Skip to content

Instantly share code, notes, and snippets.

@raank
Created October 18, 2016 04:07
Show Gist options
  • Select an option

  • Save raank/ddb87ea2e77977bc0f724f167675e108 to your computer and use it in GitHub Desktop.

Select an option

Save raank/ddb87ea2e77977bc0f724f167675e108 to your computer and use it in GitHub Desktop.
<!DOCTYPE html>
<html>
<head>
<title>GO2FUN </title>
<link href="/css/bootstrap.css" rel="stylesheet" type="text/css" media="all" />
<link rel="stylesheet" href="/vendor/bootstrap/css/bootstrap.css"/>
<link rel="stylesheet" href="/dist/css/formValidation.css"/>
<link rel="stylesheet" href="font-awesome/css/font-awesome.min.css">
</head>
<body>
<div class="panel-body">
<form id="defaultForm" method="post" class="form-horizontal" action="{{ url('anunciante/register') }}">
{{csrf_field()}}
<div class="form-group">
<label class="col-sm-3 control-label">Nome completo</label>
<div class="col-sm-3">
<input type="text" class="form-control" name="nome" placeholder="Nome" />
</div>
<div class="col-sm-3">
<input type="text" class="form-control" name="sobrenome" placeholder="Sobrenome" />
</div>
</div>
<div class="form-group">
<label class="col-lg-3 control-label">Sexo</label>
<div class="col-lg-5">
<div class="radio">
<label>
<input type="radio" name="genero" value="M" /> Masculino
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="genero" value="F" /> Feminino
</label>
</div>
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label">CPF</label>
<div class="col-sm-5">
<input type="text" class="form-control" name="cpf" placeholder="CPF"/>
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label">Telefone</label>
<div class="col-sm-5">
<input type="text" class="form-control" name="telefone" placeholder="telefone"/>
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label">CEP</label>
<div class="col-sm-5">
<input type="text" id="cep" class="form-control" maxlength="9" name="cep" placeholder="CEP"/>
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label">Rua</label>
<div class="col-sm-5">
<input name="rua" type="text" class="form-control" size="65" id="rua" disabled=""/>
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label">Bairro</label>
<div class="col-sm-5">
<input name="bairro" type="text" class="form-control" size="65" id="bairro" disabled=""/>
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label">Cidade</label>
<div class="col-sm-5">
<input type="text" id="cidade" name="cidade" class="form-control" size="65" disabled=""/>
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label">Estado</label>
<div class="col-sm-5">
<input type="text" id="estado" class="form-control" size="65" name="estado" disabled=""/>
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label">Email</label>
<div class="col-sm-5">
<input type="text" class="form-control" name="email" placeholder="email"/>
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label">Senha</label>
<div class="col-sm-5">
<input type="password" class="form-control" name="password" placeholder="senha"/>
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label">Confirme sua senha</label>
<div class="col-sm-5">
<input type="password" class="form-control" name="confirmPassword" placeholder="confirme a senha" />
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label">Imagem de perfil:</label>
<div class="col-sm-5">
<input type="file" class="form-control" name="img" />
</div>
</div>
<div class="form-group">
<div class="col-sm-6 col-sm-offset-3">
<div class="checkbox">
<label>
<input type="checkbox" name="agree" value="agree" /> Aceito os termos de uso.
</label>
</div>
</div>
</div>
<div class="form-group">
<div class="col-sm-9 col-sm-offset-3">
<button type="submit" class="btn btn-primary" name="signup" value="Sign up">CADASTRAR</button>
</div>
</div>
</form>
</div>
<!-- /panel-body -->
<!-- jQuery lib -->
<script src="//code.jquery.com/jquery-2.2.4.min.js"></script>
<!-- bootstrap -->
<script type="text/javascript" src="/vendor/bootstrap/js/bootstrap.min.js"></script>
<script type="text/javascript" src="/dist/js/framework/bootstrap.js"></script>
<!-- Scripts da aplicação -->
<script type="text/javascript" src="/dist/js/formValidation.js"></script>
<!--
Primeiro jQuery
Segundo Libs, Plugins
Terceiro Scripts da aplicação
-->
</body>
</html>
Sign up for free to join this conversation on GitHub. Already have an account? Sign in to comment