<!DOCTYPE HTML PUBLIC "-//IETF//DTD HTML//EN">
<!-- na_check.htm --><!-- delayed after doctype-->
<html>
<head>
<!--<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">-->
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
<title>Check account</title>
<SCRIPT LANGUAGE="Javascript">
<!--
function popup(url,height,width,scrollbars) {
	box = window.open(url, "PopupBox", "height=" + height + ",width=" + width + ",scrollbars=" + scrollbars);
}

// -->
</SCRIPT>
<LINK REL="stylesheet" TYPE="text/css" HREF="/web/7734631252/surgemail.css">
<script language="JavaScript" src="/web/7734631252/surgemail.js"></script>
</head>

<body style="background-color: white;">
<form action="/cgi/user.cgi" method="POST" align="left" name="main">
<input type="hidden" name="suggest_width" value="2">
<input type="hidden" name="ref_id" value="">
<center>
<table width="492">
<tr>
	<td><img src="/web/redline.gif"></td>
</tr>

<tr>
	<td>To create an account simply enter your full name and desired username below.
	<br>Press check to see if that username/email address is available.</td>
</tr>
<tr>
	<td><img src="/web/redline.gif"></td>
</tr>
<tr>
	<td><table class="invisible">
	<tr>
		<td><b>Full name</b></td>
		<td><table class="invisible">
		<tr>
			<td><input type="text" size="40" value="" name="full_name"></td>
		</table>
	<tr>
		<td><b>Username</b></td>
		<td>
		<table class="invisible">
		<tr>
			<td><input type="text" value="" name="username"></td>
  <td>@mypersonalemail.com</td>
		</table>
	</table>
</tr>
<tr>
	<td align="right"><input type="image" src="/web/check.gif" name="cmd_user_checkdo" alt="Check if account is FREE" border="0"></td>
</tr>

<tr>
	<td><img src="/web/redline.gif"></td>
</tr>
</table>
</center>
</form>
</body>
</html>
