<h1 align="center"><font face="Verdana"><hr>Registration form</font></h1>
<hr><font face="Verdana" size="1">
<TABLE BORDER="0" ALIGN="center">
<TR><TD>Enter Username: </TD>
<TD><INPUT TYPE="text" NAME="Enter Username" SIZE="40" MAXLENGTH="80"></TD></TR>
<TR><TD>Enter password:</TD>
<TD><INPUT TYPE="password" NAME="password" SIZE="40" MAXLENGTH="80"></TD></TR>
<TR><TD>Retype password:</TD>
<TD><INPUT TYPE="password" NAME="password" SIZE="40"
MAXLENGTH="80"></TD></TR>
<TR><TD VALIGN="top">Your age:</TD>
<TD><INPUT TYPE="radio" NAME="Age" VALUE="1-20"> < 20
<BR><INPUT TYPE="radio" NAME="Age" VALUE="21-30" CHECKED> 21-30
<BR><INPUT TYPE="radio" NAME="Age" VALUE="31-50"> 31-50
<BR><INPUT TYPE="radio" NAME="Age" VALUE="50"> > 50
</TD></TR>
<TR><TD>Ethnicity</TD>
<TD>
<SELECT NAME="Ethnicity">
<OPTION VALUE=”eur” SELECTED>European
<OPTION VALUE=”nam”>North American
<OPTION VALUE=”sam”>South American
<OPTION VALUE=”bri”>British
<OPTION VALUE=”afr”>African
<OPTION VALUE=”aus”>Australasian
<OPTION VALUE=”asi”>Asian
<OPTION VALUE=”smu”>Smurf
</SELECT>
</TD></TR>
<TR><TD VALIGN="top">What are<BR>your interest?</TD>
<TD>
<SELECT NAME="found" SIZE="3">
<OPTION>Web Search
<OPTION>Link on another site
<OPTION>Told about it
<OPTION>Other
</SELECT></TD></TR>
<TR><TD VALIGN="top">Site suggestions:</TD>
<TD><TEXTAREA NAME="suggestion" ROWS=2 COLS=35>Type your suggestion here
</TEXTAREA></TD></TR>
<TR><TD VALIGN="top">Other comments:</TD>
<TD><TEXTAREA NAME="comment" ROWS=2 COLS=35>Additional comments here
</TEXTAREA></TD></TR>
<TR><TD COLSPAN="2" ALIGN="center">
<INPUT TYPE="SUBMIT" NAME="Submit" VALUE="Submit">
<INPUT TYPE="RESET" NAME="Reset" VALUE="Reset"></TD></TR>
</TABLE>