join.php 1.5 KB

1234567891011121314151617181920212223242526272829303132333435363738394041424344454647
  1. <?
  2. $HEADER_LOC = 'main';
  3. include($_SERVER['DOCUMENT_ROOT']."/design/mobile/aapstaff/inc/header.php");
  4. ?>
  5. <main class="normal--wrap">
  6. <section class="join--form--wrap">
  7. <div class="join--form--contents">
  8. <div class="join--form--inner">
  9. <h2>개인 정보 입력</h2>
  10. <div>
  11. <input type="text" class="form-control" id="" placeholder="아이디">
  12. </div>
  13. <div>
  14. <input type="text" class="form-control" id="" placeholder="패스워드">
  15. </div>
  16. <div>
  17. <input type="text" class="form-control" id="" placeholder="이름">
  18. </div>
  19. <div>
  20. <input type="text" class="form-control" id="" placeholder="핸드폰 번호">
  21. </div>
  22. <div>
  23. <input type="text" class="form-control" id="" placeholder="이메일">
  24. </div>
  25. <h2 class="mt45">지점 입력</h2>
  26. <div>
  27. <select id="inputState" class="form-select">
  28. <option selected>지점 직접 입력</option>
  29. </select>
  30. </div>
  31. <div>
  32. <input type="text" class="form-control" id="" placeholder="지점명을 입력해주세요">
  33. </div>
  34. </div>
  35. <div class="col-12 d-flex justify-content-center join--btn--wrap floating--btn">
  36. <button type="submit" class="btn btn-primary">회원가입</button>
  37. </div>
  38. </div>
  39. </section>
  40. </main>
  41. <? include($_SERVER['DOCUMENT_ROOT']."/design/mobile/aapstaff/inc/footer_blank.php") ?>