#ucmsignup .required{
    color:#CCC;
}
#ucmsignup input,
#ucmsignup select,
#ucmsignup textarea {
    background-color: #F8F8F8;
    border: 1px solid #CCC;
    font-family: inherit;
    font-size: 12px;
    padding: 1px;
    margin: 0;
}
</style>
<form action="<?php 
echo module_customer::link_public_signup();
?>
" enctype="multipart/form-data" method="post">
<div id="ucmsignup">
<fieldset>
<legend>Customer Information</legend>
	<input type="hidden" name="customer[type]" value="<?php 
echo _CUSTOMER_TYPE_NORMAL;
?>
">
<ol>
    <li>
        <label for="customer[customer_name]">Company Name <span class="required">*</span></label>
        <input type="text" id="customer[customer_name]" name="customer[customer_name]" />
        <input type="hidden" name="customer[customer_name_required]" value="Customer Name" />
    </li>