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form-templates.php
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form-templates.php
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<?php
//initilize the page
require_once("inc/init.php");
//require UI configuration (nav, ribbon, etc.)
require_once("inc/config.ui.php");
/*---------------- PHP Custom Scripts ---------
YOU CAN SET CONFIGURATION VARIABLES HERE BEFORE IT GOES TO NAV, RIBBON, ETC.
E.G. $page_title = "Custom Title" */
$page_title = "Form Layouts";
/* ---------------- END PHP Custom Scripts ------------- */
//include header
//you can add your custom css in $page_css array.
//Note: all css files are inside css/ folder
$page_css[] = "your_style.css";
include("inc/header.php");
//include left panel (navigation)
//follow the tree in inc/config.ui.php
$page_nav["forms"]["sub"]["smart_layout"]["active"] = true;
include("inc/nav.php");
?>
<!-- ==========================CONTENT STARTS HERE ========================== -->
<!-- MAIN PANEL -->
<div id="main" role="main">
<?php
//configure ribbon (breadcrumbs) array("name"=>"url"), leave url empty if no url
//$breadcrumbs["New Crumb"] => "http://url.com"
$breadcrumbs["Forms"] = "";
include("inc/ribbon.php");
?>
<!-- MAIN CONTENT -->
<div id="content">
<div class="row">
<div class="col-xs-12 col-sm-9 col-md-9 col-lg-9">
<h1 class="page-title txt-color-blueDark">
<!-- PAGE HEADER -->
<i class="fa-fw fa fa-pencil-square-o"></i>
Forms
<span>>
Form Layouts
</span>
</h1>
</div>
<div class="col-xs-12 col-sm-3 col-md-3 col-lg-3">
<!-- Button trigger modal -->
<a data-toggle="modal" href="#myModal" class="btn btn-success btn-lg pull-right header-btn hidden-mobile"><i class="fa fa-circle-arrow-up fa-lg"></i> Launch form modal</a>
</div>
</div>
<div class="alert alert-block alert-success">
<a class="close" data-dismiss="alert" href="#">×</a>
<h4 class="alert-heading"><i class="fa fa-check-square-o"></i> Check validation!</h4>
<p>
You may also check the form validation by clicking on the form action button. Please try and see the results below!
</p>
</div>
<!-- widget grid -->
<section id="widget-grid" class="">
<!-- START ROW -->
<div class="row">
<!-- NEW COL START -->
<article class="col-sm-12 col-md-12 col-lg-6">
<!-- Widget ID (each widget will need unique ID)-->
<div class="jarviswidget" id="wid-id-1" data-widget-editbutton="false" data-widget-custombutton="false">
<!-- widget options:
usage: <div class="jarviswidget" id="wid-id-0" data-widget-editbutton="false">
data-widget-colorbutton="false"
data-widget-editbutton="false"
data-widget-togglebutton="false"
data-widget-deletebutton="false"
data-widget-fullscreenbutton="false"
data-widget-custombutton="false"
data-widget-collapsed="true"
data-widget-sortable="false"
-->
<header>
<span class="widget-icon"> <i class="fa fa-edit"></i> </span>
<h2>Checkout Form </h2>
</header>
<!-- widget div-->
<div>
<!-- widget edit box -->
<div class="jarviswidget-editbox">
<!-- This area used as dropdown edit box -->
</div>
<!-- end widget edit box -->
<!-- widget content -->
<div class="widget-body no-padding">
<form id="checkout-form" class="smart-form" novalidate="novalidate">
<fieldset>
<div class="row">
<section class="col col-6">
<label class="input"> <i class="icon-prepend fa fa-user"></i>
<input type="text" name="fname" placeholder="First name">
</label>
</section>
<section class="col col-6">
<label class="input"> <i class="icon-prepend fa fa-user"></i>
<input type="text" name="lname" placeholder="Last name">
</label>
</section>
</div>
<div class="row">
<section class="col col-6">
<label class="input"> <i class="icon-prepend fa fa-envelope-o"></i>
<input type="email" name="email" placeholder="E-mail">
</label>
</section>
<section class="col col-6">
<label class="input"> <i class="icon-prepend fa fa-phone"></i>
<input type="tel" name="phone" placeholder="Phone" data-mask="(999) 999-9999">
</label>
</section>
</div>
</fieldset>
<fieldset>
<div class="row">
<section class="col col-5">
<label class="select">
<select name="country">
<option value="0" selected="" disabled="">Country</option>
<option value="244">Aaland Islands</option>
<option value="1">Afghanistan</option>
<option value="2">Albania</option>
<option value="3">Algeria</option>
