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gsf/resources/views/Frontend/Pages/subcription/create_subscription_Intermidate.blade.php
vedant-chavan 20f55281ef save to codehub
2024-08-09 17:11:41 +05:30

90 lines
4.7 KiB
PHP

@extends('Frontend.layouts.master')
@section('section')
<div class="container">
<!--<h3 class="text-center">Budgets</h3>-->
<div class="row">
<div class="col-4">
<div class="card text-center">
<div class="card-body">
<h5 class="card-title">Intermidate</h5>
<a href="{{ route('subscription_create_beginners') }}" class="btn btn-primary" data-toggle="modal" data-target="#exampleModalCenter">Join Now</a>
</div>
</div>
</div>
</div>
</div>
<!-- Modal -->
<div class="modal fade" id="exampleModalCenter" tabindex="-1" role="dialog" aria-labelledby="exampleModalCenterTitle" aria-hidden="true">
<div class="modal-dialog modal-dialog-centered" role="document">
<div class="modal-content">
<div class="modal-header">
<h5 class="modal-title" id="exampleModalLongTitle">Intermidate</h5>
<button type="button" class="close" data-dismiss="modal" aria-label="Close">
<span aria-hidden="true">&times;</span>
</button>
</div>
<div class="modal-body">
<form id="sign_up">
<div class="form-row">
<div class="form-group col-md-12">
<label for="inputEmail4">Name<span class="text-danger">*</span></label>
<input type="text" class="form-control" name="full_name" id="full_name" placeholder="Full Name">
</div>
</div>
<div class="form-row">
<div class="form-group col-md-12">
<label for="inputEmail4">Email<span class="text-danger">*</span></label>
<input type="email" class="form-control" name="email" id="email" placeholder="Email">
</div>
</div>
<div class="form-row">
<div class="form-group col-md-12">
<label for="inputEmail4">Mobile Number<span class="text-danger">*</span></label>
<input type="text" class="form-control" name="phone_number" id="phone_number" placeholder="Mobile">
</div>
</div>
<div class="form-row">
<div class="form-group col-md-6">
<label for="inputEmail4">Password<span class="text-danger">*</span></label>
<input type="password" name="password" class="form-control" id="password" placeholder="Password">
</div>
</div>
<!-- <div class="form-row">
<div class="form-group col-md-12">
<label for="inputEmail4">Confirm Password<span class="text-danger">*</span></label>
<input type="confirm password" name="confirm_password"class="form-control" id="confirm_password" placeholder="Confirm Password">
</div>
</div>-->
<div class="form-row">
<div class="form-group col-md-12">
<label for="inputEmail4">Address <span class="text-danger">*</span></label>
<input type="text" name="address" class="form-control" id="address" placeholder=" Address">
</div>
</div>
<div class="form-row">
<div class="form-group col-md-12">
<label for="inputEmail4">What is your fitness goal <span class="text-danger">*</span></label>
<input type="text" name="fitness_goal" class="form-control" id="fitness_goal" placeholder="Fitness goal">
</div>
</div>
<div class="form-row">
<div class="form-group col-md-12">
<label for="inputEmail4">Where did you hear about us <span class="text-danger">*</span></label>
<input type="text" name="hear_about_us" class="form-control" id="hear_about_us" placeholder="Hear About us">
</div>
</div>
<button type="submit" class="btn btn-primary register">Submit</button>
</form>
</div>
<!-- <div class="modal-footer">
<button type="button" class="btn btn-secondary" data-dismiss="modal">Close</button>
<button type="button" class="btn btn-primary">Save changes</button>
</div>-->
</div>
</div>
</div>
@endsection