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<!DOCTYPE html> <html> <head> <meta charset="utf-8"> <title>Become a Member - StarckEx</title> <!-- Mobile Specific Metas --> <meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1"> <!-- Font--> <link rel="stylesheet" type="text/css" href="css/roboto-font.css"> <link rel="stylesheet" type="text/css" href="fonts/line-awesome/css/line-awesome.min.css"> <!-- Jquery --> <link rel="stylesheet" href="https://jqueryvalidation.org/files/demo/site-demos.css"> <!-- Main Style Css --> <link rel="stylesheet" href="css/style.css"/> <link href="images/favicon.png" rel="shortcut icon"> </head> <body class="form-v2"> <div class="page-content"> <div class="form-v2-content"> <div class="form-left"> <img src="images/form-v2.jpg" alt="form"> <!-- <div class="text-1"> <p>Bring Your Music Along<span>try Unlimited</span></p> </div> <div class="text-2"> <p><span>$9.99</span>/ Month</p> </div> --> </div> <form class="form-detail" action="#" method="post" id="myform"> <a href="../index.php"><img src="images/logo.png" width="45%" alt="Image" class=""></a> <h2>Become a Member</h2> <div class="form-row"> <input type="text" name="fname" id="fname" class="input-text" placeholder="Enter Your First Name" required=""> </div> <div class="form-row"> <div class="form-row"> <input type="text" name="lname" id="lname" class="input-text" placeholder="Enter Your Last name" required=""> </div> <div class="form-row"> <input type="text" name="email" placeholder="Enter Your Email Address" id="email" class="input-text" required pattern="[^@]+@[^@]+.[a-zA-Z]{2,6}" required=""> </div> <div class="form-row"> <input type="text" name="phone" id="phone" class="input-text" placeholder="Enter Your Phone Number" required=""> </div> <div class="form-row"> <input type="password" name="pass" id="location" class="input-text" placeholder="Enter Your Password" required=""> </div> <div class="form-checkbox"> <label class="container"><p>By signing up, you agree to the <a href="#" class="text">Our User Term of Service</a> </p> <input type="checkbox" name="agree" id="agree"> <span class="checkmark"></span> </label> </div> <div class="form-row-last"> <input type="submit" name="register" class="register" value="Register"> </div> </form> </div> </div> <script src="https://code.jquery.com/jquery-1.11.1.min.js"></script> <script src="https://cdn.jsdelivr.net/jquery.validation/1.16.0/jquery.validate.min.js"></script> <script src="https://cdn.jsdelivr.net/jquery.validation/1.16.0/additional-methods.min.js"></script> </body><!-- This templates was made by Colorlib (https://colorlib.com) --> </html>