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airtime-reseller/resources/views/login/organisation/register.blade.php
Kwesi Banson Jnr 2cfcfade4e Initial commit
2026-08-04 14:50:01 +00:00

61 lines
2.3 KiB
PHP

<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Dealer Sign Up</title>
<!-- Bootstrap CSS -->
<link href="https://stackpath.bootstrapcdn.com/bootstrap/4.5.2/css/bootstrap.min.css" rel="stylesheet">
<style>
body {
background-color: #f8f9fa;
}
.signup-form {
max-width: 400px;
margin: 50px auto;
padding: 20px;
background: white;
border-radius: 8px;
box-shadow: 0 0 10px rgba(0, 0, 0, .1);
}
</style>
</head>
<body>
<div class="signup-form">
<h2 class="text-center">Dealer Sign Up</h2>
@include('commons.notifications')
<form action="{{ url('dealer/register') }}" id="dealderRegisterForm" method="POST">
{{csrf_field()}}
<div class="form-group">
<label for="username">Name</label>
<input type="text" name="name" class="form-control" id="name" required>
</div>
<div class="form-group">
<label for="email">Email address</label>
<input type="email" name="email" class="form-control" id="email" required>
</div>
<div class="form-group">
<label for="email">Phone Number</label>
<input type="text" name="phone" class="form-control" id="phone" required>
</div>
<!-- <div class="form-group">
<label for="password">Password</label>
<input type="password" name="" class="form-control" id="password" required>
</div>
<div class="form-group">
<label for="confirm-password">Confirm Password</label>
<input type="password" name="" class="form-control" id="confirm-password" required>
</div> -->
<button type="submit" class="btn btn-primary btn-block">Submit</button>
</form>
<p class="text-center mt-3">Already have an account? <a href="{{ url('dealer/login') }}">Login here</a></p>
</div>
<!-- Bootstrap JS and dependencies -->
<script src="https://code.jquery.com/jquery-3.5.1.slim.min.js"></script>
<script src="https://cdn.jsdelivr.net/npm/@popperjs/core@2.10.2/dist/umd/popper.min.js"></script>
<script src="https://stackpath.bootstrapcdn.com/bootstrap/4.5.2/js/bootstrap.min.js"></script>
</body>
</html>