<html>
<head>
<title>大清帝国</title>
<meta name="keywords" content="大清帝国之康熙大帝">
<meta name="description" content="大清帝国之康熙大帝">
<meta name="description" content="大清帝国之康熙大帝">
<meta http-equiv="content-type" content="text/html;charset=utf-8 ">
</head>
<body>
<center>
<table width="500">
<tr>
<td>
<center>
<form>
<fieldset>
<legend>域名注册</legend>
<table>
<caption>请填写域名信息(请务必填写真实有效信息)</caption>
<tr>
<td align="right">登陆账号:</td>
<td><input type="text" name="num"/></td>
</tr>
<tr>
<td align="right">密码:</td>
<td><input type="text" name="num"/></td>
</tr>
<tr>
<td align="right">性别:</td>
<td><input type="radio" name="sex" value="man"/>男 <input type="radio" name="sex" value="woman"/>女</td>
</tr>
<tr>
<td align="right">注册网址:</td>
<td><input type="text" name="url" value="www."/></td>
</tr>
<tr>
<td align="right">注册网址后缀:</td>
<td><input type="checkbox" name="num" value=".com"/>.com
<input type="checkbox" name="num" value=".com"/>.cn
<input type="checkbox" name="num" value=".com"/>.net
<input type="checkbox" name="num" value=".com"/>.org</td>
</tr>
<tr>
<td align="right">域名所有者(中文):</td>
<td><input type="text" name="num"/></td>
</tr>
<tr>
<td align="right">域名所有者(pinyin):</td>
<td><input type="text" name="num"/></td>
</tr>
<tr>
<td align="right">所属区域:</td>
<td>
<select name="direction"/>
<option value="china">中国</option>
<option value="ameircan">美国</option>
</select>
<select name="direction"/>
<option value="bj">北京</option>
<option value="ny">纽约</option>
</select>
</td>
</tr>
<tr>
<td align="right">单位所在地:</td>
<td><input type="text" name="num"/></td>
</tr>
<tr>
<td align="right">单位负责人:</td>
<td><input type="text" name="num"/></td>
</tr>
<tr>
<td align="right">通信地址:</td>
<td><input type="text" name="num"/></td>
</tr>
<tr>
<td align="right">链子电话:</td>
<td><input type="text" name="num"/></td>
</tr>
<tr>
<td colspan="2">
<center>
<input type="submit" value="提交">
<input type="reset" value="重置">
</center>
</td>
</tr>
</table>
</fieldset>
</form>
</center>
</td>
</tr>
</table>
</center>
</body>
</html>