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signup.php
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signup.php
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<!DOCTYPE html>
<!--[if IE 8]> <html lang="en" class="ie8"> <![endif]-->
<!--[if IE 9]> <html lang="en" class="ie9"> <![endif]-->
<!--[if !IE]><!--> <html lang="en"> <!--<![endif]-->
<!-- BEGIN HEAD -->
<head>
<meta charset="utf-8" />
<title>E-Cigs Pro Vapor Kit from Vapor.blue Sign Up Page</title>
<meta content="width=device-width, initial-scale=1.0" name="viewport" />
<meta content="Vapor.blue sign up page" name="description" />
<meta content="Vapor.blue" name="author" />
<!-- BEGIN GLOBAL MANDATORY STYLES -->
<link href="assets/plugins/bootstrap/css/bootstrap.min.css" rel="stylesheet" type="text/css"/>
<link href="assets/plugins/bootstrap/css/bootstrap-responsive.min.css" rel="stylesheet" type="text/css"/>
<link href="assets/plugins/font-awesome/css/font-awesome.min.css" rel="stylesheet" type="text/css"/>
<link href="assets/css/style-metro.css" rel="stylesheet" type="text/css"/>
<link href="assets/css/style.css" rel="stylesheet" type="text/css"/>
<link href="assets/css/style-responsive.css" rel="stylesheet" type="text/css"/>
<link href="assets/css/themes/default.css" rel="stylesheet" type="text/css" id="style_color"/>
<link href="assets/plugins/uniform/css/uniform.default.css" rel="stylesheet" type="text/css"/>
<!-- END GLOBAL MANDATORY STYLES -->
<link rel="shortcut icon" href="favicon.ico" />
</head>
<!-- END HEAD -->
<!-- BEGIN BODY -->
<body class="page-header-fixed">
<!-- BEGIN HEADER -->
<div class="header navbar navbar-inverse navbar-fixed-top">
<!-- BEGIN TOP NAVIGATION BAR -->
<div class="navbar-inner">
<div class="container-fluid">
<!-- BEGIN LOGO -->
<h4>
<a href="http://vapor.blue">Vapor.Blue and E-Cigs Pro Vapor</a>
</h4>
<!-- END LOGO -->
<!-- BEGIN RESPONSIVE MENU TOGGLER -->
<a href="javascript:;" class="btn-navbar collapsed" data-toggle="collapse" data-target=".nav-collapse">
<img src="assets/img/menu-toggler.png" alt="" />
</a>
<!-- END RESPONSIVE MENU TOGGLER -->
<!-- BEGIN TOP NAVIGATION MENU -->
<!-- END TOP NAVIGATION MENU -->
</div>
</div>
<!-- END TOP NAVIGATION BAR -->
</div>
<!-- END HEADER -->
<!-- BEGIN CONTAINER -->
<div class="page-container row-fluid">
<!-- BEGIN SIDEBAR -->
<div class="page-sidebar nav-collapse collapse">
<!-- BEGIN SIDEBAR MENU -->
<ul class="page-sidebar-menu">
<li>
<!-- BEGIN SIDEBAR TOGGLER BUTTON -->
<div class="sidebar-toggler hidden-phone"></div>
<!-- BEGIN SIDEBAR TOGGLER BUTTON -->
</li>
<?php
include('menu.php');
menu_output();
?>
</ul>
<!-- END SIDEBAR MENU -->
</div>
<!-- END SIDEBAR -->
<!-- BEGIN PAGE -->
<div class="page-content">
<!-- BEGIN SAMPLE PORTLET CONFIGURATION MODAL FORM-->
<div id="portlet-config" class="modal hide">
<div class="modal-header">
<button data-dismiss="modal" class="close" type="button"></button>
<h3>portlet Settings</h3>
</div>
<div class="modal-body">
<p>Here will be a configuration form</p>
</div>
</div>
<!-- END SAMPLE PORTLET CONFIGURATION MODAL FORM-->
<!-- BEGIN PAGE CONTAINER-->
<div class="container-fluid">
<!-- BEGIN PAGE HEADER-->
<!-- END PAGE HEADER-->
<!-- BEGIN PAGE CONTENT-->
<div class="row-fluid">
<div class="span12">
<!-- Google Map -->
<div class="row-fluid margin-bottom-20">
<div class="span6">
<div class="space20"></div>
<h3 class="form-section">E-Cigs Pro Vapor Kit from Vapor.blue</h3>
<div class="well">
<h3>
Here is Your E-Cigs Pro Vapor Starter Kit
</h3>
<li>Two E-Cigs Refillable Atomizers</li>
<li>1100mAh Lithium-Ion Battery</li>
<li>Three Bottles of 10ml E-Liquid</li>
<li>USB Charger</li>
<li>Wall Charger</li>
<li>Hard Storage Case</li>
<li>Full Instruction Booklet</li>
<br><br>
<img src="assets/img/product-1.png" alt="" />
</div>
</div>
<div class="span6">
