
<td align="right" class="hdr" width="110">
<div id="Body_ShippingAddress__lastName_label" style="font-weight:bold;">Last Name</div>
</td>
<td valign="middle" align="left"><input name="Body$ShippingAddress$_lastName" type="text" id="Body_ShippingAddress__lastName" maxlength="15" size="25" /></td>
</tr>
<tr>
<td align="right" class="hdr" width="110">
<div id="Body_ShippingAddress__address1_label" style="font-weight:bold;">Address Line 1</div>
</td>
<td valign="middle" align="left"><input name="Body$ShippingAddress$_address1" type="text" id="Body_ShippingAddress__address1" maxlength="25" size="25" /></td>
</tr>
<tr>
<td align="right" class="hdr" width="110">
<div id="Body_ShippingAddress__address2_label" style="font-weight:bold;">Address Line 2<br /><font class='optionalText'>(optional) </font></div>
</td>
<td valign="middle" align="left"><input name="Body$ShippingAddress$_address2" type="text" id="Body_ShippingAddress__address2" maxlength="25" size="25" /></td>
</tr>
<tr>
<td align="right" class="hdr" width="110">
<div id="Body_ShippingAddress__city_label" style="font-weight:bold;">City</div>
</td>
<td valign="middle" align="left"><input name="Body$ShippingAddress$_city" type="text" id="Body_ShippingAddress__city" maxlength="20" size="25" /></td>
</tr>
<tr>
<td align="right" class="hdr" width="110">
<div id="Body_ShippingAddress__state_label" style="font-weight:bold;">State</div>
</td>
<td valign="middle" align="left"><select name="Body$ShippingAddress$_state" id="Body_ShippingAddress__state">
<option value=" ">Select State</option>
<option value="AK">Alaska</option>
<option value="AL">Alabama</option>
<option value="AR">Arkansas</option>
<option value="AZ">Arizona</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DC">District of Columbia</option>
<option value="DE">Delaware</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="GU">Guam</option>
<option value="HI">Hawaii</option>
<option value="IA">Iowa</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="MA">Massachusetts</option>
<option value="MD">Maryland</option>
<option value="ME">Maine</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MO">Missouri</option>
<option value="MS">Mississippi</option>
<option value="MT">Montana</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="NE">Nebraska</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NV">Nevada</option>
<option value="NY">New York</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="PR">Puerto Rico</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="VA">Virginia</option>
<option value="VI">Virgin Islands</option>
<option value="VT">Vermont</option>
<option value="WA">Washington</option>
<option value="WI">Wisconsin</option>
<option value="WV">West Virginia</option>
<option value="WY">Wyoming</option>
</select>
</td>
</tr>
<tr>
<td align="right" class="hdr" width="110">
<div id="Body_ShippingAddress__zipcode_label" style="font-weight:bold;">Zip Code</div>
</td>
<td valign="middle" align="left"><input name="Body$ShippingAddress$_zipcode" type="text" id="Body_ShippingAddress__zipcode" maxlength="10" size="25" /></td>
</tr>
<tr>
<td align="right" class="hdr" width="110">
<div id="Body_ShippingAddress__telephone_label" style="font-weight:bold;">Phone Number</div>
</td>
<td valign="middle" align="left"><input name="Body$ShippingAddress$_telephone" type="text" id="Body_ShippingAddress__telephone" maxlength="14" size="25" />
</td>
</tr>
</table>
</div>
</td>
</tr>
</table>
</td>
</tr>
</table>
</div>
<div style="border:1px solid #007DCA;">
<table cellpadding="0" cellspacing="0" border="0" width="100%">
<tr><td align="left" class="CheckoutHeader" style="padding:3px;">Enter payment information</td></tr>
<tr id="PaymentInformation">
<td style="padding:0px 0px 0px 0px;" valign="top">
<table style="margin-left: 0px;" border="0">
<tr>
<td valign="top" colspan=2 style="text-align:left;">
<table cellpadding="0" cellspacing="0" border="0">
<tr>
<td colspan=2 style="text-align:left;">
<input name="PaymentTypeSelection" id="IsPayPalNo" value="0" CHECKED type="radio" />Pay with a Credit or Debit Card
</td>
</tr>
<tr><td colspan=2 style="padding-left:22px; padding-top:5px;"><!-- Article Id = 1348 --><div align="left" style="padding:0px 0px 0px 0px;">
<img src="#" alt="" />
<img src="#" alt="" />
<img src="#" alt="" />
<img src="#" alt="" />
<img src="#" alt="" />
<img src="#" alt="" />
</div></td></tr>
</table>
</td>
</tr>
<tr>
<td valign="top" style="padding-left:0px;">
<table cellpadding="0" cellspacing="0" border="0">
<tr>
<td id="Body_CCNumber_label" align="right">Card Number </td>
<td><input name="Body$CCNumber" type="text" id="Body_CCNumber" size="25" /></td>
</tr>
<tr>
<td> </td>
<td style="font-size:9px; padding-top:4px;">Not required for HSN Card</td>
</tr>
<tr>
<td align="right"><label id="Body_CCExpirationDate_label">Expiration Date </label></td>
<td>
<select name="Body$CCExpirationDateMonth" id="Body_CCExpirationDateMonth" style="width:84px;">
<option value="0">month</option>
<option value="1">Jan  (1)</option>
