Jorge Gurgel

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<form action="/accounts/create_from_facebook_comment" class="new_facebook_user" id="new_facebook_user" method="post">	<input id="facebook_user_facebook_id" name="facebook_user[facebook_id]" type="hidden" />
	<input id="facebook_user_proxied_email" name="facebook_user[proxied_email]" type="hidden" />
	<input id="facebook_user_profile_pic" name="facebook_user[profile_pic]" type="hidden" />
	<input id="facebook_user_profile_url" name="facebook_user[profile_url]" type="hidden" />
	<ul>
		<div id="facebook_questions">
			<li class="fb-question" id="facebook_full_name_container">
				<p class="question">
					<label for="facebook_user_use_full_name">Use your full name <strong class="full_name"></strong> on Bleacher Report?</label>
					<br />
				</p>
				<p class="options">
					<input name="facebook_user[use_full_name]" type="hidden" value="0" /><input checked="checked" id="facebook_user_use_full_name" name="facebook_user[use_full_name]" type="checkbox" value="1" />
					<label for="facebook_user_use_full_name">Yes</label>
				</p>
				<div class="input full-name-edit" style="display:none">
					<p>Edit your name for Bleacher Report:</p>
					<div class="fb-first-name">
						<label for="facebook_user_first_name">First Name <em>(required)</em></label>
						<input class="signup_text_input" id="facebook_user_first_name" name="facebook_user[first_name]" size="30" type="text" />
						
					</div>
	
					<div class="fb-last-name">
						<label for="facebook_user_last_name">Last Name <em>(required)</em></label>
						<input class="signup_text_input" id="facebook_user_last_name" name="facebook_user[last_name]" size="30" type="text" />
						
					</div>
				</div>
			</li>
			<li class="fb-question">
				<p class="question">
					<img alt="Default-user-icon-medium" class="profile_pic" src="http://static.bleacherreport.net/images/default-user-icon-medium.png?1328570459" />
					<label for="facebook_user_use_profile_pic">Do you want to use your Facebook profile picture on Bleacher Report?</label>
				</p>
				<p class="options">
					<input name="facebook_user[use_profile_pic]" type="hidden" value="0" /><input checked="checked" id="facebook_user_use_profile_pic" name="facebook_user[use_profile_pic]" type="checkbox" value="1" />
					<label for="facebook_user_use_profile_pic">Yes</label>
					
				</p>
			</li>
			<li>
				<a id="facebook_connect_submit"><img alt="Submit" src="http://static.bleacherreport.net/images/shared/submit.png?1328570459" /></a>
			</li>
		</div>
	</ul>
</form>