<div class="space20"></div>
<!-- BEGIN FORM-->
<form action="billing.php" class="horizontal-form">
<h3 class="form-section">Contact us below to sign up</h3>
<div class="control-group">
<label class="control-label">First Name:</label>
<div class="controls">
<input type="text" class="m-wrap span12" name="first"/>
</div>
</div>
<div class="control-group">
<label class="control-label">Last Name:</label>
<div class="controls">
<input type="text" class="m-wrap span12" name="last"/>
</div>
</div>
<div class="control-group">
<label class="control-label">Address 1:</label>
<div class="controls">
<input type="text" class="m-wrap span12" name="address1"/>
</div>
</div>
<div class="control-group">
<label class="control-label">Address 2:</label>
<div class="controls">
<input type="text" class="m-wrap span12" name="address2"/>
</div>
</div>
<div class="control-group">
<label class="control-label">City:</label>
<div class="controls">
<input type="text" class="m-wrap span12" name="city"/>
</div>
</div>
<label class="control-label">State:</label>
<div class="control-group">
<select name="state">
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District Of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select>
</div>
<div class="control-group">
<label class="control-label">Zip Code:</label>
<div class="controls">
<input type="text" class="m-wrap span12" name="zip"/>
</div>
</div>
<div class="control-group">
<label class="control-label">Phone:</label>
<div class="controls">
<input type="text" class="m-wrap span12" name="phone"/>
</div>
</div>
<div class="control-group">
<label class="control-label">Email</label>
<div class="controls">
<input type="text" class="m-wrap span12" name="email"/>
</div>
</div>
<button type="submit" class="btn blue"><i class="icon-ok"></i> Send</button>
<button type="button" class="btn">Cancel</button>
<a href="terms.php">Terms</a>
</form>
<!-- END FORM-->
</div>
</div>
</div>
</div>
<!-- END PAGE CONTENT-->
</div>
<!-- END PAGE CONTAINER-->
</div>
<!-- END PAGE -->
</div>
<!-- END CONTAINER -->
<!-- BEGIN FOOTER -->
<div class="footer">
<div class="footer-inner">
<a href="http://vapor.blue">Vapor.Blue</a>
</div>
<div class="footer-tools">
<span class="go-top">
<i class="icon-angle-up"></i>
</span>
</div>
</div>
<!-- END FOOTER -->
<!-- BEGIN JAVASCRIPTS(Load javascripts at bottom, this will reduce page load time) -->
<!-- BEGIN CORE PLUGINS --> <script src="assets/plugins/jquery-1.10.1.min.js" type="text/javascript"></script>
<script src="assets/plugins/jquery-migrate-1.2.1.min.js" type="text/javascript"></script>
<!-- IMPORTANT! Load jquery-ui-1.10.1.custom.min.js before bootstrap.min.js to fix bootstrap tooltip conflict with jquery ui tooltip -->
<script src="assets/plugins/jquery-ui/jquery-ui-1.10.1.custom.min.js" type="text/javascript"></script>
<script src="assets/plugins/bootstrap/js/bootstrap.min.js" type="text/javascript"></script>
<script src="assets/plugins/bootstrap-hover-dropdown/twitter-bootstrap-hover-dropdown.min.js" type="text/javascript" ></script>
<!--[if lt IE 9]>
<script src="assets/plugins/excanvas.min.js"></script>
<script src="assets/plugins/respond.min.js"></script>
<![endif]-->
<script src="assets/plugins/jquery-slimscroll/jquery.slimscroll.min.js" type="text/javascript"></script>
<script src="assets/plugins/jquery.blockui.min.js" type="text/javascript"></script>
<script src="assets/plugins/jquery.cookie.min.js" type="text/javascript"></script>
<script src="assets/plugins/uniform/jquery.uniform.min.js" type="text/javascript" ></script>
<!-- END CORE PLUGINS -->
<script src="assets/scripts/app.js"></script>
<script src="assets/scripts/contact-us.js"></script>
<script>
jQuery(document).ready(function() {
App.init();
ContactUs.init();
});
</script>
<!-- END JAVASCRIPTS -->
</body>
<!-- END BODY -->
</html>