<var C = GLOBAL.Def.Style.color>
<ensure variable="att.btnclass" value="">


<div id="sign_up_form"><postform>
<var fillInEmail = 1>
<var fillInPassword = 1>

<postfail>
<hr style="display:none;"><div style="display:none;"><small>&nbsp;</small></div>
<div>&nbsp;</div>
<div style="border:1px solid red; padding:7px; border-radius:7px;">
<tag.sign_up_error_message>
#return#
</div>
<div style="display:none;"><small>&nbsp;</small></div><hr style="display:none;">
<div>&nbsp;</div>
</postfail>

<postneutral>

<div style="margin-bottom:0.3em;">
Your Full Name:
<div style="padding:5px;">
<var val = "">
<if isdefined("post.n1_name")><var val = post.n1_name></if>
<input class="<if get.s1 NEQ "" AND NOT ( isDefined("att.focus") AND att.focus EQ 0 )>select_this</if> human_test_trigger" name="1_name" value="#val#">
</div>
</div>

<div style="margin-bottom:0.3em;">
City:
<div style="padding:5px;">
<var val = "">
<if isdefined("post.n1_city")><var val = post.n1_city></if>
<input name="1_city" value="#val#" class="">
</div>
</div>

<div style="margin-bottom:0.3em;">
State:
<div style="padding:5px;">
<var val = "">
<if isdefined("post.n1_state")><var val = post.n1_state></if>
<tag.return_list_of_states>
<var _states = return>
<select name="1_state" id="1_state">
<option value="">(select)</option>
<loop list="#_states#" index="x">
<option value="#x#">#x#</option>
</loop>
</select>
</div>
</div>

<div style="margin-bottom:0.3em;">
Your Email:
<div style="padding:5px;">
<var val = "">
<if isdefined("post.n1_email") AND fillInEmail EQ 1><var val = post.n1_email></if>
<input name="1_email" value="#val#" id="sign_up_email" class="human_test_trigger">
</div>
</div>

<div style="margin-bottom:0.3em;">
New Password:
<div style="padding:5px;">
<var val = "">
<if isdefined("post.n1_password") AND fillInPassword EQ 1><var val = post.n1_password></if>
<input type="password" name="1_password" id="sign_up_email" value="#val#" class="human_test_trigger">
</div>
</div>

<div id="human_test" style="display:none; margin-bottom:0.3em;">
Human Test:
<div style="padding:5px;">
<div style="padding:3px; padding-left:0px;">
<captcha chars="6" width="210" height="70">
</div>
<div style="width:86%; margin-top:0.12em;"><small>
Please enter the text you see
in the image.
</small></div>
</div>
</div>

<input type="hidden" name="1_posttype" value="insert" style="display:none;">
<input type="hidden" name="1_orb" value="user" style="display:none;">

<div>&nbsp;</div>

<div>
<input tabindex="3" class="#att.btnclass#" type="submit" value="Sign me up" style="cursor:pointer;">
</div>
<div>&nbsp;</div>
<div>&nbsp;</div>


</postneutral>

</postform></div>