File "Registration.php"

Full path: /home/wrisexaf/public_html/glory-v2/Registration.php
File size: 1.63 KB
MIME-type: text/plain
Charset: utf-8

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<div id="scroll-wrapper">
	<div id="scroll-content">
		<?php include 'include/head.php'; ?>
		<?php include 'include/header.php'; ?>



<section id="contactForm" class="get-in-touch registrtion">
			<div class="container">
				<div class="contact-form">
					<form action="email.php">
						<div class="form-row">
							<div class="form-column">
								<div class="d-flex flex-column">
									<label for="firstName"> First Name*</label>
									<input type="text" id="Name" placeholder="Johnathan">
								</div>
                                <div class="d-flex flex-column">
									<label for="firstName">Last Name*</label>
									<input type="text" id="Name" placeholder="Johnathan">
								</div>
								<div class="d-flex flex-column">
									<label for="phone">Street*</label>
									<input type="text" id="location" placeholder="Street">
								</div>
							</div>

							<div class="form-column">
								<div class="d-flex flex-column">
									<label for="lastName">CHILDREN? Y OR N </label>
									<input type="text" id="time" placeholder="Childrens">
								</div>

                                <div class="d-flex flex-column">
									<label for="lastName">Spouse</label>
									<input type="text" id="time" placeholder="Spouse">
								</div>


							</div>
						</div>

						<div class="submit-btn">
							<button type="submit">Submit NOw!</button>
						</div>
					</form>
				</div>
			</div>
		</section>





























        		<?php include 'include/footer.php'; ?>
		<?php include 'include/script.php'; ?>
	</div>
</div>