37 lines
1.5 KiB
PHP
37 lines
1.5 KiB
PHP
<form method="POST" action="/" id="form-acc-demo">
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<input type="hidden" name="action" value="home_form_acc_demo">
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<h2>Załóż konto DEMO</h2>
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<div class="f-row">
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<div class="tile">
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<input type="text" name="name" id="form-name" placeholder="" required>
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<label for="form-name">Imię i nazwisko</label>
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</div>
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<div class="tile">
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<input type="email" name="email" id="form-email" placeholder="" required>
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<label for="form-email">Adres e-mail</label>
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</div>
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<div class="tile">
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<input type="text" name="phone" id="form-phone" placeholder="" required>
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<label for="form-phone">Nr telefonu</label>
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</div>
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<div class="tile">
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<input type="text" name="www" id="form-www" placeholder="" required>
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<label for="form-www">Adres Twojej strony www</label>
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</div>
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</div>
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<div class="checkbox-row">
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<input type="checkbox" name="" id="checkbox-1" required>
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<label for="checkbox-1">Wyrażam zgodę na otrzymywanie informacji marketingowych od Zaufane.pl zgodnie z <a href="#">Polityką Prywatności</a></label>
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</div>
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<div class="btn-row">
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<button type="submit" class="btn">Zarejestruj swoje konto</button>
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</div>
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<img class="star star-1" src="/upload/filemanager/Pages/home-new/solar_star-bold.svg" alt="">
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<img class="star star-2" src="/upload/filemanager/Pages/home-new/solar_star-bold.svg" alt="">
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<img class="star star-3" src="/upload/filemanager/Pages/home-new/solar_star-bold.svg" alt="">
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</form> |