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registration.php
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92 lines (87 loc) · 3.21 KB
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<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>RU Register?</title>
<!-- Stylesheets
============================================= -->
<link type="text/css" rel="stylesheet" href="includes/css/bootstrap.css" />
<link type="text/css" rel="stylesheet" href="includes/css/override.css" />
<!-- Javascripts
============================================= -->
<script type="text/javascript" src="includes/js/jquery.min.js"></script>
<script type="text/javascript" src="includes/js/bootstrap-2.0.2.js"></script>
<!-- Functions
============================================= -->
</head>
<body>
<br/>
<div id="wrapper">
<?php include"includes/status.php" ?>
<div id="header">RU Crazy</div>
<br/>
<?php include"includes/top_nav.php"?>
<div id="doc">
<div id="content">
<div align="center" style="font-size:18px">
<h2>Account Creation</h2><br/>
<p>* required field</p><br/>
<form action="queries/insert_user.php" method="POST">
<table>
<tr>
<td align="right">
Login ID*:
</td><td>
<input size="25" type="text" placeholder="Enter Email Address" required name="uid"/>
</td>
</tr><tr>
<td align="right">
Password*:
</td><td>
<input size="25" type="password" placeholder="Enter Password" required name="pass"/>
</td>
</tr><tr>
<td align="right">
First Name*:
</td><td>
<input size="25" type="text" placeholder="Enter First Name" required name="fname"/>
</td>
</tr><tr>
<td align="right">
Last Name*:
</td><td>
<input size="25" type="text" placeholder="Enter Last Name" required name="lname"/>
</td>
</tr><tr>
<td align="right">
Phone:
</td><td>
<input size="25" type="text" placeholder="Enter Phone Number" name="phone"/>
</td>
</tr><tr>
<td align="right">
Campus:
</td><td>
<select name="campus">
<option value="">Select Campus</option>
<option value="bs">Busch</option>
<option value="li">Livingston</option>
<option value="ca">College Ave</option>
<option value="cd">Cook/Douglass</option>
</select>
</td>
</tr><tr>
<td colspan="2" align="center"><input type="submit" value="Submit"></td>
</tr>
</table>
</form>
</div>
<div align="center" style="font-size:12px">
<a href="/">Forgot login ID?</a>
<a href="/">Forgot password?</a>
</div>
</div></div>
<?php include"includes/footer.php"?>
</div>
</body>
</html>