<!-- $Id$ -->

<span jwcid="$content$">
<span jwcid="border">
<span jwcid="showError"/>

<form jwcid="form">

<table>
	<tr>
		<th><span jwcid="labelFirstName">First Name</span>:</th>
		<td><input jwcid="inputFirstName" maxlength="100" size="40"/></td>
	</tr>
	<tr>
		<th><span jwcid="labelLastName">Last Name</span>:</th>
		<td><span jwcid="inputLastName" maxlength="100" size="40"/></td>
	</tr>
	
	<tr>
		<th>Sex:</th>
		<td><span jwcid="inputSex">
		
		<input jwcid="inputMale"/> Male <br>
		<input jwcid="inputFemale"/> Female		
		</span>
		</td>
	
	<tr>
		<th>Age:</th>
		<td><select jwcid="inputAgeRange"/></td>
	</tr>
	
	<tr>
		<td></td>
		<td><input type="submit" value="Register"/></td>
	</tr>
</table>

</form>
</span>
</span>