<table border="1" cellpadding="0" cellspacing="0">
<tr>
<th>Last/Family Name</th>
<td><input type="text" name="lname" size="36"></td>
</tr>
<tr>
<th>First Name</b></th>
<td><input type="text" name="fname" size="36"></td>
</tr>
<tr>
<th>Institution</b></th>
<td><input type="text" name="institution" size="36"></td>
</tr>
<tr>
<th>Email Address</th>
<td><input type="text" name="email" size="36"></td>
</tr>

<tr>
<td><input type="submit" value="Sign Up" name="B1"></td>
</tr>