<!-- This Script is from http://blogtoolskit.blogspot.com/, Provided by: Technology Kick -->

<table style="border-width: 0px;width: 287px; height: 107px">
<tr>
<td style="border-style: solid;border-width: 0px;background-color: #DFFFFF;">
<form action="" method="post" >
<h1>Register</h1>
<table style="border:0px solid #000000;">
<tr>
<td align="right">
Username: <input type="text" size="15" maxlength="25" name="username0">
</td>
</tr>
<tr>
<td align="right">
Password: <input type="password" size="15" maxlength="25" name="password0">
</td>
</tr>
<tr>
<td align="right">
Confirm Password: <input type="password" size="15" maxlength="25" name="cpassword">
</td>
</tr>
<tr>
<td align="right">
Email: <input type="text" size="15" maxlength="25" name="email">
</td>
</tr>
<tr>
<td align="center">
<input type="submit" value="Register">
</td>
</tr>
</table>
</form></td>
</tr>
</table>
<br>

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