<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"><html xmlns="http://www.w3.org/1999/xhtml"><head><meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1" /><title></title><style type="text/css">#register { float: left;}#contactinfo { padding-left: 275px;}</style></head><body><div id="container"> <div id="header"> <h1>My Amazing Web Site </h1> </div> <div id="wrapper"> <div id="content"> <h2>Contact Form</h2> <form id="regform" name="regform" method="post" action=""> <div id="register"> <h4>Register</h4> <label for="fmlogin">Login</label> <input type="text" name="fmlogin" id="fmlogin" /> <label for="fmemail">Email Address</label> <input type="text" name="fmemail" id="fmemail" /> <label for="fmemail2">Confirm Address</label> <input type="text" name="fmemail2" id="fmemail2" /> <label for="fmpswd">Password</label> <input type="password" name="fmpswd" id="fmpswd" /> <label for="fmpswd2">Confirm Password</label> <input type="password" name="fmpswd2" id="fmpswd2" /> </div> <div id="contactinfo"> <h4>Contact Information</h4> <label for="fmfname">First Name</label> <input type="text" name="fmfname" id="fmfname" /> <label for="fmlname">Last Name</label> <input type="text" name="fmlname" id="fmlname" /> <label for="fmaddy1">Address 1</label> <input type="text" name="fmaddy1" id="fmaddy1" /> <label for="fmaddy2">Address 2</label> <input type="text" name="fmaddy2" id="fmaddy2" /> <label for="fmcity">City</label> <input type="text" name="fmcity" id="fmcity" /> <label for="fmstate">State or Province</label> <input type="text" name="fmstate" id="fmstate" /> <label for="fmzip">Zip</label> <input type="text" name="fmzip" id="fmzip" size="5" /> <label for="fmcountry">Country</label> <input type="text" name="fmcountry" id="fmcountry" /> <input type="submit" name="submit" value="send" class="submit" /> </div> </form> </div> </div></div></body></html>
