forked from Saebyuckbaan/cse110
-
Notifications
You must be signed in to change notification settings - Fork 0
/
Copy pathsignup.html
209 lines (183 loc) · 7.03 KB
/
signup.html
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
<!DOCTYPE html>
<html>
<head>
<!-- Parse Script -->
<link rel="stylesheet" href="css/threecoldiv.css">
<script type="text/javascript" src="api/jquery-1.11.2.min.js"></script>
<script type="text/javascript" src="api/parse-1.3.5.js"></script>
<script type="text/javascript" src="js/signup.js"></script>
<script type="text/javascript" src="js/signin.js"></script>
<script type="text/javascript" src="js/birthdate.js"></script>
<script type="text/javascript" src="js/reformatter.js"></script>
<script type="text/javascript" src="js/customertopmenu.js"></script>
<link rel="stylesheet" type="text/css" href="css/customertopmenu.css">
</head>
<body>
<div class="jbTitle">
<h1>Telegroup Company</h1>
</div>
<div class="jbMenu">
<p>
<span class = "menu-item">
<a href="home.html">Home</a>
<a href="addservice.html">Add Service</a>
<a href="myaccount.html">My Account</a>
<span id = "signbtn"> </span>
</span>
<a class = "submenu-item" href="signup.html">Are You New User?</a>
</p>
</div>
</br></br>
<div class="jbContent">
<span class = "body-item">
<h1>Telecom Company Sign Up</h1>
<button class="myButton" type="button" onclick= 'window.location.href="commercialsignup.html"'>Are You Commercial User?</button></br></br>
<form>
<fieldset>
Username:
<span style = "color:red"> * </span>
</br>
<input class="inputs" id="username" type="string" >
</br>
</br>
Password:
<span style = "color:red"> * </span>
</br>
<input class="inputs" id="password" type="password" >
</br>
</br>
Confirm Password:
<span style = "color:red"> * </span>
</br>
<input class="inputs" id="confirmpassword" type="password" >
</br>
</br>
First Name:
<span style = "color:red"> * </span>
</br>
<input class="inputs" id="firstname" type="string" >
</br>
</br>
Last Name:
<span style = "color:red"> * </span>
</br>
<input class="inputs" id="lastname" type="string" >
</br>
</br>
E-mail:
<span style = "color:red"> * </span>
</br>
<input class="inputs" id="email" type="string" placeholder = "username" size = "20" > @
<input class="inputs" id="domain" type="string" placeholder = "domain.com" size = "20" >
</br></br>
Date of Birth:
<span style = "color:red"> * </span>
</br>
<select class="shortinputs" id ="dobmo" name = "mm"></select>
<select class="shortinputs" id ="dobdate" name = "dd"></select>
<select class="shortinputs" id ="dobyr" name = "yyyy"></select>
<script type="text/javascript">date_populate("dobdate", "dobmo", "dobyr");</script>
</br></br>
SSN:
<span style = "color:red"> * </span>
</br>
<input class="shortinputs" id="SSN1" type="string" placeholder = "123" size = "3" maxlength = "3"> -
<input class="shortinputs" id="SSN2" type="string" placeholder = "45" size = "2" maxlength = "2"> -
<input class="shortinputs" id="SSN3" type="string" placeholder = "7890" size = "4" maxlength = "4">
</br></br>
Gender:
<span style = "color:red"> * </span>
</br>
<input type="radio" name="gender" id="gender" value="M" checked>Male
</br>
<input type="radio" name="gender" id="gender" value="F" >Female
</br></br>
Phone Number:
<span style = "color:red"> * </span>
</br>
<input class="shortinputs" id="areacode" type="string" placeholder = "213" size = "3" maxlength = "3" > -
<input class="shortinputs" id="phonemid" type="string" placeholder = "389" size = "3" maxlength = "3"> -
<input class="shortinputs" id="phoneend" type="string" placeholder = "7890" size = "4" maxlength = "4">
</br></br>
Address:
<span style = "color:red"> * </span>
</br>
<input class="inputs" id="address" type="string" >
</br></br>
City:<span style = "color:red"> * </span>
</br>
<input class="inputs" id="city" type="string" >
</br></br>
State:<span style = "color:red"> * </span>
</br>
<select class="inputs" id="state">
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select>
</br></br>
Zip Code:<span style = "color:red"> * </span>
</br>
<input class="shortinputs" id="zip" type="string" placeholder = "90000" size = "5" min = "00001" max = "99999">
</br></br>
<i>
<span style = "color:red"> * </span>
are required field
</i>
</br></br>
<button class="myButton" type="button" onclick="signUp()">Submit</button>
</fieldset>
</form>
</form>
<p id="demo"></p>
</span></div>
</body>
</html>