<?php include_once("includes/logoutHeader.php"); ?>

<!-- ========================_ Register Start _========================================= -->
<div class="row logoutHeader">
	<div class="col-lg-12">
		<h2 class="text-center colorWhite">SPEED TRACK RENT A CAR<small></small></h2>
	</div>
</div>

<div class="row">
	<div class="col-lg-4"></div>
    <div class="col-lg-4">
        <form method="post" action="" name="registerForm" id='registerForm'>
        <div class="panel panel-warning">
            <div class="panel-heading text-center"><h3>Register</h3></div>
            <div class="panel-body">
            <table width="100%" border="0" cellspacing="0" cellpadding="0" class="table-responsive table-condensed" >
                <tr>
                    <td width="100%">
                      <input type="text" name="fullName" id="fullName" class="form-control width95" 
                                 required placeholder="Full Name" >
                      <span class="mandatory">*</span>
                    </td>
                </tr>
                <tr>
                    <td width="100%">
                      <input type="text" name="email" id="email" class="form-control width95" 
                                 required placeholder="Email" >
                      <span class="mandatory">*</span>
                    </td>
                </tr>
                <tr>
                    <td width="100%">
                      <input type="text" name="phoneNo" id="phoneNo" class="form-control width95" 
                                 required placeholder="Phone No" >
                      <span class="mandatory">*</span>
                    </td>
                </tr>
                <tr>
                    <td width="100%">
                      <input type="text" name="userName" id="userName" class="form-control width95" 
                                 required placeholder="User Name" >
                      <span class="mandatory">*</span>
                    </td>
                </tr>
                <tr>
                    <td width="100%">
                      <input type="password" name="password" id="password" class="form-control width95" 
                                 required placeholder="Password" >
                      <span class="mandatory">*</span>
                    </td>
                </tr>
                <tr>
                    <td width="100%">
                      <input type="password" name="confirmPassword" id="confirmPassword" class="form-control width95" 
                                 required placeholder="Confirm Password" >
                      <span class="mandatory">*</span>
                    </td>
                </tr>
			</table>
            </div>
            <div class="panel-footer">
            <table width="100%" border="0" cellspacing="0" cellpadding="0" class="table-responsive table-condensed">
                <tr>
                    <td width="100%">
                        <button type="submit" name="signIn" id="signIn" class="btn btn-lg btn-warning width100">
                            <i class="glyphicon glyphicon-log-in"></i> &nbsp;&nbsp; Register Me In
                        </button>
                    </td>
                </tr>
            </table>
            </div>
            <div class="panel-footer">
            <table width="100%" border="0" cellspacing="0" cellpadding="0" class="table-responsive table-condensed">
                <tr>
                    <td width="100%">&nbsp;</td>
                </tr>
            </table>
            </div>
        </div>
        </form>
	</div>
    <div class="col-lg-4"></div>
</div>
<div class="row height20"></div>
<!-- ========================_ Register End _========================================= -->

<?php include_once("includes/logoutFooter.php"); ?>