var DisplayFormHTML = "\
<form method=\"post\" name=\"join\" action=\"join_do.php\" onsubmit=\"return validate();\">\
  <table align=\"center\">\
      <tr valign=\"baseline\">\
      <td align=\"right\">Unique Login ID:\
		  <a href=\"#101\" title=\"Show Help\" onclick=\"return AlertShow('101');\"><img src=\"../comn/images/but_h20_help_grey.gif\" /></a>\
		  <div class=\"alert_content\" id=\"101\">\
		<h1>Unique Login ID</h1>\
		<a href=\"#\" title=\"Close\" onclick=\"return AlertClose();\" class=\"alert_content_close\"><img src=\"../comn/images/but_h20_x_grey.gif\" /></a>\
		<br clear=\"all\" />\
		  <p>Create a unique name/ID that will be easy for you to remember. You will be able to use this ID to log in to your account.\
		  This can be easier than remembering a long number.</p><p>This ID will be completely unique. You can't have the same unique ID as someone else.</p>\
		  <p>Example: John2009London or JAS-2009-L</p>\
		  </div>\
	  </td>\
      <td>\
	  <input type=\"text\" name=\"unique_name\" id=\"unique_name\" value=\"\" autocomplete=\"off\" onkeyup=\"AJAX_CheckUniqueID();\" size=\"32\"> <span id=\"a\"></span>\
	  </td>\
    </tr>\
    <tr valign=\"baseline\">\
      <td align=\"right\">Profile Name:\
	  	  <a href=\"#102\" title=\"Show Help\" onclick=\"return AlertShow('102');\"><img src=\"../comn/images/but_h20_help_grey.gif\" /></a>\
		  <div class=\"alert_content\" id=\"102\">\
		<h1>Profile Name</h1>\
		<a href=\"#\" title=\"Close\" onclick=\"return AlertClose();\" class=\"alert_content_close\"><img src=\"../comn/images/but_h20_x_grey.gif\" /></a>\
		<br clear=\"all\" />\
		  <p>Enter a name or nick-name that you want to be recognised by. This name will show up in websites when you are logged in.</p>\
		  <p>Example: John or Johny007</p>\
		  </div>\
	  </td>\
      <td><input type=\"text\" name=\"profile_name\" value=\"\" autocomplete=\"off\" size=\"32\"></td>\
    </tr>\
<tr valign=\"baseline\"><td align=\"right\">&nbsp;</td><td>&nbsp;</td></tr>\
    <tr valign=\"baseline\">\
      <td align=\"right\">Full Name:\
	  	  <a href=\"#103\" title=\"Show Help\" onclick=\"return AlertShow('103');\"><img src=\"../comn/images/but_h20_help_grey.gif\" /></a>\
		  <div class=\"alert_content\" id=\"103\">\
		<h1>Full Name</h1>\
		<a href=\"#\" title=\"Close\" onclick=\"return AlertClose();\" class=\"alert_content_close\"><img src=\"../comn/images/but_h20_x_grey.gif\" /></a>\
		<br clear=\"all\" />\
		  <p>Enter your full name.</p>\
		  <p>Example: John Andrew Smith</p>\
		  </div>\
	  </td>\
      <td><input type=\"text\" name=\"full_name\" value=\"\" autocomplete=\"off\" size=\"32\"></td>\
    </tr>\
    <tr valign=\"baseline\">\
      <td align=\"right\">Birthday:\
	  	  <a href=\"#104\" title=\"Show Help\" onclick=\"return AlertShow('104');\"><img src=\"../comn/images/but_h20_help_grey.gif\" /></a>\
		  <div class=\"alert_content\" id=\"104\">\
		<h1>Birthday</h1>\
		<a href=\"#\" title=\"Close\" onclick=\"return AlertClose();\" class=\"alert_content_close\"><img src=\"../comn/images/but_h20_x_grey.gif\" /></a>\
		<br clear=\"all\" />\
		  <p>Enter your date of birth.</p>\
		  </div>\
	  </td>\
      <td>\
	<select name=\"dob_day\" >\
  <option value=\"Day\" selected=\"selected\">Day</option>\
  <option value=\"01\">1</option>\
  <option value=\"02\">2</option>\
  <option value=\"03\">3</option>\
  <option value=\"04\">4</option>\
  <option value=\"05\">5</option>\
  <option value=\"06\">6</option>\
  <option value=\"07\">7</option>\
  <option value=\"08\">8</option>\
  <option value=\"09\">9</option>\
  <option value=\"10\">10</option>\
