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Commit | Line | Data |
---|---|---|
1e48c1fc MG |
1 | <form action="/action/register" method="POST" class="jsform"> |
2 | <div class="main"> | |
e1ac787f | 3 | <div class="rules"><a href="https://www.facebook.com/notes/mindcoding/regulament-mindcoding/431673106962286">Rules</a> (website coming soon)</div> |
7036a6b4 | 4 | |
1e48c1fc MG |
5 | <table> |
6 | <tr> <td>Username <td><input type="text" name="username" required> | |
7 | <tr> <td>Password <td><input type="password" name="password" required> | |
8 | <tr> <td>Confirm password <td><input type="password" name="confirm_password" required> | |
9 | ||
10 | <tr> <td>Full name <td><input type="text" name="name" required> | |
11 | <tr> <td>Email <td><input type="email" name="email" required> | |
12 | <tr> <td>Phone <td><input type="tel" name="phone" required> | |
13 | <tr> <td>Town <td><input type="text" name="town" required> | |
3cb0a6b7 | 14 | <tr> <td>Institution <td><input type="text" name="university" required> |
1e48c1fc MG |
15 | <tr> <td>Level <td><select name="level"> <option>Highschool</option> <option>Undergraduate</option> <option>Master</option> <option>Doctorate</option> <option>Other</option> </select> |
16 | ||
17 | <tr> <td colspan="2"><input type="submit" value="Register" class="submit"> | |
18 | </table> | |
e1ac787f | 19 | |
1e48c1fc MG |
20 | <div class="logos"> |
21 | <a href="http://www.societatea-hermes.ro"><div class="hermes"></div></a> | |
22 | <a href="https://www.facebook.com/mindcodingcluj"><div class="fb"></div></a> | |
23 | </div> | |
24 | </div> | |
25 | </form> |