Here is some more info:
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Form Code:
<table width="500" border="0" cellspacing="0" cellpadding="5">
<tr>
<td width="139">User Name:</td>
<td width="341"><input type="text" name="username" id="username" /></td>
</tr>
<tr>
<td>Password:</td>
<td><input type="password" name="password" id="password" /></td>
</tr>
<tr>
<td>Confirm Password:</td>
<td><input type="password" name="confirmpassword" id="confirmpassword" /></td>
</tr>
</table>
<p><strong>Contact information</strong></p>
<p>Please type in your email address. Be on the lookout for an email from UE to complete your registration. <br />
</p>
<table width="500" border="0" cellspacing="0" cellpadding="5">
<tr>
<td width="139">Email:</td>
<td width="341"><input type="text" name="email" id="email" /></td>
</tr>
<tr>
<td>First Name:</td>
<td><input type="text" name="fname" id="textfield5" /></td>
</tr>
<tr>
<td>Last Name:</td>
<td><input type="text" name="lname" id="textfield6" /></td>
</tr>
<tr>
<td>Phone:</td>
<td><input type="text" name="phone" id="textfield13" /></td>
</tr>
<tr>
<td>Address</td>
<td><input type="text" name="address" id="textfield14" /></td>
</tr>
<tr>
<td height="29">City:</td>
<td><input type="text" name="city" id="textfield15" /></td>
</tr>
<tr>
<td height="29">State/Province:</td>
<td><input type="text" name="stateprovince" id="textfield16" /></td>
</tr>
<tr>
<td height="29">Postal Code:</td>
<td><input type="text" name="postalcode" id="textfield17" /></td>
</tr>
<tr>
<td height="29">Country:</td>
<td><input type="text" name="country" id="textfield18" /></td>
</tr>
</table>
<p><strong>Venue Info</strong></p>
<table width="500" border="0" cellspacing="0" cellpadding="5">
<tr>
<td width="139">Venue Name:</td>
<td width="341"><input type="text" name="venuename" id="textfield7" /></td>
</tr>
<tr>
<td>Role at Venue:</td>
<td><input type="text" name="roleatvenue" id="textfield8" /></td>
</tr>
<tr>
<td>Website:</td>
<td><input type="text" name="website" id="textfield9" /></td>
</tr>
<tr>
<td>Capacity:</td>
<td><input type="text" name="capacity" id="textfield10" /></td>
</tr>
</table>
<p><strong>Other Info:</strong></p>
<table width="500" border="0" cellspacing="0" cellpadding="5">
<tr>
<td width="139">Birth Year:</td>
<td width="341"><input type="text" name="birthyear" id="textfield11" /></td>
</tr>
<tr>
<td>Gender:</td>
<td><select name="gender" id="gender">
<option value="Male">Male</option>
<option value="Female">Female</option>
</select>
</td>
</tr>
</table>
<p>
<input type="submit" name="register" id="submit" value="register" />
</p>
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CB Value cross matching with form

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CB Plugin

I've tried it like this and in the reversed way.
What other information do you need?
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