<form name="form1" method="post" action="">
<table width="58%" border="0" align="center" cellpadding="0" cellspacing="0">
<tr><BR><BR>
<td colspan="6" bgcolor="#FF0000"><div align="center" class="style1"><font color=white>Neuen Teampartner Registrieren!</div></td>
</tr>
<tr>
<td><BR><font color=#0000B2>Name:</td>
<td><BR><div align="center" colspan="4"><input name="contact" type="text" id="contact" value="<? echo $contact ?>"></div></td>
</tr>
<tr>
<td><font color=#0000B2>E-Mail:</td>
<td><div align="center" colspan="4"><input name="email" type="text" id="email" value="<? echo $email ?>"></td>
</tr>
<tr>
<td><font color=#0000B2>Passwort:</td>
<td><div align="center" colspan="4"><input name="password" type="password" id="password"></td>
</tr>
<tr>
<td><font color=#0000B2>Passwort wdh.:</td>
<td><div align="center" colspan="4"><input name="confirm_password" type="password" id="confirm_password"></td>
</tr>
<tr>
<td><BR><div colspan="6"><font color=#0000B2>Referal ID:</td>
<td><BR><div align="center" colspan="4"><input name="website_url" type="text" id="website_url" value='<? echo $id ?>' ></td></tr>
<td> </td>
<td> </td>
</tr>
<tr>
<td colspan="2"><BR><div align="center">
<input name="terms" type="checkbox" id="terms" value="agree" checked>
<font color=#0000B2>Ich akzeptiere die<a href="index.php?action=terms" target="_blank"><font color=#0000B2> AGB´s </a>!<BR><BR></div></td>
</tr>
<tr>
<td colspan="2"><div align="center">
<input name="signup" type="submit" id="signup" value="SIGN-UP"><BR><BR>
</div></td>
</tr>
</table>
</form>