<!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>Split Form Design</title>
<style>
.htmlForm td{
font-family:Verdana, Arial, Helvetica, sans-serif;
font-size:12px;
color:#CC3300;
border-bottom:1px #EAE3C8 solid;
}
.htmlForm input,select{
border:1px #BDB597 solid;
font-family:tahoma;
font-size:12px;
padding:2px;
}
.points{
font-family:tahoma;
font-size:11px;
color:#CC3300;
padding-left:20px;
padding-top:20px;
}
.points li{
padding-top:5px;
}
.formHeading{
font-family:Arial, Helvetica, sans-serif;
font-size:16px;
font-weight:bold;
color:#CC3300;
padding:10px;
}
</style>
</head>
<body>
<!-- The outter table to contain the form and the instruction panel -->
<table width="650px" border="0" cellpadding="2px" cellspacing="1px" bgcolor="#FFCC66">
<tr bgcolor="#FFFFDD">
<td width="2px" bgcolor="#FFCC66"></td>
<td width="400px">
<div class="formHeading">Registration Form</div>
<!-- The inner table below is a container for form -->
<table width="100%" border="0" cellpadding="3px" class="htmlForm" cellspacing="0">
<tr>
<td colspan="2"> </td>
</tr>
<tr>
<td align="left">First Name</td>
<td width="220px"><input type="text" size="32" /></td>
</tr>
<tr>
<td align="left">Last Name</td>
<td><input type="text" size="32" /></td>
</tr>
<tr>
<td align="left">Email</td>
<td><input type="text" size="32" /></td>
</tr>
<tr>
<td align="left">Password</td>
<td><input type="text" size="32" /></td>
</tr>
<tr>
<td align="left">City</td>
<td><input type="text" size="32" /></td>
</tr>
<tr>
<td align="left">Country</td>
<td>
<select style="width:150px">
<option> - Select Country -</option>
</select>
</td>
</tr>
<tr>
<td align="left">Zip</td>
<td><input type="text" style="width:150px"/></td>
</tr>
<tr>
<td align="left">Gender</td>
<td>
<input type="radio" name="gender" />Male
<input type="radio" name="gender" />Female
</td>
</tr>
<tr>
<td colspan="2"> </td>
</tr>
</table>
</td>
<td valign="top">
<ul class="points">
<li>First Name and Last Name are optional</li>
<li>Your email will be used as your login id</li>
<li>Password must be at least 5 characters long</li>
<li>Zip code must be a 5 digit numbber</li>
</ul>
</td>
</tr>
<tr bgcolor="#FFCC66">
<td> </td>
<td colspan="2">
<input type="button" value="Save" />
<input type="button" value="Cancel" />
</td>
</tr>
</table>
</body>
</html>