registration_window_model_window.php 2.71 KB
<?php

use common\models\LoginForm;
use yii\helpers\Html;
use yii\helpers\Url;
use yii\widgets\ActiveForm;

?>
<div class="modal fade" id="regMe" tabindex="-1" role="dialog" aria-labelledby="myModalLabel2">
    <div class="modal-dialog auth" role="document">
        <div class="modal-content">

            <div class="modal-header">
                <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">&times;</span></button>
                <h4 class="modal-title" id="myModalLabel2">Создание профиля</h4>
            </div>

            <div class="modal-body">


                <form name="RegistrationForm" id="RegistrationFormModal" action="register_user.htm" method="post" >
                    <div class="form-group">
                        <label for="InputName3">Имя:</label>
                        <input name="firstName" class="form-control" id="InputName3" placeholder="" required>
                    </div>
                    <div class="form-group">
                        <label for="phone2">Телефон:</label>
                        <input name="phone" class="form-control phone" id="phone2" placeholder="" required>
                    </div>

                    <div class="form-group">
                        <label for="InputEmail3">Email:</label>
                        <input type="email" name="email" class="form-control" id="InputEmail3" placeholder="" required>
                    </div>
                    <div class="form-group">

                        <div class="block-50" style="padding-right: 10px;">
                            <label for="InputPassword3">Пароль:</label>
                            <input type="password" name="pwd" class="form-control" id="InputPassword3" placeholder="" required>
                        </div>
                        <div class="block-50">
                            <label for="InputRemPassword3">Пароль еще раз:</label>
                            <input type="password" name="pwd_a" class="form-control" id="InputRemPassword3" placeholder="" required>
                        </div>
                        <div class="clearfix"></div>
                    </div>
                    <input type="hidden" name="verification_keystring" value="[modal]">

                    <button type="submit" class="btn btn-default btn-large">Создать новый профиль</button>
                    <div class="clearfix"></div>
                    <p>На ваш email будет отправлено письмо для подтверждения данных.</p>
                </form>
            </div>

            <div class="modal-footer">
            </div>

        </div>
    </div>
</div>