document.write('');
			document.write('');
			document.write('<font size="4"><strong>DAFTAR MEMBER BARU</strong></font>');
			document.write('');
			document.write('<HR size="1">');
			document.write('');
			document.write('<strong>Petunjuk Pengisian</strong><br>');
			document.write('');
			document.write('Pastikan anda mengisi form ini dengan data yang valid. Karena kami akan menggunakan data yang');
			document.write('');
			document.write('anda isikan sebagai pedoman selama melakukan transaksi maupun informasi lainnya');
			document.write('');
			document.write('<br>');
			document.write('');
			document.write('<BR>');
			document.write('');
			document.write('<form method="post" action="http://member.aryacell.com/index.php?cm=web&cp=newmember">');
			document.write('');
			document.write('<table class="listing" cellpadding="3" cellspacing="0" bgcolor="#d0d0d0" >');
			document.write('');
			document.write('	<input type="Hidden" name="act" value="1">');
			document.write('');
			document.write('	<input type="Hidden" name="sponsor" value="">');
			document.write('');
			document.write('	<tr id="header" bgcolor="#d0d0d0">');
			document.write('');
			document.write('		<td colspan="4"><strong>:: FORM PENDAFTARAN MEMBER BARU</strong></td>');
			document.write('');
			document.write('	</tr>');
			document.write('');
			document.write('	<tr bgcolor="#ffffff"><td colspan="3"><font color="#FF0000"></font></td></tr>');
			document.write('');
			document.write('	<tr bgcolor="#ffffff">');
			document.write('');
			document.write('		<td>Nama</td>');
			document.write('');
			document.write('		<td>:</td>');
			document.write('');
			document.write('		<td><input type="text" name="nama" value=""></td>');
			document.write('');
			document.write('	</tr>');
			document.write('');
			document.write('	<tr bgcolor="#ffffff">');
			document.write('');
			document.write('		<td>Alamat</td>');
			document.write('');
			document.write('		<td>:</td>');
			document.write('');
			document.write('		<td><input type="text" size="40" name="alamat" value=""></td>');
			document.write('');
			document.write('	</tr>');
			document.write('');
			document.write('	<tr bgcolor="#ffffff">');
			document.write('');
			document.write('		<td>Email</td>');
			document.write('');
			document.write('		<td>:</td>');
			document.write('');
			document.write('		<td><input type="text" size="30" name="email" value=""></td>');
			document.write('');
			document.write('	</tr>');
			document.write('');
			document.write('	<tr bgcolor="#ffffff">');
			document.write('');
			document.write('		<td>Nomor HP</td>');
			document.write('');
			document.write('		<td>:</td>');
			document.write('');
			document.write('		<td><input type="text" name="notel" value="">');
			document.write('');
			document.write('		<font color="#FF0000"><br>*) No HP yang digunakan untuk transaksi.');
			document.write('');
			document.write('		<br>*) PIN akan kami kirimkan ke NoHP ini</font></td>');
			document.write('');
			document.write('	</tr>');
			document.write('');
			document.write('	<tr bgcolor="#ffffff">');
			document.write('');
			document.write('		<td>YahooID</td>');
			document.write('');
			document.write('		<td>:</td>');
			document.write('');
			document.write('		<td><input type="text" size="20" name="ymid" value="">  *) Boleh kosong</td>');
			document.write('');
			document.write('	</tr>');
			document.write('');
			document.write('	<tr bgcolor="#f0f0f0">');
			document.write('');
			document.write('		<td colspan="4" align="center">');
			document.write('');
			document.write('			<input type="Submit" value="Lakukan Pendaftaran">');
			document.write('');
			document.write('		</td>');
			document.write('');
			document.write('	</tr>');
			document.write('');
			document.write('</table>');
			document.write('');
			document.write('</form>');