Untitled

<html>
<body style="background-color:#0099FF;">

<h1 style="color:white;">The Coders Network</h1>
<hr />

<h2 style="color:white;">Register</h2>
<form>
First Name: <input type="text" name="firstname" />
<br />
Last Name: <input type="text" name="lastname" />
<br />
Email: <input type="text" name="email" />
<br />
<input type="radio" name="gender" value="male" /> Male<br />
<input type="radio" name="gender" value="femaile" /> Female<br />
Username: <input type="text" name="username" />
<p style="color:white;">Please note this will be your login name and your forum username so make sure you remember this.</p>
<br/>
Password: <input type="password" name="pwd" />
<p style="color:white;">Please verify you are 13 or older.</p>
<input type="checkbox" name="ageverify" value="I am 13 or older" /> I Am 13 Or Older <br />
<br />
<br />
<p style="color:white;">By reading this you agree to follow the rules of TCN. If you are found breaking any you will be banned and we have the ability to ban you for no reason at all even if you have done everything possible for this site.</p>
<input type="checkbox" name="agree?" value="I Agree" /> I Agree
<br />
<br />

<input type="submit" value="Submit" />

</form>


</body>
</html>