📄 body_register.html
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<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 3.2 FINAL//EN">
<HTML>
<HEAD>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=ISO-8859-1">
<META NAME="Generator" CONTENT="NetObjects Fusion 4.0 Trial for Windows">
<TITLE>Register</TITLE>
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<BODY BACKGROUND="../FunkshowBackgr.gif" LINK="#99CCCC" VLINK="#CCCC99" TEXT="#FFFFCC" onLoad="F_onLoaded()">
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<FORM NAME="RegistrationForm1" ACTION="body_register.html" METHOD=POST>
<TABLE BORDER=0 CELLSPACING=0 CELLPADDING=0 WIDTH=212 NOF="LayoutRegion1">
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<TD></TD>
<TD WIDTH=60><P>Register</TD>
</TR>
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<TABLE BORDER=0 CELLSPACING=0 CELLPADDING=0 NOF="LayoutRegion1">
<TR VALIGN=TOP ALIGN=LEFT>
<TD WIDTH=76 HEIGHT=17><IMG SRC="../clearpixel.gif" WIDTH=76 HEIGHT=1 BORDER=0></TD>
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<TD></TD>
<TD WIDTH=348>
<TABLE ID="Table1" BORDER=0 CELLSPACING=3 CELLPADDING=1 WIDTH=348>
<TR>
<TD WIDTH=116><P>Login</TD>
<TD WIDTH=219><P><INPUT ID="FormsEditField30" TYPE=TEXT NAME="LoginName" VALUE="" SIZE=20 MAXLENGTH=20> </TD>
</TR>
<TR>
<TD WIDTH=116><P>Password</TD>
<TD WIDTH=219><P><INPUT ID="FormsEditField28" TYPE=PASSWORD NAME="Password" VALUE="" SIZE=20 MAXLENGTH=20> </TD>
</TR>
<TR>
<TD WIDTH=116><P>Confirm Password</TD>
<TD WIDTH=219><P><INPUT ID="FormsEditField27" TYPE=PASSWORD NAME="ConfirmPassword" VALUE="" SIZE=20 MAXLENGTH=20> </TD>
</TR>
<TR>
<TD WIDTH=116><P>First Name</TD>
<TD WIDTH=219><P><INPUT ID="FormsEditField26" TYPE=TEXT NAME="Firstname" VALUE="" SIZE=20 MAXLENGTH=20> </TD>
</TR>
<TR>
<TD WIDTH=116><P>Middle Name</TD>
<TD WIDTH=219><P><INPUT ID="FormsEditField25" TYPE=TEXT NAME="MiddleName" VALUE="" SIZE=20 MAXLENGTH=20> </TD>
</TR>
<TR>
<TD WIDTH=116><P>Last Name</TD>
<TD WIDTH=219><P><INPUT ID="FormsEditField24" TYPE=TEXT NAME="LastName" VALUE="" SIZE=20 MAXLENGTH=20> </TD>
</TR>
<TR>
<TD WIDTH=116><P>Email add</TD>
<TD WIDTH=219><P><INPUT ID="FormsEditField23" TYPE=TEXT NAME="Email" VALUE="" SIZE=20 MAXLENGTH=30> </TD>
</TR>
<TR>
<TD WIDTH=116><P>Confirm Email add</TD>
<TD WIDTH=219><P><INPUT ID="FormsEditField22" TYPE=TEXT NAME="ConfirmEmail" VALUE="" SIZE=20 MAXLENGTH=30> </TD>
</TR>
<TR>
<TD WIDTH=116 HEIGHT=27><P>Date of Birth</TD>
<TD WIDTH=219><P>
<SELECT ID="FormsComboBox2" NAME="dd">
<OPTION VALUE="01" SELECTED>01</OPTION>
<OPTION VALUE="02">02</OPTION>
<OPTION VALUE="03">03</OPTION>
<OPTION VALUE="04">04</OPTION>
<OPTION VALUE="05">05</OPTION>
<OPTION VALUE="06">06</OPTION>
<OPTION VALUE="07">07</OPTION>
<OPTION VALUE="08">08</OPTION>
<OPTION VALUE="09">09</OPTION>
<OPTION VALUE="10">10</OPTION>
<OPTION VALUE="11">11</OPTION>
<OPTION VALUE="12">12</OPTION>
<OPTION VALUE="13">13</OPTION>
<OPTION VALUE="14">14</OPTION>
<OPTION VALUE="15">15</OPTION>
<OPTION VALUE="16">16</OPTION>
<OPTION VALUE="17">17</OPTION>
<OPTION VALUE="18">18</OPTION>
<OPTION VALUE="19">19</OPTION>
<OPTION VALUE="20">20</OPTION>
<OPTION VALUE="21">21</OPTION>
<OPTION VALUE="22">22</OPTION>
<OPTION VALUE="23">23</OPTION>
<OPTION VALUE="24">24</OPTION>
<OPTION VALUE="25">25</OPTION>
<OPTION VALUE="26">26</OPTION>
<OPTION VALUE="27">27</OPTION>
<OPTION VALUE="28">28</OPTION>
<OPTION VALUE="29">29</OPTION>
<OPTION VALUE="30">30</OPTION>
<OPTION VALUE="31">31</OPTION>
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<SELECT ID="FormsComboBox1" NAME="mm">
<OPTION VALUE="Jan" SELECTED>January</OPTION>
<OPTION VALUE="Feb">February</OPTION>
<OPTION VALUE="Mar">March</OPTION>
<OPTION VALUE="April">April</OPTION>
<OPTION VALUE="May">May</OPTION>
<OPTION VALUE="June">June</OPTION>
<OPTION VALUE="July">July</OPTION>
<OPTION VALUE="August">August</OPTION>
<OPTION VALUE="Sept">September</OPTION>
<OPTION VALUE="Oct">October</OPTION>
<OPTION VALUE="Nov">November</OPTION>
<OPTION VALUE="Dec">December</OPTION>
</SELECT>
<INPUT ID="FormsEditField31" TYPE=TEXT NAME="yy" VALUE="" SIZE=4 MAXLENGTH=10> </TD>
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<TD HEIGHT=24></TD>
<TD WIDTH=63><INPUT TYPE=SUBMIT NAME="FormsButton4" VALUE="NEXT" ID="FormsButton4"></TD>
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<TD WIDTH=78><INPUT TYPE=SUBMIT NAME="FormsButton5" VALUE="RESET" ID="FormsButton5"></TD>
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</FORM>
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</TD>
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</TABLE>
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