tmpl/account.en

   1 <form action="/action/register" method="POST" class="jsform">
   2 <div class="main">
   3 <div class="rules"><a href="https://www.facebook.com/notes/mindcoding/regulament-mindcoding/431673106962286">Rules</a> (website coming soon)</div>
   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
  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>