<option value="4">American Samoa</option>
<option value="5">Andorra</option>
<option value="6">Angola</option>
<option value="7">Anguilla</option>
<option value="8">Antarctica</option>
<option value="9">Antigua and Barbuda</option>
<option value="10">Argentina</option>
<option value="11">Armenia</option>
<option value="12">Aruba</option>
<option value="13">Australia</option>
<option value="14">Austria</option>
<option value="15">Azerbaijan</option>
<option value="16">Bahamas</option>
<option value="17">Bahrain</option>
<option value="18">Bangladesh</option>
<option value="19">Barbados</option>
<option value="20">Belarus</option>
<option value="21">Belgium</option>
<option value="22">Belize</option>
<option value="23">Benin</option>
<option value="24">Bermuda</option>
<option value="25">Bhutan</option>
<option value="26">Bolivia</option>
<option value="245">Bonaire, Sint Eustatius and Saba</option>
<option value="27">Bosnia and Herzegovina</option>
<option value="28">Botswana</option>
<option value="29">Bouvet Island</option>
<option value="30">Brazil</option>
<option value="31">British Indian Ocean Territory</option>
<option value="32">Brunei Darussalam</option>
<option value="33">Bulgaria</option>
<option value="34">Burkina Faso</option>
<option value="35">Burundi</option>
<option value="36">Cambodia</option>
<option value="37">Cameroon</option>
<option value="38">Canada</option>
<option value="251">Canary Islands</option>
<option value="39">Cape Verde</option>
<option value="40">Cayman Islands</option>
<option value="41">Central African Republic</option>
<option value="42">Chad</option>
<option value="43">Chile</option>
<option value="44">China</option>
<option value="45">Christmas Island</option>
<option value="46">Cocos (Keeling) Islands</option>
<option value="47">Colombia</option>
<option value="48">Comoros</option>
<option value="49">Congo</option>
<option value="50">Cook Islands</option>
<option value="51">Costa Rica</option>
<option value="52">Cote D'Ivoire</option>
<option value="53">Croatia</option>
<option value="54">Cuba</option>
<option value="246">Curacao</option>
<option value="55">Cyprus</option>
<option value="56">Czech Republic</option>
<option value="237">Democratic Republic of Congo</option>
<option value="57">Denmark</option>
<option value="58">Djibouti</option>
<option value="59">Dominica</option>
<option value="60">Dominican Republic</option>
<option value="61">East Timor</option>
<option value="62">Ecuador</option>
<option value="63">Egypt</option>
<option value="64">El Salvador</option>
<option value="65">Equatorial Guinea</option>
<option value="66">Eritrea</option>
<option value="67">Estonia</option>
<option value="68">Ethiopia</option>
<option value="69">Falkland Islands (Malvinas)</option>
<option value="70">Faroe Islands</option>
<option value="71">Fiji</option>
<option value="72">Finland</option>
<option value="74">France, skypolitan</option>
<option value="75">French Guiana</option>
<option value="76">French Polynesia</option>
<option value="77">French Southern Territories</option>
<option value="126">FYROM</option>
<option value="78">Gabon</option>
<option value="79">Gambia</option>
<option value="80">Georgia</option>
<option value="81">Germany</option>
<option value="82">Ghana</option>
<option value="83">Gibraltar</option>
<option value="84">Greece</option>
<option value="85">Greenland</option>
<option value="86">Grenada</option>
<option value="87">Guadeloupe</option>
<option value="88">Guam</option>
<option value="89">Guatemala</option>
<option value="241">Guernsey</option>
<option value="90">Guinea</option>
<option value="91">Guinea-Bissau</option>
<option value="92">Guyana</option>
<option value="93">Haiti</option>
<option value="94">Heard and Mc Donald Islands</option>
<option value="95">Honduras</option>
<option value="96">Hong Kong</option>
<option value="97">Hungary</option>
<option value="98">Iceland</option>
<option value="99">India</option>
<option value="100">Indonesia</option>
<option value="101">Iran (Islamic Republic of)</option>
<option value="102">Iraq</option>
<option value="103">Ireland</option>
<option value="104">Israel</option>
<option value="105">Italy</option>
<option value="106">Jamaica</option>
<option value="107">Japan</option>
