Sign Up Form

I need a form layout for an agent information signup.
This form will be for a real estate company. The form does NOT have to be functional. I am not good at graphics and would like for someone
a little more graphic experience to design it. I want the form to be
in css and with nice colors, fonts, etc…

needed fields
Agent Id
Agent Title – Drop down
First Name
Last Name
Agent Email
Company Phone
Agent Phone
Agent Web Site include http://www.
Agent position – 1 2 3 4 5 etc, infinit…

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