{include file="shared:layouts/comp_create_navbar.tpl"}
<br />
<table width="100%">
<tr>
  <td valign="top">
   <h2>Already a Member?:</h2>
   Login..
  </td>
  <td valign="top">
   <h2>Create an Account:</h2>
   <table>
   <tr>
     <td>First Name:</td>
     <td><input type="text" /></td>
   </tr>
   <tr>
     <td>Last Name:</td>
     <td><input type="text" /></td>
   </tr>
   <tr>
     <td>Userame:</td>
     <td><input type="text" /></td>
   </tr>
   <tr>
     <td>Email:</td>
     <td><input type="text" /></td>
   </tr>
   <tr>
     <td>Password:</td>
     <td><input type="text" /></td>
   </tr>
   <tr>
     <td>Retype Pass:</td>
     <td><input type="text" /></td>
   </tr>
   <tr>
     <td>Birth Date:</td>
     <td><input type="text" size="2" /> <input type="text" size="2" /> <input type="text" size="2" /> </td>
   </tr>
   <tr>
     <td>Current Weight:</td>
     <td><input type="text" /></td>
   </tr>
   <tr>
     <td>Hide Weight?:</td>
     <td><input type="radio" checked="checked" /> Yes <input type="radio" /> No </td>
   </tr>
   <tr>
     <td>Gender?:</td>
     <td nowrap="nowrap"><input type="radio" /> Not Specified <input type="radio" checked="checked" /> Male <input type="radio" /> Female</td>
   </tr>
   <tr>
     <td>Terms:</td>
     <td><input type="checkbox" /> I have read and agree to the <a href="#">Terms of Use</a>.</td>
   </tr>
   <tr>
     <td>&nbsp;</td>
     <td><input type="button" value="Create My Account!" onclick="location.replace('?pg=compCreate/step4');" /></td>
   </tr>
   </table>
  </td>
</tr>
</table>