<option value="240">Jersey</option>
<option value="108">Jordan</option>
<option value="109">Kazakhstan</option>
<option value="110">Kenya</option>
<option value="111">Kiribati</option>
<option value="113">Korea, Republic of</option>
<option value="114">Kuwait</option>
<option value="115">Kyrgyzstan</option>
<option value="116">Lao People's Democratic Republic</option>
<option value="117">Latvia</option>
<option value="118">Lebanon</option>
<option value="119">Lesotho</option>
<option value="120">Liberia</option>
<option value="121">Libyan Arab Jamahiriya</option>
<option value="122">Liechtenstein</option>
<option value="123">Lithuania</option>
<option value="124">Luxembourg</option>
<option value="125">Macau</option>
<option value="127">Madagascar</option>
<option value="128">Malawi</option>
<option value="129">Malaysia</option>
<option value="130">Maldives</option>
<option value="131">Mali</option>
<option value="132">Malta</option>
<option value="133">Marshall Islands</option>
<option value="134">Martinique</option>
<option value="135">Mauritania</option>
<option value="136">Mauritius</option>
<option value="137">Mayotte</option>
<option value="138">Mexico</option>
<option value="139">Micronesia, Federated States of</option>
<option value="140">Moldova, Republic of</option>
<option value="141">Monaco</option>
<option value="142">Mongolia</option>
<option value="242">Montenegro</option>
<option value="143">Montserrat</option>
<option value="144">Morocco</option>
<option value="145">Mozambique</option>
<option value="146">Myanmar</option>
<option value="147">Namibia</option>
<option value="148">Nauru</option>
<option value="149">Nepal</option>
<option value="150">Netherlands</option>
<option value="151">Netherlands Antilles</option>
<option value="152">New Caledonia</option>
<option value="153">New Zealand</option>
<option value="154">Nicaragua</option>
<option value="155">Niger</option>
<option value="156">Nigeria</option>
<option value="157">Niue</option>
<option value="158">Norfolk Island</option>
<option value="112">North Korea</option>
<option value="159">Northern Mariana Islands</option>
<option value="160">Norway</option>
<option value="161">Oman</option>
<option value="162">Pakistan</option>
<option value="163">Palau</option>
<option value="247">Palestinian Territory, Occupied</option>
<option value="164">Panama</option>
<option value="165">Papua New Guinea</option>
<option value="166">Paraguay</option>
<option value="167">Peru</option>
<option value="168">Philippines</option>
<option value="169">Pitcairn</option>
<option value="170">Poland</option>
<option value="171">Portugal</option>
<option value="172">Puerto Rico</option>
<option value="173">Qatar</option>
<option value="174">Reunion</option>
<option value="175">Romania</option>
<option value="176">Russian Federation</option>
<option value="177">Rwanda</option>
<option value="178">Saint Kitts and Nevis</option>
<option value="179">Saint Lucia</option>
<option value="180">Saint Vincent and the Grenadines</option>
<option value="181">Samoa</option>
<option value="182">San Marino</option>
<option value="183">Sao Tome and Principe</option>
<option value="184">Saudi Arabia</option>
<option value="185">Senegal</option>
<option value="243">Serbia</option>
<option value="186">Seychelles</option>
<option value="187">Sierra Leone</option>
<option value="188">Singapore</option>
<option value="189">Slovak Republic</option>
<option value="190">Slovenia</option>
<option value="191">Solomon Islands</option>
<option value="192">Somalia</option>
<option value="193">South Africa</option>
<option value="194">South Georgia & South Sandwich Islands</option>
<option value="248">South Sudan</option>
<option value="195">Spain</option>
<option value="196">Sri Lanka</option>
<option value="249">St. Barthelemy</option>
<option value="197">St. Helena</option>
<option value="250">St. Martin (French part)</option>
<option value="198">St. Pierre and Miquelon</option>
<option value="199">Sudan</option>
<option value="200">Suriname</option>
<option value="201">Svalbard and Jan Mayen Islands</option>
<option value="202">Swaziland</option>
<option value="203">Sweden</option>
<option value="204">Switzerland</option>
<option value="205">Syrian Arab Republic</option>