  <option value=\"11\">11</option>\
  <option value=\"12\">12</option>\
  <option value=\"13\">13</option>\
  <option value=\"14\">14</option>\
  <option value=\"15\">15</option>\
  <option value=\"16\">16</option>\
  <option value=\"17\">17</option>\
  <option value=\"18\">18</option>\
  <option value=\"16\">19</option>\
  <option value=\"20\">20</option>\
  <option value=\"21\">21</option>\
  <option value=\"22\">22</option>\
  <option value=\"23\">23</option>\
  <option value=\"24\">24</option>\
  <option value=\"25\">25</option>\
  <option value=\"26\">26</option>\
  <option value=\"27\">27</option>\
  <option value=\"28\">28</option>\
  <option value=\"29\">29</option>\
  <option value=\"30\">30</option>\
  <option value=\"31\">31</option>\
</select>\
<select name=\"dob_month\">\
  <option value=\"Month\" selected=\"selected\">Month</option>\
  <option value=\"01\">Jan</option>\
  <option value=\"02\">Feb</option>\
  <option value=\"03\">Mar</option>\
  <option value=\"04\">Apr</option>\
  <option value=\"05\">May</option>\
  <option value=\"06\">Jun</option>\
  <option value=\"07\">Jul</option>\
  <option value=\"08\">Aug</option>\
  <option value=\"09\">Sep</option>\
  <option value=\"10\">Oct</option>\
  <option value=\"11\">Nov</option>\
  <option value=\"12\">Dec</option>\
</select>\
<select name=\"dob_year\">\
  <option value=\"Year\" selected=\"selected\">Year</option>\
<option value=\"2012\">2012</option>\
<option value=\"2011\">2011</option>\
<option value=\"2010\">2010</option>\
<option value=\"2009\">2009</option>\
<option value=\"2008\">2008</option>\
<option value=\"2007\">2007</option>\
<option value=\"2006\">2006</option>\
<option value=\"2005\">2005</option>\
<option value=\"2004\">2004</option>\
<option value=\"2003\">2003</option>\
<option value=\"2002\">2002</option>\
<option value=\"2001\">2001</option>\
<option value=\"2000\">2000</option>\
<option value=\"1999\">1999</option>\
<option value=\"1998\">1998</option>\
<option value=\"1997\">1997</option>\
<option value=\"1996\">1996</option>\
<option value=\"1995\">1995</option>\
<option value=\"1994\">1994</option>\
<option value=\"1993\">1993</option>\
<option value=\"1992\">1992</option>\
<option value=\"1991\">1991</option>\
<option value=\"1990\">1990</option>\
<option value=\"1989\">1989</option>\
<option value=\"1988\">1988</option>\
<option value=\"1987\">1987</option>\
<option value=\"1986\">1986</option>\
<option value=\"1985\">1985</option>\
<option value=\"1984\">1984</option>\
<option value=\"1983\">1983</option>\
<option value=\"1982\">1982</option>\
<option value=\"1981\">1981</option>\
<option value=\"1980\">1980</option>\
<option value=\"1979\">1979</option>\
<option value=\"1978\">1978</option>\
<option value=\"1977\">1977</option>\
<option value=\"1976\">1976</option>\
<option value=\"1975\">1975</option>\
<option value=\"1974\">1974</option>\
<option value=\"1973\">1973</option>\
<option value=\"1972\">1972</option>\
<option value=\"1971\">1971</option>\
<option value=\"1970\">1970</option>\
<option value=\"1969\">1969</option>\
<option value=\"1968\">1968</option>\
<option value=\"1967\">1967</option>\
<option value=\"1966\">1966</option>\
<option value=\"1965\">1965</option>\
<option value=\"1964\">1964</option>\
<option value=\"1963\">1963</option>\
<option value=\"1962\">1962</option>\
<option value=\"1961\">1961</option>\
<option value=\"1960\">1960</option>\
<option value=\"1959\">1959</option>\
<option value=\"1958\">1958</option>\
<option value=\"1957\">1957</option>\
<option value=\"1956\">1956</option>\
