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36 lines
2.2 KiB
36 lines
2.2 KiB
<div class="content-wrapper col-md-12 col-md-offset-3">
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<form role="form" class="form-horizontal" id="fo_account_creation_form" action="javascript:;">
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<h2> <?= $this->lang->line('create_subscriber_account'); ?>: </h2>
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<hr><br>
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<div class="form-group">
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<label for="sample" class="col-md-4 col-md-offset-1 control-label"><?= $this->lang->line('first_name'); ?>:</label>
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<input type="text" class="col-md-12 form-control" id="first_name" name="first_name" placeholder="<?= $this->lang->line('first_name'); ?>">
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</div>
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<div class="form-group">
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<label for="sample" class="col-md-4 col-md-offset-1 control-label"><?= $this->lang->line('last_name'); ?>:</label>
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<input type="text" class="col-md-12 form-control" id="last_name" name="last_name" placeholder="<?= $this->lang->line('last_name'); ?>">
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</div>
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<div class="form-group">
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<label for="sample" class="col-md-4 col-md-offset-1 control-label"><?= $this->lang->line('email_address'); ?>:</label>
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<input type="text" class="col-md-12 form-control" id="email" name="email" placeholder="<?= $this->lang->line('email_address'); ?>">
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</div>
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<div class="form-group">
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<label for="sample" class="col-md-4 col-md-offset-1 control-label"><?= $this->lang->line('username'); ?>:</label>
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<input type="text" class="col-md-12 form-control" id="username" name="username" placeholder="<?= $this->lang->line('username'); ?>">
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</div>
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<div class="form-group">
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<label for="sample" class="col-md-4 col-md-offset-1 control-label"><?= $this->lang->line('password'); ?>:</label>
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<input type="text" class="col-md-12 form-control" id="password" name="password" placeholder="<?= $this->lang->line('password'); ?>">
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</div>
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<br>
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<input type="submit" class="btn btn-default col-md-15 col-md-offset-2" id="createaccount" value="<?= $this->lang->line('create_account'); ?>" onclick="authentication.create_account();">
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</form>
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</div>
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