benjamin.harris
/
soil-report-ai


			
				
					
						
						
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							<style>
	.bg-register-image {
	background: url(https://cropmonitor.info/client-assets/images/water-droplet-on-leaf.jpg); /* https://source.unsplash.com/K4mSJ7kc0As/600x800 */
	background-position: center;
	background-size: cover;
	}
</style>

<body class="bg-gradient-success">
	<div class="container">
	<div class="card o-hidden border-0 shadow-lg my-5">
		<div class="card-body p-0">
			<!-- Nested Row within Card Body -->
			<div class="row">
				<div class="col-lg-5 d-none d-lg-block bg-register-image"></div>
				<div class="col-lg-7">
					<div class="p-5">
						<div class="text-center">
							<h1 class="h4 text-gray-900 mb-4">Create an Account!</h1>
							<div class="registerMessage">[[!+reg.error.message]]</div>
						</div>
						[[!Register?
    						&submitVar=`registerbtn`
    						&usernameField=`email`
    						&activationEmailTpl=`CMlgnActivateEmailTpl`
    						&activationEmailSubject=`Please activate your account!`
    						&activationResourceId=`6`
    						&submittedResourceId=`6`
    						&usergroups=`Members`
    						&validate=`nospam:blank,
    						password:required:minLength=^6^,
    						password_confirm:password_confirm=^password^,
    						fullname:required,
    						email:required,
    						mobilephone:required`
    						    &placeholderPrefix=`reg.`
    						    &postHooks=`notifyAdmin`
						]]
						<form class="user" action="[[~[[*id]]]]" method="post">
							<input type="hidden" name="nospam" value="[[!+reg.nospam]]" /> 
							<div class="form-group row">
								<div class="col-md-6 mb-3 mb-md-0">
									<input type="text" class="form-control form-control-user" placeholder="Full Name" name="fullname" id="fullname" value="[[!+reg.fullname]]" required autofocus>
									<span class="invalid-feedback error">[[!+reg.error.fullname]]</span>
								</div>
								<div class="col-md-6">
									<input type="text" class="form-control form-control-user" placeholder="Company Name" name="company" id="company" value="[[!+reg.fax]]">
									<span class="invalid-feedback error">[[!+reg.error.fax]]</span>
								</div>
							</div>
							<div class="form-group">
								<input type="email" class="form-control form-control-user" placeholder="Email" name="email" id="email" value="[[!+reg.email]]" required>
								<span class="invalid-feedback error">[[!+reg.error.email]]</span>
							</div>
							<div class="form-group">
								<input type="text" class="form-control form-control-user" placeholder="Mobile Phone" name="mobilephone" id="mobilephone" value="[[!+reg.mobilephone]]" required>
								<span class="invalid-feedback error">[[!+reg.error.mobilephone]]</span>
							</div>
							
							<div class="form-group row">
								<div class="col-md-6 mb-3 mb-md-0">
									<select class="form-control" name="industry" name="industry" id="industry" value="[[!+reg.website]]">
										<option selected>Choose your industry</option>
										<option name="broadacre">Broadacre</option>
										<option name="viticulture">Viticulture</option>
										<option name="horticulture">Horticulture</option>
										<option name="permaculture">Permaculture</option>
										<option name="dairy">Dairy</option>
									</select>
									<span class="invalid-feedback error">[[!+reg.error.website]]</span>
								</div>
								<div class="col-md-6">
									<select class="form-control" name="role" name="role" id="role" value="[[!+reg.phone]]">
										<option selected>Choose your role</option>
										<option name="manager">Manager</option>
										<option name="viticulturist">Viticulturist</option>
										<option name="horticulturist">Horticulturist</option>
										<option name="permaculturist">Permaculturist</option>
										<option name="irrigation-manager">Irrigation Manager</option>
									</select>
									<span class="invalid-feedback error">[[!+reg.error.phone]]</span>
								</div>
							</div>
							
							<div class="form-group row">
								<div class="col-md-6 mb-3 mb-md-0">
									<input type="text" class="form-control form-control-user" placeholder="City" name="city" id="city" value="[[!+reg.city]]" >
									<span class="invalid-feedback error">[[!+reg.error.city]]</span>
								</div>
								<div class="col-md-6">
									<select class="form-control" name="state" name="state" id="state" value="[[!+reg.state]]">
										<option selected>State</option>
										<option name="nsw">New South Wales</option>
										<option name="vic">Victoria</option>
										<option name="qld">Queensland</option>
										<option name="wa">Western Australia</option>
										<option name="sa">South Australia</option>
										<option name="tas">Tasmania</option>
										<option name="act">Australian Capital Territory</option>
										<option name="nt">Northern Territory</option>
										<option name="other">Other</option>
									</select>
									<span class="invalid-feedback error">[[!+reg.error.state]]</span>
								</div>
							</div>
							<div class="form-group row">
								<div class="col-md-6 mb-3 mb-md-0">
									<input type="text" class="form-control form-control-user" placeholder="Post Code" name="postcode" id="postcode" value="[[!+reg.zip]]">
									<span class="error">[[!+reg.error.zip]]</span>
								</div>
								<div class="col-md-6">
									<select type="hidden" id="country" name="country:required" class="form-control" value="[[!+reg.country]]">
										<option selected>Country</option>
										<option value="Australia">Australia</option>
										<option value="New Zealand">New Zealand</option>
									</select>
									<span class="error">[[!+reg.error.country]]</span>
								</div>
							</div>
							<div class="form-group row">
								<div class="col-md-6 mb-3 mb-md-0">
									<input type="password" class="form-control form-control-user" placeholder="Password" name="password" id="password" value="[[!+reg.password]]" required>
								</div>
								<div class="col-md-6">
									<input type="password" class="form-control form-control-user" placeholder="Repeat password" name="password_confirm" id="password_confirm" required="" value="[[!+reg.password_confirm]]" required>
								</div>
							</div>
							<input class="loginLoginValue" type="hidden" name="service" value="login" />
							<!-- <a href="login.html" class="btn btn-lg btn-success btn-block btn-user text-uppercase" type="submit" name="registerbtn" >Register Account</a> -->
							<input class="btn btn-lg btn-success btn-block text-uppercase" type="submit" name="registerbtn" value="Register Account" > 
							<hr>
							<a href="index.html" class="btn btn-danger btn-google btn-user btn-block">
							<i class="fab fa-google fa-fw"></i> Register with Google
							</a>
							<a href="index.html" class="btn btn-primary btn-facebook btn-user btn-block">
							<i class="fab fa-facebook-f fa-fw"></i> Register with Facebook
							</a>
						</form>
						<hr>
						<div class="text-center">
							<a class="small" href="[[~10]]">Forgot Password?</a>
						</div>
						<div class="text-center">
							<a class="small" href="[[~4]]">Already have an account? Login!</a>
						</div>
					</div>
				</div>
			</div>
		</div>
	</div>
</body>