<option value=\"1955\">1955</option>\
<option value=\"1954\">1954</option>\
<option value=\"1953\">1953</option>\
<option value=\"1952\">1952</option>\
<option value=\"1951\">1951</option>\
<option value=\"1950\">1950</option>\
<option value=\"1949\">1949</option>\
<option value=\"1948\">1948</option>\
<option value=\"1947\">1947</option>\
<option value=\"1946\">1946</option>\
<option value=\"1945\">1945</option>\
<option value=\"1944\">1944</option>\
<option value=\"1943\">1943</option>\
<option value=\"1942\">1942</option>\
<option value=\"1941\">1941</option>\
<option value=\"1940\">1940</option>\
<option value=\"1939\">1939</option>\
<option value=\"1938\">1938</option>\
<option value=\"1937\">1937</option>\
<option value=\"1936\">1936</option>\
<option value=\"1935\">1935</option>\
<option value=\"1934\">1934</option>\
<option value=\"1933\">1933</option>\
<option value=\"1932\">1932</option>\
<option value=\"1931\">1931</option>\
<option value=\"1930\">1930</option>\
<option value=\"1929\">1929</option>\
<option value=\"1928\">1928</option>\
<option value=\"1927\">1927</option>\
<option value=\"1926\">1926</option>\
<option value=\"1925\">1925</option>\
<option value=\"1924\">1924</option>\
<option value=\"1923\">1923</option>\
<option value=\"1922\">1922</option>\
<option value=\"1921\">1921</option>\
<option value=\"1920\">1920</option>\
<option value=\"1919\">1919</option>\
<option value=\"1918\">1918</option>\
<option value=\"1917\">1917</option>\
<option value=\"1916\">1916</option>\
<option value=\"1915\">1915</option>\
<option value=\"1914\">1914</option>\
<option value=\"1913\">1913</option>\
<option value=\"1912\">1912</option>\
<option value=\"1911\">1911</option>\
<option value=\"1910\">1910</option>\
<option value=\"1909\">1909</option>\
<option value=\"1908\">1908</option>\
<option value=\"1907\">1907</option>\
<option value=\"1906\">1906</option>\
<option value=\"1905\">1905</option>\
<option value=\"1904\">1904</option>\
<option value=\"1903\">1903</option>\
<option value=\"1902\">1902</option>\
<option value=\"1901\">1901</option>\
<option value=\"1900\">1900</option>\
<option value=\"1899\">1899</option>\
<option value=\"1898\">1898</option>\
<option value=\"1897\">1897</option>\
<option value=\"1896\">1896</option>\
<option value=\"1895\">1895</option>\
<option value=\"1894\">1894</option>\
<option value=\"1893\">1893</option>\
<option value=\"1892\">1892</option>\
<option value=\"1891\">1891</option>\
<option value=\"1890\">1890</option>\
<option value=\"1889\">1889</option>\
<option value=\"1888\">1888</option>\
<option value=\"1887\">1887</option>\
<option value=\"1886\">1886</option>\
<option value=\"1885\">1885</option>\
<option value=\"1884\">1884</option>\
<option value=\"1883\">1883</option>\
<option value=\"1882\">1882</option>\
\
</select>\
</td></tr>\
	    <tr valign=\"baseline\">\
      <td align=\"right\">Gender:\
	  	  <a href=\"#105\" title=\"Show Help\" onclick=\"return AlertShow('105');\"><img src=\"../comn/images/but_h20_help_grey.gif\" /></a>\
		  <div class=\"alert_content\" id=\"105\">\
		<h1>Gender</h1>\
		<a href=\"#\" title=\"Close\" onclick=\"return AlertClose();\" class=\"alert_content_close\"><img src=\"../comn/images/but_h20_x_grey.gif\" /></a>\
		<br clear=\"all\" />\
		  <p>Please select your gender.</p>\
		  </div>\
	  </td>\
      <td>	<select name=\"gender\">\
		<option value=\"select\" selected >Please Select</option>\
<option value=\"f\">Female</option>\
	<option value=\"m\">Male</option>\
	\
	</select>\
</td>\
    </tr>\
    <tr valign=\"baseline\">\
      <td align=\"right\">Country:\
