<br><br>

<center>
<font size=+1><b>{{title}}</b></font>
<br><br>

<b>Setup your domain management profile below</b>
</center>

<blockquote>
<menu>
<form method=post action="{{CGI}}">
<input type=hidden name=action value="do_setup_profile">
<input type=hidden name=affiliate_id value="{{affiliate_id}}">
<input type=hidden name=reg_type value="{{reg_type}}">
<input type=hidden name=bulk_order value="{{bulk_order}}">
<input type=hidden name=domain_country value="{{domain_country}}">
{{ca_hidden_fields}}
{{domain_string}}
<table border=0>
<tr>
<td colspan=2>
{{message}}
<br>
<br>
<hr align=left width=20%>
<br>
<input type=hidden name="flag_get_userinfo" value="1">
<br>
&nbsp;<font size=2>Previously registered domain name: <input type=text name=reg_domain value="" size=20></font>
<font size=2>
<br>
<center>
<i><b>Note:</b> This domain name must authenticate with the username and password you use below.</i></center>
</td>
</tr>

<tr>
<td colspan=2>
<br>
<hr align=left width=100% >
<br>
</td>
</tr>

</table>

<b>Enter a username and password you will use to manage this profile:</b>
<br>
<font size=-1><i>(All clients)</i></font>
<br><br>

<table>
<tr>
<td><b>Username:</b></td>
<td><input type=text name=reg_username value="" size=20></td>
</tr>

<tr>
<td><b>Password:</b></td>
<td><input type=password name=reg_password value="" size=20></td>
</tr>

<tr>
<td><b>Confirm:</b></td>
<td><input type=password name=confirm_password value="" size=20></td>
</tr>

<tr>
<td colspan=2>
<input type=submit value=" Next &gt;&gt; ">
</td>
</tr>
</table>
</form>
</menu>