<option value="206">Taiwan</option>
<option value="207">Tajikistan</option>
<option value="208">Tanzania, United Republic of</option>
<option value="209">Thailand</option>
<option value="210">Togo</option>
<option value="211">Tokelau</option>
<option value="212">Tonga</option>
<option value="213">Trinidad and Tobago</option>
<option value="214">Tunisia</option>
<option value="215">Turkey</option>
<option value="216">Turkmenistan</option>
<option value="217">Turks and Caicos Islands</option>
<option value="218">Tuvalu</option>
<option value="219">Uganda</option>
<option value="220">Ukraine</option>
<option value="221">United Arab Emirates</option>
<option value="222">United Kingdom</option>
<option value="223">United States</option>
<option value="224">United States Minor Outlying Islands</option>
<option value="225">Uruguay</option>
<option value="226">Uzbekistan</option>
<option value="227">Vanuatu</option>
<option value="228">Vatican City State (Holy See)</option>
<option value="229">Venezuela</option>
<option value="230">Viet Nam</option>
<option value="231">Virgin Islands (British)</option>
<option value="232">Virgin Islands (U.S.)</option>
<option value="233">Wallis and Futuna Islands</option>
<option value="234">Western Sahara</option>
<option value="235">Yemen</option>
<option value="238">Zambia</option>
<option value="239">Zimbabwe</option>
</select> <i></i> </label>
</section>
<section class="col col-4">
<label class="input">
<input type="text" name="city" placeholder="City">
</label>
</section>
<section class="col col-3">
<label class="input">
<input type="text" name="code" placeholder="Post code">
</label>
</section>
</div>
<section>
<label for="address2" class="input">
<input type="text" name="address2" id="address2" placeholder="Address">
</label>
</section>
<section>
<label class="textarea">
<textarea rows="3" name="info" placeholder="Additional info"></textarea>
</label>
</section>
</fieldset>
<fieldset>
<section>
<div class="inline-group">
<label class="radio">
<input type="radio" name="radio-inline" checked="">
<i></i>Visa</label>
<label class="radio">
<input type="radio" name="radio-inline">
<i></i>MasterCard</label>
<label class="radio">
<input type="radio" name="radio-inline">
<i></i>American Express</label>
</div>
</section>
<section>
<label class="input">
<input type="text" name="name" placeholder="Name on card">
</label>
</section>
<div class="row">
<section class="col col-10">
<label class="input">
<input type="text" name="card" placeholder="Card number" data-mask="9999-9999-9999-9999">
</label>
</section>
<section class="col col-2">
<label class="input">
<input type="text" name="cvv" placeholder="CVV2" data-mask="999">
</label>
</section>
</div>
<div class="row">
<label class="label col col-4">Expiration date</label>
<section class="col col-5">
<label class="select">
<select name="month">
<option value="0" selected="" disabled="">Month</option>
<option value="1">January</option>
<option value="1">February</option>
<option value="3">March</option>
<option value="4">April</option>
<option value="5">May</option>
<option value="6">June</option>
<option value="7">July</option>
<option value="8">August</option>
<option value="9">September</option>
<option value="10">October</option>
<option value="11">November</option>
<option value="12">December</option>
</select> <i></i> </label>
</section>
<section class="col col-3">
<label class="input">
<input type="text" name="year" placeholder="Year" data-mask="2099">
</label>
</section>
</div>
</fieldset>
<footer>
<button type="submit" class="btn btn-primary">
Validate Form
</button>
</footer>
</form>
</div>
<!-- end widget content -->
</div>
<!-- end widget div -->
</div>
<!-- end widget -->
<!-- Widget ID (each widget will need unique ID)-->
<div class="jarviswidget" id="wid-id-3" data-widget-editbutton="false" data-widget-custombutton="false">
<!-- widget options:
usage: <div class="jarviswidget" id="wid-id-0" data-widget-editbutton="false">
data-widget-colorbutton="false"
data-widget-editbutton="false"
data-widget-togglebutton="false"
data-widget-deletebutton="false"
data-widget-fullscreenbutton="false"
data-widget-custombutton="false"
data-widget-collapsed="true"
data-widget-sortable="false"
-->
