?>

<div class='content_bottom'>

  <h2></h2>
  
  <br><br>
  
  <table cellpadding='3' cellspacing='0' class='form'>
  <form action='signup.php' method='POST' name='signupstepone'>
  <input type='hidden' name='g_id' value=''>
  <tr>
  <td class='form1'></td>
  <td class='form2'><font class='code'>http://www.desiblogz.com/?w=&nbsp;<input type='text' class='text' name='weblog' maxlength='20' size='15' value='' tabindex='2'>&nbsp;</font><div class='help'></div></td>
  </tr>
  <input type='hidden' name='title' value=''><input type='hidden' name='wc_id' value='0'><input type='hidden' name='description' value=''>
  <tr>
  <td class='form1'>*</td>
  <td class='form2'><input type='text' class='text' name='username' maxlength='20' size='20' value='' tabindex='6'><br></td>
  </tr>
  
  <input type='hidden' name='password1' value='fGq84sEI'>
  <input type='hidden' name='password2' value='fGq84sEI'>
  
  <tr>
  <td class='form1'>*</td>
  <td class='form2'><input type='text' class='text' name='secure_question' maxlength='100' size='20' value='' tabindex='9'><br></td>
  </tr>
  <tr>
  <td class='form1'>*</td>
  <td class='form2'><input type='text' class='text' name='secure_answer' maxlength='100' size='20' value='' tabindex='9'><br></td>
  </tr>
  <tr>
  <td class='form1'>*</td>
  <td class='form2'><input type='text' class='text' name='email' maxlength='100' size='20' value='' tabindex='9'><br></td>
  </tr>
  
  <input type='hidden' name='code_sent' value=''>
  <input type='hidden' name='agree' value=''>
  </table>
  <br>
  <input type='submit' value='' class='button' tabindex='12'>
  <input type='hidden' name='task' value='step_two'>
  </form>
  
</div>