<?php

echo <<<CODE1
<fieldset style="background-image:url(background.jpg); color:white;">
<form action="verifyid.php" onsubmit="return validate_form(this)" method="get">
Facebook Identification Number: <input type="int" maxlength="15" name="fb_id" />
<input type="submit" value="Submit" />
<br>
You will need to enter your FB ID to continue.  To find this number, you can view your profile and copy and paste the number in the URL.
</form>
</fieldset>
CODE1;

?>