/home/smartonegroup/public_html/veroserv/ui/theme/default/cart_checkout.tpl
{extends file="$layouts_admin"}
{block name="content"}
{/block}
{include file="sections/header_paper.tpl"}
<div class="paper">
<section class="panel">
<div class="panel-body">
{if isset($notify)}
{$notify}
{/if}
<img class="logo" style="max-height: 40px; width: auto;" src="{$app_url}storage/system/logo.png" alt="Logo">
<hr>
<div class="row">
<div class="col-md-12">
<form method="post" action="{$_url}client/register_post/" id="iform">
<div class="panel panel-default alt md-card">
<div class="panel-heading"><h2>Registration Form</h2></div>
<div class="panel-body">
<form action="" class="">
<div class="mb-3">
<label for="fullname" class="control-label">Full Name</label>
<input type="text" class="form-control" id="fullname" name="fullname" placeholder="Full Name">
</div>
<div class="mb-3">
<label for="email" class="control-label">Email Address</label>
<input type="text" class="form-control" id="email" name="email" placeholder="someone@example.com">
</div>
{*<div class="mb-3">*}
{*<label for="phone" class="control-label">Phone</label>*}
{*<input type="text" class="form-control" id="phone" name="phone">*}
{*</div>*}
<div class="mb-3">
<label for="password" class="control-label">Password</label>
<input type="password" class="form-control" id="password" name="password" placeholder="******">
</div>
<div class="mb-3">
<label for="password2" class="control-label">Confirm Password</label>
<input type="password" class="form-control" id="password2" name="password2" placeholder="******">
</div>
{if $config['recaptcha'] eq '1'}
<div class="mb-3">
<div class="g-recaptcha" data-sitekey="{$config['recaptcha_sitekey']}"></div>
</div>
{/if}
</form>
</div>
<div class="panel-footer">
<div class="clearfix">
<a href="{$_url}client/login/" class="pull-left mt-xs">Already Registered? Login</a>
<button type="submit" id="btn_form_action" class="btn btn-primary pull-right">Register</button>
</div>
</div>
</div>
</form>
</div>
</div>
</div>
</section>
</div>
{include file="sections/footer_paper.tpl"}
