/* BELOW IS THE CSS PORTION - PLACE THIS IN YOUR ADS & CUSTOM HTML AREA */
 
/* This is a way to hide the login bar box on sidebar*/
 
div#sb-signup {
display:none;
}
 
/* This hides the reCaptcha images*/
 
.recaptchatable a img {
display:none!important;
}
 
.recaptchatable td img {
display:none!important;
}
 
/* END OF CUSTOM CSS PORTION */
 
 
 
 
 
 
<div class="form-box" id="site-sign-up">
	<h2>
		Create An Account:</h2>
	<div class="form-box-content clearfix">
		<form action="/action/sign_up" enctype="multipart/form-data" id="form-signup" method="POST" name="form-signup">
 
			<fieldset>
				<div class="form-error hide" id="form-signup-error">&nbsp;</div>
				<div class="clearfix" style="width: 225px;">
					<div class="left" style="width: 225px;">
						<label for="form-name">First Name</label></div><br/>
					<div class="left" style="width: 225px;"><input class="name-check" id="form-name" name="form-name" rel="validate[required]" size="30" type="text" value="" /></div>
					<div class="left" style="width: 225px;">
						<label for="form-surname">Last Name</label></div><br/>
					<div class="left" style="width: 225px;"><input class="name-check" id="form-surname" name="form-surname" rel="validate[required]" size="30" type="text" value="" /></div>
				</div>
				<label for="form-email">Email</label>
						<input id="form-email" name="form-email" size="30" maxlength="128" value="" rel="validate[required, email]" type="text"><img src="http://static.socialgo.com/icons/delete.png" id="form-email-wrong" class="icon-wrong" style="visibility: hidden;"><br>
 
 
					<label for="form-password">Password</label>					
					<input id="form-password" maxlength="128" name="form-password" rel="validate[required, password]" size="30" type="password" value="" /><img class="icon-wrong" id="form-password-wrong" src="http://static.socialgo.com/icons/delete.png" style="visibility: hidden;" />					
					<label for="form-password-confirm">Repeat Password</label>
					<input id="form-password-confirm" maxlength="128" name="form-password-confirm" rel="validate[required, password]" size="30" type="password" value="" /><img class="icon-wrong" id="form-password-confirm-wrong" src="http://static.socialgo.com/icons/delete.png" style="visibility: hidden;" />
			</fieldset>
 
 
			<br />
				<input id="customq-40180-crc" name="customq-40180-crc" type="hidden" value="0" />			
 
 
<h2>Image Verification</h2>
 
			<fieldset>
 
 
 
 
				Type the words below to prove that you&#39;re a real person 
 
<script type="text/javascript" src="http://api.recaptcha.net/challenge?k=6LcZFQUAAAAAAJ9QFXfKx51NwX70Dq34NT2iqMFx"></script><script type="text/javascript" src="http://api.recaptcha.net/js/recaptcha.js"></script>
				<div class="recaptcha_nothad_incorrect_sol recaptcha_isnot_showing_audio" id="recaptcha_widget_div" style="">
					<div id="recaptcha_area">
						<table class="recaptchatable recaptcha_theme_clean" id="recaptcha_table">
						<a href="javascript:Recaptcha.reload ();" id="recaptcha_reload_btn" title="Get a new challenge">Refresh image</a> or <a class="recaptcha_only_if_image" href="javascript:Recaptcha.switch_type('audio');" id="recaptcha_switch_audio_btn" title="Get an audio challenge">try the audio version.</a>
													</table>
					</div>
				</div>
 
 
	</fieldset>
 
			<fieldset class="cq-check-buttons">
				<input id="t-and-c-agree" name="t-and-c-agree" type="hidden" value="true" /> By signing up you agree to our&nbsp; <a href="/terms/terms_and_conditions.html" target="_BLANK">Terms &amp; Conditions</a>.</fieldset>
			<div class="buttons clearfix">
				<button class="button" name="submit" type="submit" value="Submit"><img alt="Submit" src="http://static.socialgo.com/icons/tick.png" title="Sign Up" /> Sign Up</button></div>
		</form>
	</div>
</div>