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diff --git a/src/main/resources/templates/pages/newaccount.html.ftl b/src/main/resources/templates/pages/newaccount.html.ftl
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+<#include "/macros/common.ftl">
+<#include "/macros/common-page.ftl">
+
+<@commonpage>
+ <#if errorMessage??>
+ <@noticebox class="visible">
+ ${errorMessage?html}
+ </@noticebox>
+ <#else>
+ <@noticebox>
+ </@noticebox>
+ </#if>
+
+ <@content>
+ <p>
+ Fill out the form below to create a new Puyallup Foursquare InFellowship account.
+ </p>
+ <form action="${dynamicRoot}/newaccount.html" method="post">
+ <p><label for="firstnameField">First Name:</label> <input id="firstnameField" type="text" name="firstname" /></p>
+ <p><label for="lastnameField">Last Name:</label> <input id="lastnameField" type="text" name="lastname" /></p>
+ <p><label for="emailField">Email:</label> <input id="emailField" type="text" name="email" /></p>
+ <p><input type="submit" value="Create Account" /></p>
+ </form>
+ </@content>
+</@commonpage>
+
+