<header>
<span class="widget-icon"> <i class="fa fa-edit"></i> </span>
<h2>Registration form </h2>
</header>
<!-- widget div-->
<div>
<!-- widget edit box -->
<div class="jarviswidget-editbox">
<!-- This area used as dropdown edit box -->
</div>
<!-- end widget edit box -->
<!-- widget content -->
<div class="widget-body no-padding">
<form id="order-form" class="smart-form" novalidate="novalidate">
<header>
Order services
</header>
<fieldset>
<div class="row">
<section class="col col-6">
<label class="input"> <i class="icon-append fa fa-user"></i>
<input type="text" name="name" placeholder="Name">
</label>
</section>
<section class="col col-6">
<label class="input"> <i class="icon-append fa fa-briefcase"></i>
<input type="text" name="company" placeholder="Company">
</label>
</section>
</div>
<div class="row">
<section class="col col-6">
<label class="input"> <i class="icon-append fa fa-envelope-o"></i>
<input type="email" name="email" placeholder="E-mail">
</label>
</section>
<section class="col col-6">
<label class="input"> <i class="icon-append fa fa-phone"></i>
<input type="tel" name="phone" placeholder="Phone" data-mask="(999) 999-9999">
</label>
</section>
</div>
</fieldset>
<fieldset>
<div class="row">
<section class="col col-6">
<label class="select">
<select name="interested">
<option value="0" selected="" disabled="">Interested in</option>
<option value="1">design</option>
<option value="1">development</option>
<option value="2">illustration</option>
<option value="2">branding</option>
<option value="3">video</option>
</select> <i></i> </label>
</section>
<section class="col col-6">
<label class="select">
<select name="budget">
<option value="0" selected="" disabled="">Budget</option>
<option value="1">less than 5000$</option>
<option value="2">5000$ - 10000$</option>
<option value="3">10000$ - 20000$</option>
<option value="4">more than 20000$</option>
</select> <i></i> </label>
</section>
</div>
<div class="row">
<section class="col col-6">
<label class="input"> <i class="icon-append fa fa-calendar"></i>
<input type="text" name="startdate" id="startdate" placeholder="Expected start date">
</label>
</section>
<section class="col col-6">
<label class="input"> <i class="icon-append fa fa-calendar"></i>
<input type="text" name="finishdate" id="finishdate" placeholder="Expected finish date">
</label>
</section>
</div>
<section>
<div class="input input-file">
<span class="button"><input id="file2" type="file" name="file2" onchange="this.parentNode.nextSibling.value = this.value">Browse</span><input type="text" placeholder="Include some files" readonly="">
</div>
</section>
<section>
<label class="textarea"> <i class="icon-append fa fa-comment"></i>
<textarea rows="5" name="comment" placeholder="Tell us about your project"></textarea>
</label>
</section>
</fieldset>
<footer>
<button type="submit" class="btn btn-primary">
Validate Form
</button>
</footer>
</form>
</div>
<!-- end widget content -->
</div>
<!-- end widget div -->
</div>
<!-- end widget -->
<!-- Widget ID (each widget will need unique ID)-->
<div class="jarviswidget" id="wid-id-7" data-widget-editbutton="false" data-widget-custombutton="false">
<!-- widget options:
usage: <div class="jarviswidget" id="wid-id-0" data-widget-editbutton="false">
data-widget-colorbutton="false"
data-widget-editbutton="false"
data-widget-togglebutton="false"
data-widget-deletebutton="false"
data-widget-fullscreenbutton="false"
data-widget-custombutton="false"
data-widget-collapsed="true"
data-widget-sortable="false"
-->
<header>
<span class="widget-icon"> <i class="fa fa-edit"></i> </span>
<h2>Review form </h2>
</header>
<!-- widget div-->
<div>
<!-- widget edit box -->
<div class="jarviswidget-editbox">
<!-- This area used as dropdown edit box -->
</div>
<!-- end widget edit box -->
<!-- widget content -->
<div class="widget-body no-padding">
<form id="review-form" class="smart-form">
<header>
Review form
</header>
<fieldset>
<section>
<label class="input"> <i class="icon-append fa fa-user"></i>
<input type="text" name="name" id="name" placeholder="Your name">
</label>
</section>
<section>
<label class="input"> <i class="icon-append fa fa-envelope-o"></i>
<input type="email" name="email" id="email" placeholder="Your e-mail">
</label>
