92647-1.html (434B)
1 <HTML> 2 <BODY> 3 <form> 4 <TABLE border="1"> 5 <TR> 6 <TD> 7 <TABLE border="2"> 8 <TR> 9 <TD WIDTH="30%"> 10 Member Number: 11 </TD> 12 <TD WIDTH="70%"> 13 <INPUT NAME="EchoUser" TYPE="TEXT"> 14 </TD> 15 </TR> 16 <TR> 17 <TD> 18 PIN: 19 </TD> 20 <TD> 21 <INPUT TYPE="password"> 22 </TD> 23 <TD> 24 </TD> 25 </TR> 26 </TABLE> 27 </TD> 28 </TR> 29 </TABLE> 30 </Form> 31 </BODY> 32 </HTML>