<option value="2">Feb  (2)</option>
<option value="3">Mar  (3)</option>
<option value="4">Apr  (4)</option>
<option value="5">May  (5)</option>
<option value="6">Jun  (6)</option>
<option value="7">Jul  (7)</option>
<option value="8">Aug  (8)</option>
<option value="9">Sep  (9)</option>
<option value="10">Oct (10)</option>
<option value="11">Nov (11)</option>
<option value="12">Dec (12)</option>
</select>
<select name="Body$CCExpirationDateYear" id="Body_CCExpirationDateYear" style="width:60px;">
<option value="0">year</option>
<option value="2011">2011</option>
<option value="2012">2012</option>
<option value="2013">2013</option>
<option value="2014">2014</option>
<option value="2015">2015</option>
<option value="2016">2016</option>
<option value="2017">2017</option>
<option value="2018">2018</option>
<option value="2019">2019</option>
<option value="2020">2020</option>
<option value="2021">2021</option>
<option value="2022">2022</option>
<option value="2023">2023</option>
<option value="2024">2024</option>
<option value="2025">2025</option>
</select>
</td>
</tr>
<tr>
<td id="Body_CCNameOnCard_label" align="right" style="padding-top:8px;">Name on Card </td>
<td style="padding-top:8px;"><input name="Body$CCNameOnCard" type="text" id="Body_CCNameOnCard" size="25" /></td>
</tr>
<tr id="DebitCardRow">
<td id="Body_IsDebitCard_label" align="right" style="padding-top:6px;padding-left:20px">Is this a Debit Card? </td>
<td align="left" style="padding-top:6px;"><input name="IsDebitCard" id="IsDebitCardYes" value="1" type="radio" /> Yes <input name="IsDebitCard" id="IsDebitCardNo" value="0" type="radio" /> No</td>
</tr>
<tr>
<td align="left" colspan="2" style="padding:5px 0px 5px 20px;">
<input name="Body$SaveCC4Later" type="checkbox" id="Body_SaveCC4Later" checked="checked" />Save information for future purchases
<input name="Body$_ccID" type="hidden" id="Body__ccID" />
</td>
</tr>
</table>
</td>
<td style="padding-left:15px;" valign="top">
<div align="left" style="border:1px solid #6587AA; padding:3px;">
<strong>HSN Tip:</strong><br />HSN.com makes sure your information is protected and secured. View <a tabIndex='-1' style="text-decoration:underline;" class="hdr" >HSN's security policy</a>.
</div>
</td>
</tr>
<tr>
<td colspan=2 align=left>
<div id="NewCustCCPanel">
<div id="NewCustDivLine"></div>
<div id="NewCustOr">OR</div>
</div>
</td>
</tr>
<tr>
<td colspan="2" style="text-align:left;padding-bottom:5px;"><div style="float:left;padding-top:5px;"><input name="PaymentTypeSelection" id="IsPayPalYes" value="1" type="radio" /> Pay with PayPal</div><div style="float:left;padding-left:10px;margin-top:9px;"><a >Learn More</a></div><div style="float:left;padding-left:10px;"><img height="30px" width="48px" src="#" alt="" /></div></td>
</tr>
</table>
</td>
</tr>
</table>
</div>
<div id="Body_AccountForm" style="border:1px solid #007DCA;">
<table cellpadding="0" cellspacing="0" border="0" width="100%">
<tr><td align="left" colspan="2" class="CheckoutHeader" style="padding:3px;">Create Account</td></tr>
<tr id="Body_ProfileLabel">
<td colspan="2" align="left" style="padding-top:10px"> Enter a password <span id="Body_lblPasswordHeader">if you would like </span>to set up an hsn.com account</td>
</tr>
<tr>
<td style="padding:10px;">
<table border="0" cellpadding="0" cellspacing="0" width="100%">
<tr>
<td id="Body_NewPassword_label" align="right" style="padding-top:8px;">Create Password <span id="Body_lblCreatePassword"><br/><font class='optionalText'>(optional)</font> </span></td>
<td style="padding-top:8px;"><input name="Body$NewPassword" type="password" id="Body_NewPassword" size="25" /></td>
</tr>
<tr>
<td id="Body_RepeatNewPassword_label" align="right" style="padding-top:8px;">Repeat Password <span id="Body_lblRepeatPassword"><br/><font class='optionalText'>(optional)</font> </span></td>
<td style="padding-top:8px;"><input name="Body$RepeatNewPassword" type="password" id="Body_RepeatNewPassword" size="25" /></td>
</tr>
<tr>
<td id="Body_PasswordHintLabel" align="right" style="padding-top:8px;">Password Hint <br /><font class='optionalText'>(optional) </font></td>
<td style="padding-top:8px;"><input name="Body$NewPasswordHint" type="text" id="Body_NewPasswordHint" size="25" /></td>
</tr>
<tr>
<td></td>
<td align="left" colspan="2" style="font-size:10px;">(to remind yourself of your password)</td>
</tr>
</table>
</td>
<td valign="middle" rowspan="3">
<div align="left" style="width:160px;margin-right:3px;border:1px solid #6587AA; padding:2px;">
<strong>HSN Tip:<br />Save time during your<br />next visit!</strong><br />Simply enter a password to become an HSN member.
</div>
</td>
</tr>
</table>
</div>
<div align="right" style="padding:10px 5px 0px 0px;">
<input src="#" name="Body$ContinueButton" type="image" id="Body_ContinueButton" border="0" /><br />
<span style="font-size:11px;">(You can review this order before it's final)</span>
</div>
</td>
</tr>
</table>
</form>
</body>
</html>
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