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create_account.php
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62 lines (54 loc) · 2.08 KB
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<!doctype html>
<html class="bg-light" lang="en">
<head>
<?php include 'style.php';?>
<meta charset="utf-8">
<title>Create Account</title>
</head>
<body class="bg-light">
<div class="p-5">
<?php include 'navbar.php';?>
</div>
<div class="container">
<div class="row">
<div class="col-sm-9 col-md-7 col-lg-5 mx-auto">
<div class="card shadow-lg my-5">
<div class="card-body">
<h1 class="card-title text-center">Create Account</h1>
<form action="controllers/create_account_controller.php" method="post">
<div class="form-group">
<label>First Name</label>
<input type="text" class="form-control" name="first" placeholder="First Name" required />
</div>
<div class="form-group">
<label>Last Name</label>
<input type="text" class="form-control" name="last" placeholder="Last Name" required/>
</div>
<div class="form-group">
<label>Phone Number</label>
<input type="number" class="form-control" min="0000000000" max="9999999999" name="phone" placeholder="Phone Number" required/>
</div>
<div class="form-group">
<label>E-mail</label>
<input type="email" class="form-control" name="email" placeholder="E-mail" required/>
<small>You will use this e-mail to log in.</small>
</div>
<div class="form-group">
<label>Password</label>
<input type="password" class="form-control" name="password" placeholder="Password" required/>
</div>
<div class="form-group">
<label>Confirm Password</label>
<input type="password" class="form-control" name="password2" placeholder="Confirm Password" required/>
</div>
<div class="text-center">
<button class="btn btn-dark btn-clock text-uppercase" type="submit" name="submit">Create</button>
</div>
</form>
</div>
</div>
</div>
</div>
</div>
</body>
</html>