File: /home/imensosw/public_html/imenso.co/dev/swemanda/register.php
<!doctype html>
<html lang="en">
<head>
<?php include "header.php" ?>
</head>
<body class="login-area">
<?php include "top-menu.php" ?>
<div class="container content-section">
<div class="row no-gutters">
<div class="col-sm-5 m-auto">
<form class="login-form">
<h1>Register</h1>
<div class="row">
<div class="col-sm-6">
<div class="form-group">
<label class="mb-1">First Name</label>
<input class="form-control" type="text" name="email" placeholder="Enter First Name">
</div>
</div>
<div class="col-sm-6">
<div class="form-group">
<label class="mb-1">Last Name</label>
<input class="form-control" type="text" name="email" placeholder="Enter Last Name">
</div>
</div>
</div>
<div class="form-group">
<label class="mb-1">Email Address</label>
<input class="form-control" type="email" name="email" placeholder="Enter a valid email address">
</div>
<div class="form-group">
<label class="mb-1">DOB</label>
<input class="form-control" type="email" name="email" placeholder="Enter Birth Date">
</div>
<div class="form-group">
<label class="mb-1">Password</label>
<input class="form-control"type="password" name="password" placeholder="Enter password">
</div>
<div class="form-group">
<label class="mb-1">Confirm Password</label>
<input class="form-control"type="password" name="password" placeholder="Enter Comfirm password">
</div>
<div class="row my-4 px-3">
<button type="submit" class="btn btn-primary">Submit</button>
</div>
<div class="row mt-4 px-3">
<small class="font-weight-bold">I have an account. <a href="login.php">Login</a></small>
</div>
</form>
</div>
</div>
</div>
<!-- Optional JavaScript -->
<!-- jQuery first, then Popper.js, then Bootstrap JS -->
<?php include "footer.php" ?>
<script type="text/javascript">
/*Menu active*/
// $(document).ready(function(){
// $('.top_area header .nav-item a').removeClass('active');
// $("#menu_contact").addClass('active');
// });
</script>
</body>
</html>