[% INCLUDE header.html %]

<p>Enter your details below in order to register on this system</p>

<form method="POST">
<table>
<tr><td>Preferred username (between 3 and 16 chars)</td>
<td><input type="text" name="username" /></td></tr>
<tr><td>Email address (required for verification and password resets)</td>
<td><input type="text" name="email" /></td></tr>
</table>

<p>Enter the text below, to prove you are human:</p>
<img src="[% captcha_url %]" /><br />
<input type="text" name="captcha" />
<input type="hidden" name="action" value="register" />
<input type="hidden" name="captcha_md5" value="[% captcha_md5 %]" />
<input type="submit" value="Register" />
</form>


[% INCLUDE footer.html %]