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Meghraj Deshmukh
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Meghraj Deshmukh
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Apr 13, 2020
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| <!DOCTYPE html> | ||
| <html lang="en"> | ||
| <head> | ||
| <title>DonateForCovid</title> | ||
| <meta charset="utf-8"> | ||
| <meta name="viewport" content="width=device-width, initial-scale=1"> | ||
| <link href="//maxcdn.bootstrapcdn.com/bootstrap/4.0.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> | ||
| <script src="//maxcdn.bootstrapcdn.com/bootstrap/4.0.0/js/bootstrap.min.js"></script> | ||
| <script src="//cdnjs.cloudflare.com/ajax/libs/jquery/3.2.1/jquery.min.js"></script> | ||
| <!------ Include the above in your HEAD tag ----------> | ||
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| <link rel="stylesheet" href="https://use.fontawesome.com/releases/v5.0.8/css/all.css"> | ||
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| <div class="container"> | ||
| <hr> | ||
| </head> | ||
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| <body> | ||
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| <div class="card bg-light"> | ||
| <article class="card-body mx-auto" style="max-width: 400px;"> | ||
| <h4 class="card-title mt-3 text-center">Create Account</h4> | ||
| <p class="text-center">Register To Donate</p> | ||
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| <form> | ||
| <div class="form-group input-group"> | ||
| <div class="input-group-prepend"> | ||
| <span class="input-group-text"> <i class="fa fa-user"></i> </span> | ||
| </div> | ||
| <input name="" class="form-control" placeholder="Full name" type="text"> | ||
| </div> <!-- form-group// --> | ||
| <div class="form-group input-group"> | ||
| <div class="input-group-prepend"> | ||
| <span class="input-group-text"> <i class="fa fa-envelope"></i> </span> | ||
| </div> | ||
| <input name="" class="form-control" placeholder="Email address" type="email"> | ||
| </div> <!-- form-group// --> | ||
| <div class="form-group input-group"> | ||
| <div class="input-group-prepend"> | ||
| <span class="input-group-text"> <i class="fa fa-phone"></i> </span> | ||
| </div> | ||
| <select class="custom-select" style="max-width: 120px;"> | ||
| <option selected="">+91</option> | ||
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| </select> | ||
| <input name="" class="form-control" placeholder="Phone number" type="text"> | ||
| </div> <!-- form-group// --> | ||
| <div class="form-group input-group"> | ||
| <div class="input-group-prepend"> | ||
| <span class="input-group-text"> <i class="fa fa-building"></i> </span> | ||
| </div> | ||
| <select class="form-control"> | ||
| <option selected=""> Select job type</option> | ||
| <!-- <option>Designer</option> | ||
| <option>Manager</option> | ||
| <option>Accaunting</option> --> | ||
| </select> | ||
| </div> <!-- form-group end.// --> | ||
| <div class="form-group input-group"> | ||
| <div class="input-group-prepend"> | ||
| <span class="input-group-text"> <i class="fa fa-lock"></i> </span> | ||
| </div> | ||
| <input class="form-control" placeholder="Create password" type="password"> | ||
| </div> <!-- form-group// --> | ||
| <div class="form-group input-group"> | ||
| <div class="input-group-prepend"> | ||
| <span class="input-group-text"> <i class="fa fa-lock"></i> </span> | ||
| </div> | ||
| <input class="form-control" placeholder="Repeat password" type="password"> | ||
| </div> <!-- form-group// --> | ||
| <div class="form-group"> | ||
| <button type="submit" class="btn btn-primary btn-block"> Create Account </button> | ||
| </div> <!-- form-group// --> | ||
| <p class="text-center">Have an account? <a href="">Log In</a> </p> | ||
| </form> | ||
| </article> | ||
| </div> <!-- card.// --> | ||
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| </div> | ||
| <!--container end.//--> | ||
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| <br><br> | ||
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| </body> | ||
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| </html> |