]> iEval git - mindcoding-template-patches.git/blame_incremental - tmpl/account.en
s/University/Institution/
[mindcoding-template-patches.git] / tmpl / account.en
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CommitLineData
1<form action="/action/register" method="POST" class="jsform">
2<div class="main">
3<a class="rules" href="https://www.facebook.com/notes/mindcoding/regulament-mindcoding/431673106962286">Rules</a>
4
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>
14<tr> <td>Institution <td><input type="text" name="university" required>
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>
19<div class="logos">
20<a href="http://www.societatea-hermes.ro"><div class="hermes"></div></a>
21<a href="https://www.facebook.com/mindcodingcluj"><div class="fb"></div></a>
22</div>
23</div>
24</form>
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