28 lines
1.2 KiB
HTML
28 lines
1.2 KiB
HTML
<div class="container">
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<h2>Provide Details to Create a New Acount</h2>
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<form class="form-horizontal" method="post" enctype="multipart/form-data" ><input type="hidden" name="FORM_NAME" value="pa_Signup">
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<div class="form-group">
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<label class="control-label col-sm-2" > Name:</label>
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<div class="col-sm-10">
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<input type="text" class="form-control" placeholder="Full Name" name="name">
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</div>
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</div>
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<div class="form-group">
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<label class="control-label col-sm-2" for="email">Email:</label>
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<div class="col-sm-10">
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<input type="email" class="form-control" placeholder="Enter email" name="email">
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</div>
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</div>
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<div class="form-group">
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<label class="control-label col-sm-2" for="pwd">Password:</label>
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<div class="col-sm-10">
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<input type="password" class="form-control" placeholder="Enter password" name="pwd">
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</div>
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</div>
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<div class="form-group">
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<div class="col-sm-offset-2 col-sm-10">
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<button type="submit" class="btn btn-default">Signup</button>
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</div>
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</div>
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</form>
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</div> |