<div id=”mm-form-container”>
<p class=”mm-myaccount-dialog-section-header”>Account Information</p>
<table>
<tbody><tr>
<td><span class=”mm-myaccount-dialog-label”>First Name</span></td>
<td><input id=”mm_first_name” name=”mm_first_name” type=”text” class=”mm-myaccount-form-field” value=”Admin”></td>
</tr>
<tr>
<td><span class=”mm-myaccount-dialog-label”>Last Name</span></td>
<td><input id=”mm_last_name” name=”mm_last_name” type=”text” class=”mm-myaccount-form-field” value=”RotoRadar”></td>
</tr>
<tr>
<td><span class=”mm-myaccount-dialog-label”>Phone</span></td>
<td><input id=”mm_phone” name=”mm_phone” type=”text” class=”mm-myaccount-form-field” value=””></td>
</tr>
<tr>
<td><span class=”mm-myaccount-dialog-label”>Email*</span></td>
<td>
<input id=”mm_email” name=”mm_email” type=”text” class=”mm-myaccount-form-field” value=”jegiannone@yahoo.com”>
</td>
</tr>
<tr>
<td><span class=”mm-myaccount-dialog-label”>Username*</span></td>
<td>
<input id=”mm_username” name=”mm_username” type=”text” class=”mm-myaccount-form-field” value=”Admin@RotoRadar”>
<input id=”mm_original_username” name=”mm_original_username” type=”hidden” value=”Admin@RotoRadar”>
</td>
</tr>
</tbody></table>

<p class=”mm-myaccount-dialog-section-header”>Change Password</p>
<table>
<tbody><tr>
<td><span class=”mm-myaccount-dialog-label”>New Password</span></td>
<td><input name=”mm_new_password” id=”mm_new_password” type=”password” class=”mm-myaccount-form-field” value=””></td>
</tr>
<tr>
<td><span class=”mm-myaccount-dialog-label”>Confirm Password</span></td>
<td><input name=”mm_new_password_confirm” id=”mm_new_password_confirm” type=”password” class=”mm-myaccount-form-field” value=””></td>
</tr>
</tbody></table>

<p class=”mm-myaccount-dialog-section-header”>Additional Information</p>
<table>
<tbody><tr>
<td>
<span class=”mm-myaccount-dialog-label”>FanDuel Username</span>
</td>
<td>
<input type=”text” id=”mm_custom_2″ name=”mm_custom_2″ class=”mm-myaccount-field-input”>
</td>
</tr>
<tr>
<td>
<span class=”mm-myaccount-dialog-label”>State</span>
</td>
<td>
<select id=”mm_custom_3″ name=”mm_custom_3″ class=”mm-myaccount-field-dropdown”>
<option value=”Alaska”>Alaska</option>
<option value=”Arkansas”>Arkansas</option>
<option value=”California”>California</option>
<option value=”Colorado”>Colorado</option>
<option value=”Connecticut”>Connecticut</option>
<option value=”Delaware”>Delaware</option>
<option value=”Florida”>Florida</option>
<option value=”Georgia”>Georgia</option>
<option value=”Hawaii”>Hawaii</option>
<option value=”Idaho”>Idaho</option>
<option value=”Illinois”>Illinois</option>
<option value=”Indiana”>Indiana</option>
<option value=”Kansas”>Kansas</option>
<option value=”Kentucky”>Kentucky</option>
<option value=”Maine”>Maine</option>
<option value=”Maryland”>Maryland</option>
<option value=”Massachusetts”>Massachusetts</option>
<option value=”Michigan”>Michigan</option>
<option value=”Minnesota”>Minnesota</option>
<option value=”Mississippi”>Mississippi</option>
<option value=”Nebraska”>Nebraska</option>
<option value=”New Hampshire”>New Hampshire</option>
<option value=”New Mexico”>New Mexico</option>
<option value=”New York”>New York</option>
<option value=”North Carolina”>North Carolina</option>
<option value=”North Dakota”>North Dakota</option>
<option value=”Ohio”>Ohio</option>
<option value=”Oklahoma”>Oklahoma</option>
<option value=”Oregon”>Oregon</option>
<option value=”Pennsylvania”>Pennsylvania</option>
<option value=”Rhode Island”>Rhode Island</option>
<option value=”South Carolina”>South Carolina</option>
<option value=”South Dakota”>South Dakota</option>
<option value=”Tennessee”>Tennessee</option>
<option value=”Texas”>Texas</option>
<option value=”Utah”>Utah</option>
<option value=”Vermont”>Vermont</option>
<option value=”Virginia”>Virginia</option>
<option value=”West Virginia”>West Virginia</option>
<option value=”Wisconsin”>Wisconsin</option>
<option value=”Wyoming”>Wyoming</option>
</select>
</td>
</tr>
</tbody></table>
</div>

<div class=”mm-dialog-footer-container”>
<div class=”mm-dialog-button-container”>
<a href=”javascript:myaccount_js.updateMemberData(114, ‘account-details’);” class=”mm-ui-button blue”>Update</a>
<a href=”javascript:myaccount_js.closeDialog();” class=”mm-ui-button”>Cancel</a>
</div>
</div></div>