<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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