77 lines
2.8 KiB
HTML
77 lines
2.8 KiB
HTML
<!DOCTYPE html>
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<html>
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<head>
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<META http-equiv="Content-Type" content="text/html; charset=UTF-8"/>
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<meta name="viewport" content="width=device-width, initial-scale=1"/>
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<link rel="stylesheet" type="text/css" href="css/yyy-static.css" />
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<link href="https://fonts.googleapis.com/css?family=Archivo+Narrow" rel="stylesheet">
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<link href="https://fonts.googleapis.com/css?family=Archivo+Black" rel="stylesheet">
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<title>Sign up!</title>
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</head>
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<body>
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<header>
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<div id="nav">
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<img id="nav-icon" src="img/threelines.png" alt="Menu"/>
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<menu id="nav-menu" class="nav">
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<li class=""><a href="index.html">Home</a></li>
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<li class=""><a href="library.html">Library</a></li>
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<li class=""><a href="register.html">Register</a></li>
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<li class=""><a href="login.html">Login</a></li>
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<li class=""><a href="about.html">About</a></li>
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</menu>
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</div>
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<h1>
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Sign up!
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</h1>
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</header>
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<div id="main-container" class="container">
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<p>
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Use this form to request someone to phone you to discuss your concerns about independence.
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</p>
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<form action="mapview.html" method="post">
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<p class="widget">
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<label for="name">Choose a user name</label>
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<input type="text" id="username" name="username"/>
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</p>
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<p class="widget">
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<label for="name">Your real name</label>
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<input type="text" id="name" name="name"/>
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</p>
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<p class="widget">
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<label for="postcode">Your post-code</label>
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<input type="text" id="postcode" name="postcode"/>
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</p>
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<p class="widget">
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<label for="phone">Your phone number</label>
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<input type="text" id="phone" name="phone"/>
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</p>
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<p class="widget">
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<label for="provider">Choose an authentication provider</label>
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<select name="provider" id="provider">
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<option>Twitter</option>
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<option>Facebook</option>
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<option>Google</option>
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</select>
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</p>
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<p class="widget">
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<label for="agree">Agree to the conditions of use</label>
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<select name="agree" id="agree">
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<option value="false">I don't agree</option>
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<option value="true">I agree</option>
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</select>
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</p>
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<p class="widget">
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<label for="submit"> </label>
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<input name="submit" id="submit" type="submit" class="action" value="Join us!"/>
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</p>
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</form>
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</div>
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<footer>
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<div class="dummy">
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This is a dummy page illustrating the intended navigation flow through the app. It may be replaced by something more dynamic later.
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</div>
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</footer>
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</body>
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</html>
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