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    <TABLE border="0" cellpadding="3" cellspacing="0">

        <TBODY><TR>
            <TD align="right">

                <FONT size="1">Email address: </FONT>

            </TD>

            <TD>
                <INPUT name="email" size="10" type="text" value></INPUT>

            </TD>

            <TD>
	        <INPUT align="left" alt="subscribe" border="0" height="19" name="subscribe" src="https://www.list.cornell.edu:9443/img/english/button_subscribe.gif" title="subscribe" type="image" width="73"></INPUT>

            </TD>

        </TR>

    <TR>
        <TD align="right">

            <FONT size="1"><I>(required)</I> Your name: </FONT>

        </TD>

        <TD>
            <INPUT maxlength="100" name="name" size="10" type="text" value></INPUT>

        </TD>

    </TR>

    <TR>
	    <TD align="right">

		    <FONT size="1"><I>(required)</I> Set Your Password:</FONT>

	    </TD>

	    <TD>
		    <INPUT maxlength="100" name="pw" size="10" type="password" value></INPUT>

	    </TD>

    </TR>

    <TR>
	    <TD align="right">

		    <FONT size="1">Verify Your Password:</FONT>

	    </TD>

	    <TD>
		    <INPUT maxlength="100" name="pwv" size="10" type="password" value></INPUT>

	    </TD>

    </TR>

    </TBODY></TABLE>

    <INPUT name="list" type="hidden" value="cit-lamp-hosting-l"></INPUT>

    <INPUT name="name_required" type="hidden" value="T"></INPUT>

    <INPUT name="pw_required" type="hidden" value="T"></INPUT>

    <INPUT name="confirm" type="hidden" value="one"></INPUT>

    <INPUT name="showconfirm" type="hidden" value="T"></INPUT>

</FORM>