-
Notifications
You must be signed in to change notification settings - Fork 0
/
Copy pathsign-up-step-3.html
192 lines (187 loc) · 13.7 KB
/
sign-up-step-3.html
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
<!DOCTYPE html>
<html lang="en">
<head>
<!-- Required meta tags -->
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1, shrink-to-fit=no">
<title>Sign up step 3</title>
<meta name="description" content="<?php echo $pageDescription; ?>">
<!-- Favicon icon -->
<link rel="icon" type="image/png" sizes="16x16" href="img/withink_logo.png">
<!-- Bootstrap CSS -->
<link rel="stylesheet" href="css/bootstrap.min.css">
<!--Content animation CSS-->
<link href="https://unpkg.com/aos@2.3.1/dist/aos.css" rel="stylesheet">
<!--Custom CSS-->
<link rel="stylesheet" href="css/custom.css">
</head>
<body>
<div class="main-wrapper">
<!-- ============================================================== -->
<!-- Preloader - style you can find in spinners.css -->
<!-- ============================================================== -->
<div class="preloader">
<div class="lds-ripple">
<div class="lds-pos"></div>
<div class="lds-pos"></div>
</div>
</div>
<!-- ============================================================== -->
<!-- Preloader - style you can find in spinners.css -->
<!-- ============================================================== -->
<section class="login-page">
<div class="container-fluid">
<div class="row justify-content-center flex-row-reverse">
<div class="col-lg-6 col-md-5 col-sm-12 col-12 signupbg d-flex align-items-center align-content-center">
</div>
<div class="col-lg-6 col-md-7 col-sm-12 col-12 login-right-side d-flex align-items-center align-content-center">
<div class="login-form-area d-flex align-items-center align-content-center">
<div class="m-auto w-100">
<div class="text-center login-title">
<a href="#"><img class="img-fluid" src="img/withink_logo.png" alt="logo"> Everything With Ink</a>
<h1 class="mt-3">Add an address so we you can get paid</h1>
<p class="login-p">This will be used as your default business</p>
</div>
<form action="/dashboard/">
<div class="form-row mt-4 justify-content-center">
<div class="form-group col-lg-8 col-md-10 col-sm-10 col-10">
<label for="fullname" class="login-lable">Full Name</label>
<input type="text" class="form-control" id="fullname" placeholder="John Doe">
</div>
</div>
<div class="form-row mt-2 justify-content-center">
<div class="form-group col-lg-8 col-md-10 col-sm-10 col-10">
<label for="address" class="login-lable">Address</label>
<input type="text" class="form-control" id="address" placeholder="###">
</div>
</div>
<div class="form-row mt-2 justify-content-center">
<div class="form-group col-lg-8 col-md-10 col-sm-10 col-10">
<label for="statelist" class="login-lable">State</label>
<select class="form-control" id="statelist">
<option selected>Please Choose One</option>
<option value="Alabama">Alabama</option>
<option value="Alaska">Alaska</option>
<option value="American Samoa">American Samoa</option>
<option value="Arizona">Arizona</option>
<option value="Arkansas">Arkansas</option>
<option value="California">California</option>
<option value="Colorado">Colorado</option>
<option value="Connecticut">Connecticut</option>
<option value="Delaware">Delaware</option>
<option value="District of Columbia">District of Columbia</option>
<option value="Federated States of Micronesia">Federated States of Micronesia</option>
<option value="Florida">Florida</option>
<option value="Georgia">Georgia</option>
<option value="Guam">Guam</option>
<option value="Hawaii">Hawaii</option>
<option value="Idaho">Idaho</option>
<option value="Illinois">Illinois</option>
<option value="Indiana">Indiana</option>
<option value="Iowa">Iowa</option>
<option value="Kansas">Kansas</option>
<option value="Kentucky">Kentucky</option>
<option value="Louisiana">Louisiana</option>
<option value="Maine">Maine</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Maryland">Maryland</option>
<option value="Massachusetts">Massachusetts</option>
