1 <form action="/action/register" method="POST" class="jsform">
3 <div class="rules"><a href="https://www.facebook.com/notes/mindcoding/regulament-mindcoding/431673106962286">Rules</a> (website coming soon)</div>
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>
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>
17 <tr> <td colspan="2"><input type="submit" value="Register" class="submit">
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>