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Viewing / Editing File: signup.php

<?php include('header2.php');?>

<div class="sing-up">

<div class="container">
		 	<div class="sing-up-text">
		 		<h3>Sign Up</h3>
		 		<h5>Already have an account? <a href="login.php" target="_blank" ><b>Log In</b></a></h5>

<div class="sing-up-form">
					<form method="post" id="form">
   
						<div class="form-left-to-w3l " id="b_name">
							<input type="text" placeholder="Full Name" name="name" required="">
							 <input type="hidden" name="tablename" value="client">
						</div>
						
						<div class="form-left-to-w3l " id="b_name">
							<input type="text" placeholder="Phone No" name="phone" required="">
							 <input type="hidden" name="tablename" value="client">
						</div>						
						
						<div class="form-left-to-w3l">
							<input type="email" placeholder="Email" onblur="return check_em()" name="email_c" id="em" required="">
	                    <span class="label label-danger" id="error1" style="display:none">
	                    Email already in use.Please Give another Email ID</span>
						</div>
				
						<div class="form-left-to-w3l">
							<input type="password" placeholder="Password" id="pass1" onkeyup="checkPass(); return false;" name="password" required="">
						</div>
						
						<div class="form-left-to-w3l">
							<input type="password" placeholder="Confirm Password" id="pass2" onkeyup="checkPass(); return false;" name="cpassword1" required="">
					        <div id="error-nwl"></div>						
						</div>
					
						<div class="form-sub-acc">
	            			<div class="form-sub">
	            			    <input type="submit" class="" name="sub" id="btn" value="Sign in">
	            			</div>
	        			</div>

</form>
				</div>
		 		<div class="sing-up-social">
		 			<a href="#" target="_blank" title="FACEBOOK"><img src="images/facebook.png" alt="" class="facebook-img"></a>
		 			<a href="#" target="_blank" title="GOOGLE"><img src="images/google.png" alt="" class="google-img"></a>
				</div>				
		 	</div>
		</div>
	
</div>

<?php include('footer.php');?>

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Viewing / Editing File: signup.php

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