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signup.php
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signup.php
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<?php
include_once 'header.php';
?>
<main id="main">
<!-- ======= Breadcrumbs Section ======= -->
<section class="breadcrumbs">
<div class="container">
<div class="d-flex justify-content-between align-items-center">
<h2>SignUp Page</h2>
<ol>
<li><a href="index.php">Home</a></li>
<li>SignUp Page</li>
</ol>
</div>
</div>
</section><!-- End Breadcrumbs Section -->
<!-- ======= LOGIN Section ======= -->
<section id="appointment" class="appointment section-bg">
<div class="container" data-aos="fade-up">
<div class="section-title">
<h2>-: SIGN UP :-</h2>
</div>
<div class="row">
<div class="col-md-3"></div>
<div class="col-md-6">
<form action="reg.php" method="post">
<div class="form-row">
<div class="col-md-12 form-group">
<input type="text" name="name" class="form-control" placeholder="Your Name" required>
<div class="validate"></div>
</div>
<div class="col-md-12 form-group">
<input type="email" class="form-control" name="email" placeholder="Your Email" required>
</div>
<div class="col-md-12 form-group">
<input type="tel" class="form-control" name="phone" placeholder="Your Phone" required>
<div class="validate"></div>
</div>
<div class="col-md-12 form-group">
<input type="password" class="form-control" name="password" placeholder="Your Password" required>
<div class="validate"></div>
</div>
</div>
<div class="text-center">
<input type="submit" class="appointment-btn scrollto" name="signup" value="SIGNUP">
</div>
</form></div>
<div class="col-md-3"></div>
</div>
</div>
</section><!-- End LOGIN Section -->
</main>
<?php
include_once 'footer.php';
?>