Usability Tips – Review of a signup form

I recently came across a signup form. It was not bad, but could have been much better. Here is an evaluation of the same so that others can avoid the mistakes that has occured in this signup form.

It was a quick review. If you can find out something notable, feel free to post.

PS: Excuse the poor image quality. My Adobe Photoshop elements got stuck. This was the best I could salvage out Did not had enough courage to do the entire review again.

Abhishek