<div class="sign_up">
                            	<div class="form_heading">
                                	<h5>Create an Account</h5>
                                </div><!--end of form_heading-->
                                <div class="form_leftwrap">
                                	<div class="form_rightwrap">
                                    	<div class="form_midwrap">
                                        	<form action="#" method="post">
                                            	<label>Full Name:</label>
                                                <div class="textbox_wrapper">
                                                	<input type="text" name="fullname" value="" class="textbox" />
                                                </div><!--end of textbox_wrapper-->
                                                <label>Username:</label>
                                                <div class="textbox_wrapper">
                                                	<input type="text" name="username" value="" class="textbox" />
                                                </div><!--end of textbox_wrapper-->
                                                <label>Email Address:</label>
                                                <div class="textbox_wrapper">
                                                	<input type="text" name="email" value="" class="textbox" />
                                                </div><!--end of textbox_wrapper-->
                                                <p class="infonote">We promise not to share your email address to others.</p>
                                                <label>Password:</label>
                                                <div class="textbox_wrapper">
                                                	<input type="text" name="password" value="" class="textbox" />
                                                </div><!--end of textbox_wrapper-->
                                                <p class="infonote">Must contain one lowercase letter, one number, and be at least 7 characters long</p>
                                                <label>Password Confirmation:</label>
                                                <div class="textbox_wrapper">
                                                	<input type="text" name="confirm_password" value="" class="textbox" />
                                                </div><!--end of textbox_wrapper-->
                                                <label>Zipcode:</label>
                                                <div class="textbox_wrapper">
                                                	<input type="text" name="zipcode" value="" class="textbox" />
                                                </div><!--end of textbox_wrapper-->
                                                <div class="form_btmwrap">
                                                    <input type="image" src="images/button_createanaccount.png" alt="Create an Account" class="button" />
                                                    <ul class="formoption">
                                                        <li><a href="login.html">Sign-In</a></li>
                                                        <li><a href="forgot_password.html">Forgot your password</a></li>
                                                        <li><a href="#">Sign-in with facebook</a></li>
                                                    </ul>
                                                    <div class="clear"></div><!--end of clear-->
                                                </div><!--end of form_btmwrap-->
                                            </form>
                                        </div><!--end of form_midwrap-->
                                    </div><!--end of form_rightwrap-->
                                </div><!--end of form_leftwrap-->
                            </div><!--end of sign_up-->