</section>
<section>
<label class="label"></label>
<label class="textarea"> <i class="icon-append fa fa-comment"></i>
<textarea rows="3" name="review" id="review" placeholder="Text of the review"></textarea>
</label>
</section>
<section>
<div class="rating">
<input type="radio" name="quality" id="quality-5">
<label for="quality-5"><i class="fa fa-star"></i></label>
<input type="radio" name="quality" id="quality-4">
<label for="quality-4"><i class="fa fa-star"></i></label>
<input type="radio" name="quality" id="quality-3">
<label for="quality-3"><i class="fa fa-star"></i></label>
<input type="radio" name="quality" id="quality-2">
<label for="quality-2"><i class="fa fa-star"></i></label>
<input type="radio" name="quality" id="quality-1">
<label for="quality-1"><i class="fa fa-star"></i></label>
Quality of the product
</div>
<div class="rating">
<input type="radio" name="reliability" id="reliability-5">
<label for="reliability-5"><i class="fa fa-star"></i></label>
<input type="radio" name="reliability" id="reliability-4">
<label for="reliability-4"><i class="fa fa-star"></i></label>
<input type="radio" name="reliability" id="reliability-3">
<label for="reliability-3"><i class="fa fa-star"></i></label>
<input type="radio" name="reliability" id="reliability-2">
<label for="reliability-2"><i class="fa fa-star"></i></label>
<input type="radio" name="reliability" id="reliability-1">
<label for="reliability-1"><i class="fa fa-star"></i></label>
Reliability of the product
</div>
<div class="rating">
<input type="radio" name="overall" id="overall-5">
<label for="overall-5"><i class="fa fa-star"></i></label>
<input type="radio" name="overall" id="overall-4">
<label for="overall-4"><i class="fa fa-star"></i></label>
<input type="radio" name="overall" id="overall-3">
<label for="overall-3"><i class="fa fa-star"></i></label>
<input type="radio" name="overall" id="overall-2">
<label for="overall-2"><i class="fa fa-star"></i></label>
<input type="radio" name="overall" id="overall-1">
<label for="overall-1"><i class="fa fa-star"></i></label>
Overall rating
</div>
</section>
</fieldset>
<footer>
<button type="submit" class="btn btn-primary">
Validate Form
</button>
</footer>
</form>
</div>
<!-- end widget content -->
</div>
<!-- end widget div -->
</div>
<!-- end widget -->
</article>
<!-- END COL -->
<!-- NEW COL START -->
<article class="col-sm-12 col-md-12 col-lg-6">
<!-- Widget ID (each widget will need unique ID)-->
<div class="jarviswidget" id="wid-id-4" data-widget-editbutton="false" data-widget-custombutton="false">
<!-- widget options:
usage: <div class="jarviswidget" id="wid-id-0" data-widget-editbutton="false">
data-widget-colorbutton="false"
data-widget-editbutton="false"
data-widget-togglebutton="false"
data-widget-deletebutton="false"
data-widget-fullscreenbutton="false"
data-widget-custombutton="false"
data-widget-collapsed="true"
data-widget-sortable="false"
-->
<header>
<span class="widget-icon"> <i class="fa fa-edit"></i> </span>
<h2>Registration form </h2>
</header>
<!-- widget div-->
<div>
<!-- widget edit box -->
<div class="jarviswidget-editbox">
<!-- This area used as dropdown edit box -->
</div>
<!-- end widget edit box -->
<!-- widget content -->
<div class="widget-body no-padding">
<form id="smart-form-register" class="smart-form">
<header>
Registration form
</header>
<fieldset>
<section>
<label class="input"> <i class="icon-append fa fa-user"></i>
<input type="text" name="username" placeholder="Username">
<b class="tooltip tooltip-bottom-right">Needed to enter the website</b> </label>
</section>
<section>
<label class="input"> <i class="icon-append fa fa-envelope-o"></i>
<input type="email" name="email" placeholder="Email address">
<b class="tooltip tooltip-bottom-right">Needed to verify your account</b> </label>
</section>
<section>
<label class="input"> <i class="icon-append fa fa-lock"></i>
<input type="password" name="password" placeholder="Password" id="password">
<b class="tooltip tooltip-bottom-right">Don't forget your password</b> </label>
</section>
<section>
<label class="input"> <i class="icon-append fa fa-lock"></i>
<input type="password" name="passwordConfirm" placeholder="Confirm password">
<b class="tooltip tooltip-bottom-right">Don't forget your password</b> </label>
