<html>
<head><title>{{COMMNAME}} - Sign Up</title></head>
<body>
<form method="POST">
{{MESSAGE}}
<table width="85%" border="1" cellspacing="0" cellpadding="0" align="center">
<tr bgcolor="#3399FF">
<td>
<center>
<font color="#FFFFFF" face=Tahoma>New Account Sign Up</font>
</center>
</td>
</tr>
<tr>
<td height="32">
<center>
<center>
<font face=Tahoma><b>Sign up to get a free website</b> <br>
<br>
<table border=0 width=60%>
<tr align=left>
<td><font face=Tahoma size=-1><b>Terms and Conditions</b><br>
<br>
{{TERMS}}
<br>
</font></td>
</tr>
<tr>
<td bgcolor=LightSlateGray align=center> <font face=Tahoma size=-1>
<input type="checkbox" name="agree" value="1">
<b>I Agree to these Terms and Conditions</b></font></td>
</tr>
</table>
<br>
<table cellspacing=0 cellpadding=8 border=0>
<tr>
<td align=left><font face="Tahoma, Verdana, Arial, Helvetica, sans-serif" size="2">
<font color="FF0000">*</font>Your Username:</font></td>
<td align=left>
<input type="text" name="username" size="35" value="{{USERNAME}}">
</td>
</tr>
<tr>
<td align=left> <font face="Tahoma, Verdana, Arial, Helvetica, sans-serif" size="2">
<font color="FF0000">*</font>Your E-Mail Address:</font></td>
<td align=left>
<input type="text" name="email" size="35" value="{{EMAIL}}">
</td>
</tr>
<tr>
<td align=left> <font face="Tahoma, Verdana, Arial, Helvetica, sans-serif" size="2">
<font color="FF0000">*</font>Your Name:</font></td>
<td align=left>
<input type="text" name="name" size="35" value="{{NAME}}">
</td>
</tr>
<tr>
<td align=left><font face="Tahoma, Verdana, Arial, Helvetica, sans-serif" size="2" color="#FF0000">*</font><font face="Tahoma, Verdana, Arial, Helvetica, sans-serif" size="2">Group:</font></td>
<td align=left>
<select name="group">
{{GROUPS}}
</select>
</td>
</tr>
<tr>
<td></td>
<td align=center>
<div align="left">
<input type="submit" name="funcbtn" value="Sign Up">
</div>
</td>
</tr>
</table>
</font>
</center>
</center>
</td>
</tr>
</table>
</form>
</body>
</html>