scriptbox
Version:
Script box is a full VAS application
190 lines (188 loc) • 10.2 kB
HTML
<html lang="en">
<head><title>Sign Up | Pages</title>
<meta charset="utf-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewpoint" content="width=device-width, initial-scale=1.0">
<!--Loading bootstrap css-->
<link type="text/css"
href="http://fonts.googleapis.com/css?family=Open+Sans:400italic,700italic,800italic,400,700,800">
<link type="text/css" rel="stylesheet" href="http://fonts.googleapis.com/css?family=Oswald:400,700,300">
<link type="text/css" rel="stylesheet"
href="vendors/jquery-ui-1.10.3.custom/css/ui-lightness/jquery-ui-1.10.3.custom.css">
<link type="text/css" rel="stylesheet" href="vendors/font-awesome/css/font-awesome.min.css">
<link type="text/css" rel="stylesheet" href="vendors/bootstrap/css/bootstrap.min.css">
<!--Loading style vendors-->
<link type="text/css" rel="stylesheet" href="vendors/animate.css/animate.css">
<!--Loading style-->
<link type="text/css" rel="stylesheet" href="css/style.css">
<link type="text/css" rel="stylesheet" href="css/style-mango.css" id="theme-style">
<link type="text/css" rel="stylesheet" href="css/style-responsive.css">
<link type="text/css" rel="stylesheet" href="css/vendors.css">
<link type="text/css" rel="stylesheet" href="css/themes/default.css" id="color-style">
<link rel="shortcut icon" href="http://www.next-themes.com/mango/code/images/favicon.ico">
</head>
<body id="signup-page" class="animated bounceInDown">
<div id="signup-page-content">
<form action="http://next-themes.com/mango/code/index.html" class="form"><h1 class="block-heading">Sign Up</h1>
<div class="row mbl">
<div class="col-md-6"><input type="text" name="firstname" value="" placeholder="First Name"
class="form-control"></div>
<div class="col-md-6"><input type="text" name="lastname" value="" placeholder="Last Name"
class="form-control"></div>
</div>
<div class="input-icon mbl"><i class="fa fa-envelope"></i><input type="text" name="email" value=""
placeholder="Your Email" class="form-control">
</div>
<div class="input-icon mbl"><i class="fa fa-key"></i><input type="password" name="password" value=""
placeholder="Password" class="form-control"></div>
<div class="mbl"><input type="password" name="confirm_password" value="" placeholder="Confirm Password"
class="form-control"></div>
<label>Birth Date</label>
<div class="row mbl">
<div class="col-md-4"><select name="month" class="form-control">
<option value="01">Jan</option>
<option value="02">Feb</option>
<option value="03">Mar</option>
<option value="04">Apr</option>
<option value="05">May</option>
<option value="06">Jun</option>
<option value="07">Jul</option>
<option value="08">Aug</option>
<option value="09">Sep</option>
<option value="10">Oct</option>
<option value="11">Nov</option>
<option value="12">Dec</option>
</select></div>
<div class="col-md-4"><select name="day" class="form-control">
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="4">4</option>
<option value="5">5</option>
<option value="6">6</option>
<option value="7">7</option>
<option value="8">8</option>
<option value="9">9</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select></div>
<div class="col-md-4"><select name="year" class="form-control">
<option value="1935">1935</option>
<option value="1936">1936</option>
<option value="1937">1937</option>
<option value="1938">1938</option>
<option value="1939">1939</option>
<option value="1940">1940</option>
<option value="1941">1941</option>
<option value="1942">1942</option>
<option value="1943">1943</option>
<option value="1944">1944</option>
<option value="1945">1945</option>
<option value="1946">1946</option>
<option value="1947">1947</option>
<option value="1948">1948</option>
<option value="1949">1949</option>
<option value="1950">1950</option>
<option value="1951">1951</option>
<option value="1952">1952</option>
<option value="1953">1953</option>
<option value="1954">1954</option>
<option value="1955">1955</option>
<option value="1956">1956</option>
<option value="1957">1957</option>
<option value="1958">1958</option>
<option value="1959">1959</option>
<option value="1960">1960</option>
<option value="1961">1961</option>
<option value="1962">1962</option>
<option value="1963">1963</option>
<option value="1964">1964</option>
<option value="1965">1965</option>
<option value="1966">1966</option>
<option value="1967">1967</option>
<option value="1968">1968</option>
<option value="1969">1969</option>
<option value="1970">1970</option>
<option value="1971">1971</option>
<option value="1972">1972</option>
<option value="1973">1973</option>
<option value="1974">1974</option>
<option value="1975">1975</option>
<option value="1976">1976</option>
<option value="1977">1977</option>
<option value="1978">1978</option>
<option value="1979">1979</option>
<option value="1980">1980</option>
<option value="1981">1981</option>
<option value="1982">1982</option>
<option value="1983">1983</option>
<option value="1984">1984</option>
<option value="1985">1985</option>
<option value="1986">1986</option>
<option value="1987">1987</option>
<option value="1988">1988</option>
<option value="1989">1989</option>
<option value="1990">1990</option>
<option value="1991">1991</option>
<option value="1992">1992</option>
<option value="1993">1993</option>
<option value="1994">1994</option>
<option value="1995">1995</option>
<option value="1996">1996</option>
<option value="1997">1997</option>
<option value="1998">1998</option>
<option value="1999">1999</option>
<option value="2000">2000</option>
<option value="2001">2001</option>
<option value="2002">2002</option>
<option value="2003">2003</option>
<option value="2004">2004</option>
<option value="2005">2005</option>
<option value="2006">2006</option>
<option value="2007">2007</option>
<option value="2008">2008</option>
<option value="2009">2009</option>
<option value="2010">2010</option>
<option value="2011">2011</option>
<option value="2012">2012</option>
<option value="2013">2013</option>
</select></div>
</div>
<label>Gender:</label><label class="radio-inline"><input id="male" type="radio" name="gender" value="M">
Male</label><label class="radio-inline"><input id="female" type="radio" name="gender" value="F">
Female</label><span class="help-block mtm mbl text-muted">By clicking Create my account, you agree to our Terms and that you have read our Data Use Policy, including our Cookie Use.</span>
<button type="submit" class="btn btn-lg btn-primary btn-block">Create my account</button>
</form>
</div>
<script src="js/jquery-1.9.1.js"></script>
<script src="js/jquery-migrate-1.2.1.min.js"></script>
<script src="js/jquery-ui.js"></script>
<!--loading bootstrap js-->
<script src="vendors/bootstrap/js/bootstrap.min.js"></script>
<script src="../../../www.next-themes.com/mango/code/vendors/bootstrap-hover-dropdown.html"></script>
<script src="js/html5shiv.js"></script>
<script src="js/respond.min.js"></script>
<script src="vendors/jquery-cookie/jquery.cookie.js"></script>
</body>
</html>