<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN">

<html lang="zh">

	<!-- #BeginTemplate "locked:" -->

		<head>
			<meta http-equiv="content-type" content="text/html;charset=GB2312">
			<meta name="generator" content="Adobe GoLive">
			<title>Form | Registration</title>
		</head>

		<body bgcolor="#ffffff">
			<div align="center">
				<form action="(EmptyReference!)">
					<table width="400" border="0" cellspacing="0" cellpadding="5">
						<tr>
							<td>
								<table class="cellcolor" width="400" border="0" cellspacing="0" cellpadding="5" bgcolor="#cece63">
									<tr>
										<td>
											<h3><!-- #BeginEditable "SiteRegistration" --><span class="rev_type">&#x7AD9;&#x70B9;&#x6CE8;&#x518C;</span><!-- #EndEditable --></h3>
										</td>
									</tr>
								</table>
							</td>
						</tr>
						<tr>
							<td><!-- #BeginEditable "FirstName:" -->&#x540D;&#x5B57;&#xFF1A; <input type="text" name="textfieldName1" size="25" maxlength="25" border="0">
<!-- #EndEditable --></td>
						</tr>
						<tr>
							<td><!-- #BeginEditable "LastName:" -->&#x59D3;&#x6C0F;&#xFF1A; <input type="text" name="textfieldName2" size="25" border="0">
<!-- #EndEditable --></td>
						</tr>
						<tr>
							<td><!-- #BeginEditable "Address:" -->&#x5730;&#x5740;&#xFF1A; <input type="text" name="textfieldName3" size="40" border="0">
<!-- #EndEditable --></td>
						</tr>
						<tr>
							<td><!-- #BeginEditable "City:" -->&#x57CE;&#x5E02;&#xFF1A; <input type="text" name="textfieldName4" size="25" border="0">
<!-- #EndEditable --></td>
						</tr>
						<tr>
							<td><!-- #BeginEditable "Region" --><select name="selectState" size="1">
										<option value="one">&#x7701;/&#x5E02;/&#x81EA;&#x6CBB;&#x533A;</option>
										<option value="two">&#x7701;/&#x5E02;/&#x81EA;&#x6CBB;&#x533A; #1</option>
										<option value="three">&#x7701;/&#x5E02;/&#x81EA;&#x6CBB;&#x533A; #2</option>
									</select><!-- #EndEditable --></td>
						</tr>
						<tr>
							<td><!-- #BeginEditable "Zip:" -->&#x90AE;&#x7F16;&#xFF1A;<input type="text" name="textfieldName5" size="10" border="0">
<!-- #EndEditable --></td>
						</tr>
						<tr>
							<td><!-- #BeginEditable "Region2" --><select name="selectCountry" size="1" >
										<option selected value="one">&#x56FD;&#x5BB6;/&#x5730;&#x533A;</option>
										<option value="two">&#x56FD;&#x5BB6;/&#x5730;&#x533A; #1</option>
										<option value="three">&#x56FD;&#x5BB6;/&#x5730;&#x533A; #2</option>
									</select><!-- #EndEditable --></td>
						</tr>
						<tr>
							<td><!-- #BeginEditable "email:" -->&#x7535;&#x5B50;&#x90AE;&#x4EF6;&#xFF1A; <input type="text" name="textfieldName6" size="30" border="0">
<!-- #EndEditable --></td>
						</tr>
						<tr>
							<td><!-- #BeginEditable "Password:" -->&#x5BC6;&#x7801;&#xFF1A;<input type="password" name="textfieldName7" size="15" maxlength="15" border="0">
<!-- #EndEditable --></td>
						</tr>
						<tr>
							<td><!-- #BeginEditable "Password:2" -->&#x5BC6;&#x7801;&#xFF1A; <input type="password" name="textfieldName8" size="15" maxlength="15" border="0">
<!-- #EndEditable --></td>
						</tr>
						<tr>
							<td>
								<div align="left">
									<!-- #BeginEditable "Region3" --><input type="submit" name="submitButtonName" value=" &#x63D0;&#x4EA4;&#x6CE8;&#x518C;&#x4FE1;&#x606F;" border="0"><!-- #EndEditable --></div>
							</td>
						</tr>
					</table>
				</form>
			</div>
		</body>

	<!-- #EndTemplate -->

</html>