	  	  <a href=\"#106\" title=\"Show Help\" onclick=\"return AlertShow('106');\"><img src=\"../comn/images/but_h20_help_grey.gif\" /></a>\
		  <div class=\"alert_content\" id=\"106\">\
		<h1>Country</h1>\
		<a href=\"#\" title=\"Close\" onclick=\"return AlertClose();\" class=\"alert_content_close\"><img src=\"../comn/images/but_h20_x_grey.gif\" /></a>\
		<br clear=\"all\" />\
		  <p>Please select the country you currently reside in.</p>\
		  </div>\
	  </td>\
      <td>\
		<select name=\"locale_country\">\
	<option value=\"select\" selected >Please Select</option>\
<option value=\"aa\">Abkhazia</option>\
	<option value=\"ab\">Afghanistan</option>\
	<option value=\"ac\">Akrotiri and Dhekelia</option>\
	<option value=\"ad\">Åland</option>\
	<option value=\"ae\">Albania</option>\
	<option value=\"af\">Algeria</option>\
	<option value=\"ag\">American Samoa</option>\
	<option value=\"ah\">Andorra</option>\
	<option value=\"ai\">Angola</option>\
	<option value=\"aj\">Anguilla</option>\
	<option value=\"ak\">Antigua and Barbuda</option>\
	<option value=\"al\">Argentina</option>\
	<option value=\"am\">Armenia</option>\
	<option value=\"an\">Aruba</option>\
	<option value=\"ao\">Ascension Island</option>\
	<option value=\"ap\">Australia</option>\
	<option value=\"aq\">Austria</option>\
	<option value=\"ar\">Azerbaijan</option>\
	<option value=\"as\">Bahamas</option>\
	<option value=\"at\">Bahrain</option>\
	<option value=\"au\">Bangladesh</option>\
	<option value=\"av\">Barbados</option>\
	<option value=\"aw\">Belarus</option>\
	<option value=\"ax\">Belgium</option>\
	<option value=\"ay\">Belize</option>\
	<option value=\"az\">Benin</option>\
	<option value=\"ba\">Bermuda</option>\
	<option value=\"bb\">Bhutan</option>\
	<option value=\"bc\">Bolivia</option>\
	<option value=\"bd\">Bosnia and Herzegovina</option>\
	<option value=\"be\">Botswana</option>\
	<option value=\"bf\">Brazil</option>\
	<option value=\"bg\">Brunei</option>\
	<option value=\"bh\">Bulgaria</option>\
	<option value=\"bi\">Burkina Faso</option>\
	<option value=\"bj\">Burundi</option>\
	<option value=\"bk\">Cambodia</option>\
	<option value=\"bl\">Cameroon</option>\
	<option value=\"bm\">Canada</option>\
	<option value=\"bn\">Cape Verde</option>\
	<option value=\"bo\">Cayman Islands</option>\
	<option value=\"bp\">Central African Republic</option>\
	<option value=\"bq\">Republic of Chad</option>\
	<option value=\"br\">Chile</option>\
	<option value=\"bs\">Peoples Republic of China</option>\
	<option value=\"bt\">Republic of China</option>\
	<option value=\"bu\">Christmas Island</option>\
	<option value=\"bv\">Cocos (Keeling) Islands</option>\
	<option value=\"bw\">Colombia</option>\
	<option value=\"bx\">Comoros</option>\
	<option value=\"by\">Democratic Republic of the Congo</option>\
	<option value=\"bz\">Republic of the Congo</option>\
	<option value=\"ca\">Cook Islands</option>\
	<option value=\"cb\">Costa Rica</option>\
	<option value=\"cc\">Côte dIvoire</option>\
	<option value=\"cd\">Croatia</option>\
	<option value=\"ce\">Cuba</option>\
	<option value=\"cf\">Cyprus</option>\
	<option value=\"cg\">Czech Republic</option>\
	<option value=\"ch\">Denmark</option>\
	<option value=\"ci\">Djibouti</option>\
	<option value=\"cj\">Dominica</option>\
	<option value=\"ck\">Dominican Republic</option>\
	<option value=\"cl\">East Timor</option>\
	<option value=\"cm\">Ecuador</option>\
	<option value=\"cn\">Egypt</option>\
	<option value=\"co\">El Salvador</option>\
	<option value=\"cp\">Equatorial Guinea</option>\
	<option value=\"cq\">Eritrea</option>\
	<option value=\"cr\">Estonia</option>\
