[memb_registration_form success_url=”/welcome/” tagids=”gold,newuser” autologin=”yes”]
<p>Name: <input type=”text” required=”required” name=”FirstName”></p>
<p>Email: <input type=”email” required=”required” name=”Email”></p>
<p>Password: <input type=”password” required=”required” name=”Password”></p>
<p>Confirm Password: <input type=”password” required=”required” name=”Password_confirmation”></p>
<p><input type=”radio” name=”FieldName” value=”ValueToBeSavedinInfusionsoft”>First radiobutton example</p>
<p><input type=”radio” name=”_CustomFieldName” value=”ValueToBeSavedinInfusionsoft”>Second radionbutton example</p>
<input type=”checkbox” name=”FieldName” value=”ValueToBeSavedinInfusionsoft”>First checkbox example<br>
<input type=”checkbox” name=”_CustomFieldName” value=”ValueToBeSavedinInfusionsoft”>Second checkbox example<br>
<p><select name=”FieldName”>
<option value=”ValueToBeSavedinInfusionsoft”>Value to be displayed on the site</option>
<option value=”ValueToBeSavedinInfusionsoft”>Value to be displayed on the site</option>
<option value=”ValueToBeSavedinInfusionsoft”>Value to be displayed on the site</option>
</select></p>
<p><input type=”submit”></p>
[/memb_registration_form]