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Code Editor : member-profile.php
<?php include("includes/header.php");?> <!-- banner --> <section class="inner-intro bg bg-fixed bg-overlay-black-60" style="background-image:url(images/bg/inner-bg-1.jpg);"> <div class="container"> <div class="row intro-title text-center"> <div class="col-md-12"> <div class="section-title"> <h1 class="position-relative divider"> Finding your LOVE </h1> </div> </div> <div class="col-md-12 mt-7"> <ul class="page-breadcrumb"> <li><a href="index.php"><i class="fa fa-home"></i> Home</a> <i class="fa fa-angle-double-right"></i></li> <li><span> Finding your LOVE </span> </li> </ul> </div> </div> </div> </section> <section class="page-section-ptb profile-slider pb-5"> <div class="container"> <div class="row justify-content-center"> <div class="col-md-8 text-center"> <h2 class="title divider"> Member Profile </h2> </div> </div> <br> <div class="row justify-content-center"> <div class="col-md-10"> <form class="main-form" method="post" action=""> <div class="row"> <div class="form-group col-md-4"> <div class="input-group"> <input id="name" placeholder="Your name here" class="form-control" name="name" type="text"> </div> </div> <div class="form-group col-md-4"> <div class="input-group"> <input placeholder="Your mail here" class="form-control" name="email" type="email"> </div> </div> <div class="form-group col-md-4"> <div class="input-group"> <select class="form-control"> <option>Select a Gender </option> <option>Option 1</option> <option>Option 2</option> </select> </div> </div> <div class="form-group col-md-4"> <div class="input-group"> <input placeholder="Age" class="form-control" name="name" type="text"> </div> </div> <div class="form-group col-md-4"> <div class="input-group"> <input placeholder="Weight" class="form-control" name="name" type="text"> </div> </div> <div class="form-group col-md-4"> <div class="input-group"> <input placeholder="Height" class="form-control" name="name" type="text"> </div> </div> <div class="form-group col-md-4"> <div class="input-group"> <input placeholder="Nationality" class="form-control" name="name" type="text"> </div> </div> <div class="form-group col-md-4"> <div class="input-group"> <input placeholder="Religion" class="form-control" name="name" type="text"> </div> </div> <div class="form-group col-md-4"> <div class="input-group"> <select class="form-control"> <option>Select Marital Status </option> <option>Single</option> <option>Option 2</option> </select> </div> </div> <div class="form-group col-md-12"> <div class="input-group"> <textarea class="form-control input-message" placeholder="Address*" rows="7" name="message"></textarea> </div> </div> <div class="form-group col-md-12"> <div class="input-group"> <textarea class="form-control input-message" placeholder="Reference for contact (Full Name, Relation, Address, Contact number)" rows="7" name="message"></textarea> </div> </div> <div class="form-group col-md-6"> <div class="input-group"> <input placeholder="Email" class="form-control" name="name" type="email"> </div> </div> <div class="form-group col-md-6"> <div class="input-group"> <input placeholder="Contact number" class="form-control" name="name" type="text"> </div> </div> <div class="form-group sm-mb-0"> <button name="submit" type="submit" value="Send" class="button btn-lg btn-theme full-rounded animated right-icn"><span>Submit<i class="glyph-icon flaticon-hearts" aria-hidden="true"></i></span></button> </div> </div> </form> </div> </div> </div> </section> <?php include("includes/subscribe.php");?> <?php include("includes/footer.php");?>
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