	<option value=\"cs\">Ethiopia</option>\
	<option value=\"ct\">Falkland Islands</option>\
	<option value=\"cu\">Faroe Islands</option>\
	<option value=\"cv\">Fiji</option>\
	<option value=\"cw\">Finland</option>\
	<option value=\"cx\">France</option>\
	<option value=\"cy\">French Polynesia</option>\
	<option value=\"cz\">Gabon</option>\
	<option value=\"da\">Gambia</option>\
	<option value=\"db\">Georgia</option>\
	<option value=\"dc\">Germany</option>\
	<option value=\"dd\">Ghana</option>\
	<option value=\"de\">Gibraltar</option>\
	<option value=\"df\">Greece</option>\
	<option value=\"dg\">Greenland</option>\
	<option value=\"dh\">Grenada</option>\
	<option value=\"di\">Guam</option>\
	<option value=\"dj\">Guatemala</option>\
	<option value=\"dk\">Guernsey</option>\
	<option value=\"dl\">Guinea</option>\
	<option value=\"dm\">Guinea-Bissau</option>\
	<option value=\"dn\">Guyana</option>\
	<option value=\"do\">Haiti</option>\
	<option value=\"dp\">Honduras</option>\
	<option value=\"dq\">Hong Kong</option>\
	<option value=\"dr\">Hungary</option>\
	<option value=\"ds\">Iceland</option>\
	<option value=\"dt\">India</option>\
	<option value=\"du\">Indonesia</option>\
	<option value=\"dv\">Iran</option>\
	<option value=\"dw\">Iraq</option>\
	<option value=\"dx\">Ireland</option>\
	<option value=\"dy\">Isle of Man</option>\
	<option value=\"dz\">Israel</option>\
	<option value=\"ea\">Italy</option>\
	<option value=\"eb\">Jamaica</option>\
	<option value=\"ec\">Japan</option>\
	<option value=\"ed\">Jersey</option>\
	<option value=\"ee\">Jordan</option>\
	<option value=\"ef\">Kazakhstan</option>\
	<option value=\"eg\">Kenya</option>\
	<option value=\"eh\">Kiribati</option>\
	<option value=\"ei\">North Korea</option>\
	<option value=\"ej\">South Korea</option>\
	<option value=\"ek\">Kuwait</option>\
	<option value=\"el\">Kyrgyzstan</option>\
	<option value=\"em\">Laos</option>\
	<option value=\"en\">Latvia</option>\
	<option value=\"eo\">Lebanon</option>\
	<option value=\"ep\">Lesotho</option>\
	<option value=\"eq\">Liberia</option>\
	<option value=\"er\">Libya</option>\
	<option value=\"es\">Liechtenstein</option>\
	<option value=\"et\">Lithuania</option>\
	<option value=\"eu\">Luxembourg</option>\
	<option value=\"ev\">Macao</option>\
	<option value=\"ew\">Macedonia</option>\
	<option value=\"ex\">Madagascar</option>\
	<option value=\"ey\">Malawi</option>\
	<option value=\"ez\">Malaysia</option>\
	<option value=\"fa\">Maldives</option>\
	<option value=\"fb\">Mali</option>\
	<option value=\"fc\">Malta</option>\
	<option value=\"fd\">Marshall Islands</option>\
	<option value=\"fe\">Mauritania</option>\
	<option value=\"ff\">Mauritius</option>\
	<option value=\"fg\">Mayotte</option>\
	<option value=\"fh\">Mexico</option>\
	<option value=\"fi\">Micronesia</option>\
	<option value=\"fj\">Moldova</option>\
	<option value=\"fk\">Monaco</option>\
	<option value=\"fl\">Mongolia</option>\
	<option value=\"fm\">Montenegro</option>\
	<option value=\"fn\">Montserrat</option>\
	<option value=\"fo\">Morocco</option>\
	<option value=\"fp\">Mozambique</option>\
	<option value=\"fq\">Myanmar</option>\
	<option value=\"fr\">Nagorno-Karabakh</option>\
	<option value=\"fs\">Namibia</option>\
	<option value=\"ft\">Nauru</option>\
	<option value=\"fu\">Nepal</option>\
	<option value=\"fv\">Netherlands</option>\
	<option value=\"fw\">Netherlands Antilles</option>\
	<option value=\"fx\">New Caledonia</option>\
	<option value=\"fy\">New Zealand</option>\
	<option value=\"fz\">Nicaragua</option>\
	<option value=\"ga\">Niger</option>\
	<option value=\"gb\">Nigeria</option>\
