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- </td>
- <td width="3" bgcolor="#FFFFFF" align="right" valign="top"></td>
- <td width="10" align="left" valign="top"><img src="img/shadow1.gif" border="0" width="10" height="32"></td>
- <td width="525" align="left" valign="top"><img src="img/shadow1.gif" border="0" width="525" height="32"><br>
- Fields marked with * are required
- <BR><BR>
- <BR><BR>
- * Username: <input type="text" name="user" size="25" maxlength="12"
- <BR><BR>
- * Password: <input type="password" name="pass" size="25" maxlength="20"
- <BR><BR>
- Email: <input type="text" name="mail" size="25" maxlength="25"
- <BR><BR>
- <br> <input type="submit" value="Submit"> <input type="reset" value="Reset"><br>
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