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vitalityhealth
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Filename :
pages-signup.html
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<!doctype html><html class="fixed"> <head> <!-- Basic --> <meta charset="UTF-8"> <meta name="keywords" content="HTML5 Admin Template"> <meta name="description" content="Porto Admin - Responsive HTML5 Template"> <meta name="author" content="okler.net"> <!-- Mobile Metas --> <meta name="viewport" content="width=device-width, initial-scale=1.0, maximum-scale=1.0, user-scalable=no"> <!-- Web Fonts --> <link href="../../../css?family=Poppins:300,400,500,600,700,800|Shadows+Into+Light" rel="stylesheet" type="text/css"> <!-- Vendor CSS --> <link rel="stylesheet" href="vendor/bootstrap/css/bootstrap.css"> <link rel="stylesheet" href="vendor/animate/animate.compat.css"> <link rel="stylesheet" href="vendor/font-awesome/css/all.min.css"> <link rel="stylesheet" href="vendor/boxicons/css/boxicons.min.css"> <link rel="stylesheet" href="vendor/magnific-popup/magnific-popup.css"> <link rel="stylesheet" href="vendor/bootstrap-datepicker/css/bootstrap-datepicker3.css"> <!-- Specific Page Vendor CSS --> <!-- Theme CSS --> <link rel="stylesheet" href="css/theme.css"> <!-- Theme Custom CSS --> <link rel="stylesheet" href="css/custom.css"> <!-- Head Libs --> <script src="vendor/modernizr/modernizr.js"></script> <script src="master/style-switcher/style.switcher.localstorage.js"></script> </head> <body> <!-- start: page --> <section class="body-sign"> <div class="center-sign"> <a href="/" class="logo float-start"> <img src="img/logo.png" height="70" alt="Porto Admin"> </a> <div class="panel card-sign"> <div class="card-title-sign mt-3 text-end"> <h2 class="title text-uppercase font-weight-bold m-0"><i class="bx bx-user-circle me-1 text-6 position-relative top-5"></i> Sign Up</h2> </div> <div class="card-body"> <form> <div class="form-group mb-3"> <label>Name</label> <input name="name" type="text" class="form-control form-control-lg"> </div> <div class="form-group mb-3"> <label>E-mail Address</label> <input name="email" type="email" class="form-control form-control-lg"> </div> <div class="form-group mb-0"> <div class="row"> <div class="col-sm-6 mb-3"> <label>Password</label> <input name="pwd" type="password" class="form-control form-control-lg"> </div> <div class="col-sm-6 mb-3"> <label>Password Confirmation</label> <input name="pwd_confirm" type="password" class="form-control form-control-lg"> </div> </div> </div> <div class="row"> <div class="col-sm-8"> <div class="checkbox-custom checkbox-default"> <input id="AgreeTerms" name="agreeterms" type="checkbox"> <label for="AgreeTerms">I agree with <a href="#">terms of use</a></label> </div> </div> <div class="col-sm-4 text-end"> <button type="submit" class="btn btn-primary mt-2">Sign Up</button> </div> </div> <span class="mt-3 mb-3 line-thru text-center text-uppercase"> <span>or</span> </span> <div class="mb-1 text-center"> <a class="btn btn-facebook mb-3 ms-1 me-1" href="#">Connect with <i class="fab fa-facebook-f"></i></a> <a class="btn btn-twitter mb-3 ms-1 me-1" href="#">Connect with <i class="fab fa-twitter"></i></a> </div> <p class="text-center">Already have an account? <a href="pages-signin.html">Sign In!</a></p> </form> </div> </div> <p class="text-center text-muted mt-3 mb-3">© Copyright 2021. All Rights Reserved.</p> </div> </section> <!-- end: page --> <!-- Vendor --> <script src="vendor/jquery/jquery.js"></script> <script src="vendor/jquery-browser-mobile/jquery.browser.mobile.js"></script> <script src="vendor/jquery-cookie/jquery.cookie.js"></script> <script src="master/style-switcher/style.switcher.js"></script> <script src="vendor/popper/umd/popper.min.js"></script> <script src="vendor/bootstrap/js/bootstrap.bundle.min.js"></script> <script src="vendor/bootstrap-datepicker/js/bootstrap-datepicker.js"></script> <script src="vendor/common/common.js"></script> <script src="vendor/nanoscroller/nanoscroller.js"></script> <script src="vendor/magnific-popup/jquery.magnific-popup.js"></script> <script src="vendor/jquery-placeholder/jquery.placeholder.js"></script> <!-- Specific Page Vendor --> <!-- Theme Base, Components and Settings --> <script src="js/theme.js"></script> <!-- Theme Custom --> <script src="js/custom.js"></script> <!-- Theme Initialization Files --> <script src="js/theme.init.js"></script> <!-- Analytics to Track Preview Website --> <script> (function(i,s,o,g,r,a,m){i['GoogleAnalyticsObject']=r;i[r]=i[r]||function(){ (i[r].q=i[r].q||[]).push(arguments)},i[r].l=1*new Date();a=s.createElement(o), m=s.getElementsByTagName(o)[0];a.async=1;a.src=g;m.parentNode.insertBefore(a,m) })(window,document,'script','//www.google-analytics.com/analytics.js','ga'); ga('create', 'UA-42715764-8', 'auto'); ga('send', 'pageview'); </script> </body> </html>