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<td>Checkbox-legal</td> <td><input type="hidden" id="custom_field_2" name="custom_field_2" value="mm_cb_off" /> <input type="checkbox" id="custom_field_2" name="custom_field_2" value="mm_cb_on" /> </td> </tr> <tr> <td></td> <td> <input type='submit' name='submit' value='Sign Up' /> <input type='hidden' name='membership_level' value='11' /> </td> </tr> </table> </form>