<link href="<?php echo System::getUrl();?>bootstrap/sbnoblesse/css/login.css" rel="stylesheet">
<form action="" method="post" enctype="multipart/form-data">
<div class="container">
<div class="row" style="margin-top:100px;">
<div class="col-lg-8 col-lg-offset-2">
<!-- row -->
<div class="row">
<div class="col-lg-12 text-center">
<img src="<?php echo System::getUrl();?>bootstrap/sbnoblesse/images/logo3128.png" />
</div>
</div>
<!-- row -->
<!-- row -->
<div class="row" style="margin-top:10px;">
<div class="col-lg-12">
<!-- panel -->
<div class="panel panel-default">
<div class="panel-body">
<?php echo $alert;?>
<div class="row">
<div class="col-lg-12 ">
<p>
<strong>Firstname:</strong>
</p>
<p>
<input type="text" class="form-control" placeholder="Firstname..." name="send[firstname]" id="txtUsername" required />
</p>
<p>
<strong>Lastname:</strong>
</p>
<p>
<input type="text" class="form-control" placeholder="Lastname..." name="send[lastname]" id="txtUsername" required />
</p>
<p>
<strong>Email:</strong>
</p>
<p>
<input type="email" class="form-control" placeholder="Email..." name="send[email]" id="txtUsername" required />
</p>
<p>
<strong>Username:</strong>
</p>
<p>
<input type="text" class="form-control" placeholder="Username..." name="send[username]" id="txtUsername" required />
</p>
<p>
<strong>Password:</strong>
</p>
<p>
<input type="password" class="form-control" placeholder="Password..." name="send[password]" id="txtUsername" required />
</p>
<p>
<strong>Confirm Password:</strong>
</p>
<p>
<input type="password" class="form-control" placeholder="Confirm Password..." name="send[repassword]" id="txtUsername" required />
</p>
<?php echo $captchaHTML;?>
</div>
</div>
<div class="row">
<div class="col-lg-12">
<p>
<button type="submit" class="btn btn-danger" name="btnRegister">Register</button>
<a href="<?php echo System::getAdminUrl();?>" class="btn btn-default pull-right">Back</a>
</p>
</div>
</div>
</div>
</div>
<!-- panel -->
</div>
</div>
<!-- row -->
</div>
</div>
</div>
</form>
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