cemeterymapping/LogSignModal.php

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<!-- sign up modal -->
<div class="modal fade" id="smyModal" tabindex="-1">
<div class="modal-dialog" style="width:55%">
<div class="modal-content">
<div class="modal-header">
<button class="close" data-dismiss="modal" type=
"button">×</button>
<div class="modal-body">
<!-- Nav tabs -->
<ul class="nav nav-pills">
<li class="active"><a href="#home" data-toggle="tab">Login</a>
</li>
<li><a href="#profile" data-toggle="tab">Sign Up</a>
</li>
</ul>
<!-- Tab panes login panel-->
<div class="tab-content">
<div class="tab-pane fade in active" id="home">
<!-- <h4>Login Tab</h4> -->
<div class="panel panel-primary">
<div class="panel-heading">
Login Details
</div>
<div class="panel-body">
<form class="form-horizontal span6" name="" action="login.php" method="POST">
<input class="proid" type="hidden" name="proid" id="proid" value="">
<div class="form-group">
<div class="col-md-10">
<label class="col-md-4 control-label" for=
"U_USERNAME">Username:</label>
<div class="col-md-8">
<input id="U_USERNAME" name="U_USERNAME" placeholder="Username" type="text" class="form-control input-sm" >
</div>
</div>
</div>
<div class="form-group">
<div class="col-md-10">
<label class="col-md-4 control-label" for=
"U_PASS">Password:</label>
<div class="col-md-8">
<input name="U_PASS" id="U_PASS" placeholder="Password" type="password" class="form-control input-sm">
</div>
</div>
</div>
<div class="form-group">
<div class="col-md-10">
<label class="col-md-4 control-label" for=
"FIRSTNAME"> </label>
<div class="col-md-8">
<button type="submit" id="modalLogin" name="modalLogin" class="btn btn-primary"><span class="glyphicon glyphicon-log-in "></span> Login</button>
<button class="btn btn-default" data-dismiss="modal" type="button">Close</button>
</div>
</div>
</div>
</form>
</div>
<div class="panel-footer">
<p align="left">&copy; Southern Negros Printhaus</p>
</div>
</div>
</div>
<!-- end login panel -->
<!-- sign in panel -->
<div class="tab-pane fade" id="profile">
<!-- <h4>Customer Details</h4> -->
<form class="form-horizontal span6" action="customer/controller.php?action=add" onsubmit="return personalInfo();" name="personal" method="POST" enctype="multipart/form-data">
<div class="panel panel-primary">
<div class="panel-heading">
Customer Details
</div>
<div class="panel-body">
<input class="proid" type="hidden" name="proid" id="proid" value="">
<div class="form-group">
<div class="col-md-10">
<label class="col-md-4 control-label" for=
"FULLNAME">Name:</label>
<!-- <input id="CUSTOMERID" name="CUSTOMERID" type="HIDDEN" value="<?php echo $res->AUTO; ?>"> -->
<div class="col-md-8">
<input class="form-control input-sm" id="FULLNAME" name="FULLNAME" placeholder=
"Full Name" type="text" value="">
</div>
</div>
</div>
<div class="form-group">
<div class="col-md-10">
<label class="col-md-4 control-label" for=
"ADDRESS">Address:</label>
<div class="col-md-8">
<textarea class="form-control input-sm" id="ADDRESS" name="ADDRESS" placeholder=
"Address" ></textarea>
</div>
</div>
</div>
<div class="form-group">
<div class="col-md-10">
<label class="col-md-4 control-label" for=
"CONTACTNO">Contact Number:</label>
<div class="col-md-8">
<input class="form-control input-sm" id="CONTACTNO" name="CONTACTNO" placeholder=
"Contact Number" type="text" value="">
</div>
</div>
</div>
<div class="form-group">
<div class="col-md-10">
<label class="col-md-4 control-label" for=
"EMAILADDRESS">Email:</label>
<div class="col-md-8">
<input class="form-control input-sm" id="EMAILADDRESS" name="EMAILADDRESS" placeholder=
"Email Address Number" type="text" value="">
</div>
</div>
</div>
<div class="form-group">
<div class="col-md-10">
<label class="col-md-4 control-label" for=
"CUSUNAME">Username:</label>
<div class="col-md-8">
<input class="form-control input-sm" id="CUSUNAME" name="CUSUNAME" placeholder=
"Username" type="text" value="">
</div>
</div>
</div>
<div class="form-group">
<div class="col-md-10">
<label class="col-md-4 control-label" for=
"CUSPASS">Password:</label>
<div class="col-md-8">
<input class="form-control input-sm" id="CUSPASS" name="CUSPASS" placeholder=
"Password" type="password" value=""><span></span>
</div>
</div>
</div>
<!-- <div class="form-group">
<div class="col-md-10">
<label class="col-md-4 control-label" for=
"PASS"></label>
<div class="col-md-8">
<p>Note</p>
Password must be atleast 8 to 15 characters. Only letter, numeric digits, underscore and first character must be a letter.
</div>
</div>
</div> -->
<div class="form-group">
<div class="col-md-10">
<label class="col-md-4" align = "right"for=
"image">Upload Image:</label>
<div class="col-md-8">
<input type="file" name="image" value="" id="image"/>
</div>
</div>
</div>
<div class="form-group">
<div class="col-md-10">
<label class="col-md-4" align = "right"for=
"image"></label>
<div class="col-md-8">
<p> I <input type="checkbox" id="conditionterms" name="conditionterms" value="checkbox" />
<small>Agree with the <a class="toggle-modal" onclick=" OpenPopupCenter('terms.php','Terms And Codition','600','600')" ><b>TERMS AND CONDITION</b></a> of GC Appliance Centrum.</small>
</div>
</div>
</div>
<div class="form-group">
<div class="col-md-10">
<label class="col-md-4" align = "right"for=
"image"></label>
<div class="col-md-8">
<input type="submit" name="submit" value="Sign Up" class="submit btn btn-primary" />
<button class="btn btn-default" data-dismiss="modal" type=
"button">Close</button>
</div>
</div>
</div>
</div>
<div class="panel-footer">
<p align="left">&copy; Southern Negros Printhaus</p>
</div>
</div>
<!-- end panel sign up -->
</form>
</div>
</div>
</div> <!-- /.modal-body -->
</div><!-- /.modal-content -->
</div><!-- /.modal-dialog -->
</div>
</div>
<!-- end sign up modal -->
<script language="javascript" type="text/javascript">
function OpenPopupCenter(pageURL, title, w, h) {
var left = (screen.width - w) / 2;
var top = (screen.height - h) / 4; // for 25% - devide by 4 | for 33% - devide by 3
var targetWin = window.open(pageURL, title, 'toolbar=no, location=no, directories=no, status=no, menubar=no, scrollbars=no, resizable=no, copyhistory=no, width=' + w + ', height=' + h + ', top=' + top + ', left=' + left);
}
</script>