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- <html>
- <head>
- <title>Register A New Account</title>
- <link rel="stylesheet" type="text/css" href="topbar.css"/>
- </head>
- <body>
- <br><br><br>
- <form name="register" action="register_account.php" method="post">
- <table class="center" align="center" cellpadding="5">
- <tr>
- <td colspan="4"><img src="logo.jpg" class="center" width="150" height="100"></td>
- </tr>
- <tr>
- <td>Desired Username: </td>
- <td colspan="3"><input type="text" name="username"></td>
- </tr>
- <tr>
- <td>Password: </td>
- <td colspan="3"><input type="password" name="password1"></td>
- </tr>
- <tr>
- <td>Confirm Password: </td>
- <td colspan="3"><input type="password" name="password2"></td>
- </tr>
- <tr>
- <td>Email: </td>
- <td colspan="3"><input type="text" name="email"></td>
- </tr>
- <tr>
- <td>Date of Birth: </td>
- <td><input type="text" name="month" value="MM" maxlength="2" size="2"></td>
- <td><input type="text" name="day" value="DD" maxlength="2" size="2"></td>
- <td><input type="text" name="year" value="YYYY" maxlength="4" size="4"></td>
- </tr>
- <tr>
- <td colspan="2" class="right"><input type="submit" value="Register!"></td>
- <td colspan="2" class="left"><input type="reset" value="Clear"></td>
- </tr>
- </table>
- </form>
- <p class="center">All fields are <u>required</u></p>
- </body>
- </html>
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