<div id="register">
<table cellspacing="2" cellpadding="2" border="0">
    <tbody>
        <tr valign="top">
            <td>
            <table cellspacing="2" cellpadding="2" border="0">
                <tbody>
                    <tr>
                        <td colspan="2">
                        <h3>Login Information</h3>
                        </td>
                    </tr>
                    <tr>
                        <td>User Name</td>
                        <td>
                        <div id="smarty_plugin" name="Collection_1_1">{{displayCollectionField CollectionID=1 FieldID=1}}</div>
                        </td>
                    </tr>
                    <tr>
                        <td>Password</td>
                        <td>
                        <div id="smarty_plugin" name="Collection_1_2">{{displayCollectionField CollectionID=1 FieldID=2}}</div>
                        </td>
                    </tr>
                </tbody>
            </table>
            </td>
            <td width="20">&nbsp;</td>
            <td>
            <table cellspacing="2" cellpadding="2" border="0">
                <tbody>
                    <tr>
                        <td colspan="2">
                        <h3>Personal Information</h3>
                        </td>
                    </tr>
                    <tr>
                        <td>First Name</td>
                        <td>
                        <div id="smarty_plugin" name="Collection_1_4">{{displayCollectionField CollectionID=1 FieldID=4}}</div>
                        </td>
                    </tr>
                    <tr>
                        <td>Last Name</td>
                        <td>
                        <div id="smarty_plugin" name="Collection_1_3">{{displayCollectionField CollectionID=1 FieldID=3}}</div>
                        </td>
                    </tr>
                    <tr>
                        <td>Email</td>
                        <td>
                        <div id="smarty_plugin" name="Collection_1_5">{{displayCollectionField CollectionID=1 FieldID=5}}</div>
                        </td>
                    </tr>
                    <tr>
                        <td>Receive Newsletter</td>
                        <td>
                        <div id="smarty_plugin" name="Collection_1_9">{{displayCollectionField CollectionID=1 FieldID=9}}</div>
                        </td>
                    </tr>
                </tbody>
            </table>
            </td>
        </tr>
        <tr>
            <td align="center" colspan="3"><input class="button" type="submit" value="Register" /></td>
        </tr>
    </tbody>
</table>
</div>