Create renaldi2vall

renaldi2vall

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+<div class="form-style-10">
+<h1>Sign Up Now!<span>Sign up and tell us what you think of the site!</span></h1>
+<form>
+<div class="section"><span>1</span>First Name & Address</div>
+<div class="inner-wrap">
+<label>Your Full Name <input type="text" name="field1" /></label>
+<label>Address <textarea name="field2"></textarea></label>
+</div>
+
+<div class="section"><span>2</span>Email & Phone</div>
+<div class="inner-wrap">
+<label>Email Address <input type="email" name="field3" /></label>
+<label>Phone Number <input type="text" name="field4" /></label>
+</div>
+
+<div class="section"><span>3</span>Passwords</div>
+<div class="inner-wrap">
+<label>Password <input type="password" name="field5" /></label>
+<label>Confirm Password <input type="password" name="field6" /></label>
+</div>
+<div class="button-section">
+<input type="submit" name="Sign Up" />
+<span class="privacy-policy">
+<input type="checkbox" name="field7">You agree to our Terms and Policy. 
+</span>
+</div>
+</form>
+</div>