	<option value=\"gc\">Niue</option>\
	<option value=\"gd\">Norfolk Island</option>\
	<option value=\"ge\">Northern Cyprus</option>\
	<option value=\"gf\">Northern Mariana Islands</option>\
	<option value=\"gg\">Norway</option>\
	<option value=\"gh\">Oman</option>\
	<option value=\"gi\">Pakistan</option>\
	<option value=\"gj\">Palau</option>\
	<option value=\"gk\">Palestine</option>\
	<option value=\"gl\">Panama</option>\
	<option value=\"gm\">Papua New Guinea</option>\
	<option value=\"gn\">Paraguay</option>\
	<option value=\"go\">Peru</option>\
	<option value=\"gp\">Philippines</option>\
	<option value=\"gq\">Pitcairn Islands</option>\
	<option value=\"gr\">Poland</option>\
	<option value=\"gs\">Portugal</option>\
	<option value=\"gt\">Puerto Rico</option>\
	<option value=\"gu\">Qatar</option>\
	<option value=\"gv\">Romania</option>\
	<option value=\"gw\">Russia</option>\
	<option value=\"gx\">Rwanda</option>\
	<option value=\"gy\">Sahrawi Arab Democratic Republic</option>\
	<option value=\"gz\">Saint-Barthélemy</option>\
	<option value=\"ha\">Saint Helena</option>\
	<option value=\"hb\">Saint Kitts and Nevis</option>\
	<option value=\"hc\">Saint Lucia</option>\
	<option value=\"hd\">Saint Martin</option>\
	<option value=\"he\">Saint Pierre and Miquelon</option>\
	<option value=\"hf\">Saint Vincent and the Grenadines</option>\
	<option value=\"hg\">Samoa</option>\
	<option value=\"hh\">San Marino</option>\
	<option value=\"hi\">São Tomé and Príncipe</option>\
	<option value=\"hj\">Saudi Arabia</option>\
	<option value=\"hk\">Senegal</option>\
	<option value=\"hl\">Serbia</option>\
	<option value=\"hm\">Seychelles</option>\
	<option value=\"hn\">Sierra Leone</option>\
	<option value=\"ho\">Singapore</option>\
	<option value=\"hp\">Slovakia</option>\
	<option value=\"hq\">Slovenia</option>\
	<option value=\"hr\">Solomon Islands</option>\
	<option value=\"hs\">Somalia</option>\
	<option value=\"ht\">Somaliland</option>\
	<option value=\"hu\">South Africa</option>\
	<option value=\"hv\">South Ossetia</option>\
	<option value=\"hw\">Spain</option>\
	<option value=\"hx\">Sri Lanka</option>\
	<option value=\"hy\">Sudan</option>\
	<option value=\"hz\">Suriname</option>\
	<option value=\"ia\">Svalbard</option>\
	<option value=\"ib\">Swaziland</option>\
	<option value=\"ic\">Sweden</option>\
	<option value=\"id\">Switzerland</option>\
	<option value=\"ie\">Syria</option>\
	<option value=\"if\">Tajikistan</option>\
	<option value=\"ig\">Tanzania</option>\
	<option value=\"ih\">Thailand</option>\
	<option value=\"ij\">Togo</option>\
	<option value=\"ik\">Tokelau</option>\
	<option value=\"il\">Tonga</option>\
	<option value=\"im\">Transnistria</option>\
	<option value=\"in\">Trinidad and Tobago</option>\
	<option value=\"io\">Tristan da Cunha</option>\
	<option value=\"ip\">Tunisia</option>\
	<option value=\"iq\">Turkey</option>\
	<option value=\"ir\">Turkmenistan</option>\
	<option value=\"is\">Turks and Caicos Islands</option>\
	<option value=\"it\">Tuvalu</option>\
	<option value=\"iu\">Uganda</option>\
	<option value=\"iv\">Ukraine</option>\
	<option value=\"iw\">United Arab Emirates</option>\
	<option value=\"ix\">United Kingdom</option>\
	<option value=\"iy\">United States of America</option>\
	<option value=\"iz\">Uruguay</option>\
	<option value=\"ja\">Uzbekistan</option>\
	<option value=\"jb\">Vanuatu</option>\
	<option value=\"jc\">Vatican City</option>\
	<option value=\"jd\">Venezuela</option>\
	<option value=\"je\">Vietnam</option>\
	<option value=\"jf\">Virgin Islands, British</option>\
