<h1>Maak nu een account aan</h1>
{$message}
<form method="post" action="">
    <div class="form-field">
        <div class="label">
            Uw naam
        </div>
        <div class="field">
            <input type="text" name="txtUserName" value="{$txtUserName}"/>
        </div>
        <br style="clear:both;"/>
    </div>
    <div class="form-field">
        <div class="label">
            Uw email
        </div>
        <div class="field">
            <input type="text" name="txtUserEmail" value="{$txtUserEmail}"/>
        </div>
        <br style="clear:both;"/>
    </div>
    <div class="form-field">
        <div class="label">
            Wachtwoord
        </div>
        <div class="field">
            <input type="password" name="txtUserPassword" value="{$txtUserPassword}" />
        </div>
        <br style="clear:both;"/>
    </div>
    <div class="form-field">
        <div class="label">
            Wachtwoord (bevestiging)
        </div>
        <div class="field">
            <input type="password" name="txtUserPasswordRepeat" value="{$txtUserPasswordRepeat}"/>
        </div>
        <br style="clear:both;"/>
    </div>   
    <input type="submit" value="Aanmelden" />
</form>