<option value="Michigan">Michigan</option>
<option value="Minnesota">Minnesota</option>
<option value="Mississippi">Mississippi</option>
<option value="Missouri">Missouri</option>
<option value="Montana">Montana</option>
<option value="Nebraska">Nebraska</option>
<option value="Nevada">Nevada</option>
<option value="New Hampshire">New Hampshire</option>
<option value="New Jersey">New Jersey</option>
<option value="New Mexico">New Mexico</option>
<option value="New York">New York</option>
<option value="North Carolina">North Carolina</option>
<option value="North Dakota">North Dakota</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Ohio">Ohio</option>
<option value="Oklahoma">Oklahoma</option>
<option value="Oregon">Oregon</option>
<option value="Palau">Palau</option>
<option value="Pennsylvania">Pennsylvania</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Rhode Island">Rhode Island</option>
<option value="South Carolina">South Carolina</option>
<option value="South Dakota">South Dakota</option>
<option value="Tennessee">Tennessee</option>
<option value="Texas">Texas</option>
<option value="Utah">Utah</option>
<option value="Vermont">Vermont</option>
<option value="Virginia">Virginia</option>
<option value="Washington">Washington</option>
<option value="West Virginia">West Virginia</option>
<option value="Wisconsin">Wisconsin</option>
<option value="Wyoming">Wyoming</option>
<option value="Virgin Islands">Virgin Islands</option>
<option value="Armed Forces Americas">Armed Forces Americas</option>
<option value="Armed Forces Europe">Armed Forces Europe</option>
<option value="Armed Forces Pacific">Armed Forces Pacific</option>
</select>
</div>
</div>
<div class="form-row mt-2 justify-content-center">
<div class="form-group col-lg-8 col-md-10 col-sm-10 col-10">
<label for="citylist" class="login-lable">City</label>
<select class="form-control" id="citylist">
<option selected>Please Choose One</option>
<option>Tees</option>
<option>Mobile Cover</option>
</select>
</div>
</div>
<div class="form-row mt-2 justify-content-center">
<div class="form-group col-lg-8 col-md-10 col-sm-10 col-10">
<label for="phnnbr" class="login-lable">Phone Number</label>
<input type="tel" class="form-control" id="phnnbr" placeholder="999-999-9999">
</div>
</div>
<div class="form-row mt-2 justify-content-center">
<div class="form-group col-lg-8 col-md-10 col-sm-10 col-10">
<label for="websiteurl" class="login-lable">Business or personal website (optional)</label>
<input type="url" class="form-control" id="websiteurl" placeholder="http://">
</div>
</div>
<div class="form-row mt-0 justify-content-center">
<div class="form-group col-lg-8 col-md-10 col-sm-10 col-10">
<div class="custom-control custom-checkbox mr-sm-2">
<input type="checkbox" class="custom-control-input" id="storeconfirmation" checked>
<label class="custom-control-label" for="storeconfirmation">Use same as billing address</label>
</div>
</div>
</div>
<div class="form-row justify-content-center">
<div class="form-group col-lg-8 col-md-10 col-sm-10 col-10 text-center">
<div class="d-flex flex-column">
<button type="submit" class="btn primary-btn-custom p-2">Finish & Take me to my store</button>
</div>
</div>
</div>
</form>
</div>
</div>
</div>
</div>
</div>
</section>
</div>
<!-- ============================================================== -->
<!-- All Required js -->
<!-- ============================================================== -->
<script src="https://code.jquery.com/jquery-3.3.1.slim.min.js"></script>
<script src="https://cdnjs.cloudflare.com/ajax/libs/popper.js/1.14.3/umd/popper.min.js"></script>
<script src="js/bootstrap.min.js"></script>
<!--Content Animation -->
<script src="https://unpkg.com/aos@2.3.1/dist/aos.js"></script>
<!--Content Animation -->
<script src="js/custom.js"></script>
<!-- ============================================================== -->
<!-- This page plugin js -->
<!-- ============================================================== -->
</body>
</html>