	<option value=\"jg\">Virgin Islands, United States</option>\
	<option value=\"jh\">Wallis and Futuna</option>\
	<option value=\"ji\">Yemen</option>\
	<option value=\"jj\">Zambia</option>\
	<option value=\"jk\">Zimbabwe</option>\
	\
	</select>\
</td>\
    </tr>\
<tr valign=\"baseline\"><td align=\"right\">&nbsp;</td><td>&nbsp;</td></tr>\
    <tr valign=\"baseline\">\
      <td align=\"right\">Email:\
	  	  <a href=\"#107\" title=\"Show Help\" onclick=\"return AlertShow('107');\"><img src=\"../comn/images/but_h20_help_grey.gif\" /></a>\
		  <div class=\"alert_content\" id=\"107\">\
		<h1>Email</h1>\
		<a href=\"#\" title=\"Close\" onclick=\"return AlertClose();\" class=\"alert_content_close\"><img src=\"../comn/images/but_h20_x_grey.gif\" /></a>\
		<br clear=\"all\" />\
		  <p>Enter an email address you currently use. This needs to be active, and you need to be using it. We will use this email to contact you.</p>\
		  <p>Example: John.Smith@website.com</p>\
		  </div>\
	  </td>\
      <td><input type=\"text\" name=\"email\" value=\"\" autocomplete=\"off\" onkeyup=\"AJAX_CheckEmail();\" size=\"32\"> <span id=\"dd\"></span></td>\
    </tr>\
    <tr valign=\"baseline\">\
      <td align=\"right\">Confirm Email: \
	  	  <a href=\"#108\" title=\"Show Help\" onclick=\"return AlertShow('108');\"><img src=\"../comn/images/but_h20_help_grey.gif\" /></a>\
		  <div class=\"alert_content\" id=\"108\">\
		<h1>Confirm Email</h1>\
		<a href=\"#\" title=\"Close\" onclick=\"return AlertClose();\" class=\"alert_content_close\"><img src=\"../comn/images/but_h20_x_grey.gif\" /></a>\
		<br clear=\"all\" />\
		  <p>Please confirm your email address.</p>\
		  </div>\
	  </td>\
      <td><input type=\"text\" name=\"confirm_email\" value=\"\" autocomplete=\"off\" size=\"32\"></td>\
    </tr>\
    <tr valign=\"baseline\">\
      <td align=\"right\">Password: \
	  	  <a href=\"#109\" title=\"Show Help\" onclick=\"return AlertShow('109');\"><img src=\"../comn/images/but_h20_help_grey.gif\" /></a>\
		  <div class=\"alert_content\" id=\"109\">\
		<h1>Password</h1>\
		<a href=\"#\" title=\"Close\" onclick=\"return AlertClose();\" class=\"alert_content_close\"><img src=\"../comn/images/but_h20_x_grey.gif\" /></a>\
		<br clear=\"all\" />\
		  <p>Create a password that you can remember. It needs to be made of letters, numbers, . - _</p>\
		  <p>It must be a minimum of 6 characters, and a maximum of 20 characters.</p>\
		  </div>\
	  </td>\
      <td><input type=\"password\" name=\"pw\" value=\"\" size=\"32\"></td>\
    </tr>\
    <tr valign=\"baseline\">\
      <td align=\"right\"><label for=\"tnc\">Accept</label> <a href=\"../cps/terms.php\" target=\"_blank\">Terms</a>:\
	  	  <a href=\"#110\" title=\"Show Help\" onclick=\"return AlertShow('110');\"><img src=\"../comn/images/but_h20_help_grey.gif\" /></a>\
		  <div class=\"alert_content\" id=\"110\">\
		<h1>Terms and Conditions</h1>\
		<a href=\"#\" title=\"Close\" onclick=\"return AlertClose();\" class=\"alert_content_close\"><img src=\"../comn/images/but_h20_x_grey.gif\" /></a>\
		<br clear=\"all\" />\
		  <p>You must accept the terms to use this service. <a href=\"../cps/terms.php\" target=\"_blank\">View Terms</a></p>\
		  </div>\
	  </td>\
      <td><input type=\"checkbox\" name=\"tnc\" id=\"tnc\" value=\"t\" /> </td>\
    </tr>\
    <tr valign=\"baseline\">\
      <td align=\"right\">&nbsp;<input name=\"e_good\" type=\"hidden\" value=\"f\" /><input name=\"un_good\" type=\"hidden\" value=\"f\" /></td>\
      <td><input name=\"Submit\" type=\"submit\" value=\"Join\"></td>\
    </tr>\
  </table>\
</form>\
";

document.write(DisplayFormHTML);