</section>
</fieldset>
<fieldset>
<div class="row">
<section class="col col-6">
<label class="input">
<input type="text" name="firstname" placeholder="First name">
</label>
</section>
<section class="col col-6">
<label class="input">
<input type="text" name="lastname" placeholder="Last name">
</label>
</section>
</div>
<div class="row">
<section class="col col-6">
<label class="select">
<select name="gender">
<option value="0" selected="" disabled="">Gender</option>
<option value="1">Male</option>
<option value="2">Female</option>
<option value="3">Prefer not to answer</option>
</select> <i></i> </label>
</section>
<section class="col col-6">
<label class="input"> <i class="icon-append fa fa-calendar"></i>
<input type="text" name="request" placeholder="Request activation on" class="datepicker" data-dateformat='dd/mm/yy'>
</label>
</section>
</div>
<section>
<label class="checkbox">
<input type="checkbox" name="subscription" id="subscription">
<i></i>I want to receive news and special offers</label>
<label class="checkbox">
<input type="checkbox" name="terms" id="terms">
<i></i>I agree with the Terms and Conditions</label>
</section>
</fieldset>
<footer>
<button type="submit" class="btn btn-primary">
Validate Form
</button>
</footer>
</form>
</div>
<!-- end widget content -->
</div>
<!-- end widget div -->
</div>
<!-- end widget -->
<!-- Widget ID (each widget will need unique ID)-->
<div class="jarviswidget" id="wid-id-6" data-widget-editbutton="false" data-widget-custombutton="false">
<!-- widget options:
usage: <div class="jarviswidget" id="wid-id-0" data-widget-editbutton="false">
data-widget-colorbutton="false"
data-widget-editbutton="false"
data-widget-togglebutton="false"
data-widget-deletebutton="false"
data-widget-fullscreenbutton="false"
data-widget-custombutton="false"
data-widget-collapsed="true"
data-widget-sortable="false"
-->
<header>
<span class="widget-icon"> <i class="fa fa-edit"></i> </span>
<h2>Comment form </h2>
</header>
<!-- widget div-->
<div>
<!-- widget edit box -->
<div class="jarviswidget-editbox">
<!-- This area used as dropdown edit box -->
</div>
<!-- end widget edit box -->
<!-- widget content -->
<div class="widget-body no-padding">
<form action="php/demo-comment.php" method="post" id="comment-form" class="smart-form">
<header>
Comment form
</header>
<fieldset>
<div class="row">
<section class="col col-4">
<label class="label">Name</label>
<label class="input"> <i class="icon-append fa fa-user"></i>
<input type="text" name="name">
</label>
</section>
<section class="col col-4">
<label class="label">E-mail</label>
<label class="input"> <i class="icon-append fa fa-envelope-o"></i>
<input type="email" name="email">
</label>
</section>
<section class="col col-4">
<label class="label">Website</label>
<label class="input"> <i class="icon-append fa fa-globe"></i>
<input type="url" name="url">
</label>
</section>
</div>
<section>
<label class="label">Comment</label>
<label class="textarea"> <i class="icon-append fa fa-comment"></i> <textarea rows="4" name="comment"></textarea> </label>
<div class="note">
You may use these HTML tags and attributes: <a href="" title="">, <abbr title="">, <acronym title="">, <b>, <blockquote cite="">, <cite>, <code>, <del datetime="">, <em>, <i>, <q cite="">, <strike>, <strong>.
</div>
</section>
</fieldset>
<footer>
<button type="submit" name="submit" class="btn btn-primary">
Validate Form
</button>
</footer>
<div class="message">
<i class="fa fa-check fa-lg"></i>
<p>
Your comment was successfully added!
</p>
</div>
</form>
</div>
<!-- end widget content -->
</div>
<!-- end widget div -->
</div>
<!-- end widget -->
<!-- Widget ID (each widget will need unique ID)-->
<div class="jarviswidget" id="wid-id-8" data-widget-editbutton="false" data-widget-custombutton="false">
<!-- widget options:
usage: <div class="jarviswidget" id="wid-id-0" data-widget-editbutton="false">
data-widget-colorbutton="false"
data-widget-editbutton="false"
data-widget-togglebutton="false"
data-widget-deletebutton="false"
data-widget-fullscreenbutton="false"
data-widget-custombutton="false"
data-widget-collapsed="true"
data-widget-sortable="false"
-->
<header>
<span class="widget-icon"> <i class="fa fa-edit"></i> </span>
<h2>Contacts form </h2>