<div align="center">
  <TABLE cellSpacing=6 cellPadding=0 border=0>
    <TBODY>
      <TR> 
        <TD valign="top"> 
  <form name="formular" method="post" action="http://server1.webkicks.de/bugc/register.cgi">
  
          <P align="center"><strong><span class="ueber">Chat Anmeldung<br>
            </span></strong>
          <CENTER>
            <table width="0" border="0" cellspacing="5">
              <tr> 
                <td>Alias:</td>
                <td> <input class="input" name="user" size="15" maxlength="20" type="text">
                </td>
              </tr>
              <tr> 
                <td>Passwort:</td>
                <td> <input class="input" name="pass" size="15" maxlength="10" type="password">
                </td>
              </tr>
              <tr> 
                <td>eMail:</td>
                <td> <input class="input" name="mail" size="15" maxlength="100" type="text">
                </td>
              </tr>
              <tr> 
                <td>Homepage:<br>
                  <small>(optional)</small></td>
                <td>
                  <input class="input" name="hp" value="http://" size="15" maxlength="100" type="text">
                </td>
              </tr>
              <tr> 
                <td>ICQ-Nummer:<br>
                  <small>(optional)</small></td>
                <td><b> 
                  <input class="input" name="uin" type="text" size="15" maxlength="100">
                  </b></td>
              </tr>
            </table>
            <p>Die Freischaltung kann nur erfolgen, wenn<br>eine gültige Emailadresse angegeben wird!<br>
              <BR>
              <input name=job type=hidden value="sign">
              <input name=cid type=hidden value="bugc">
              <INPUT class="submit" TYPE="submit" VALUE="Anmelden" name="send-button">
            </p>
   </CENTER>
 </FORM>
      </TD>
     </TR>
    </TBODY>
  </TABLE>
</div>
</body>
</html>