Location: PHPKode > projects > Community Learning Network > cln/lib/CLN/interfaces/User/register.html
<?php

// set title
// should support multiple languages
$GLOBALS['CLN_PAGE_TITLE'] = "Register";

?>
<form name="userEdit" action="<?php echo $_SERVER['REQUEST_URI']; ?>" method="post">

<h2>Register</h2>
<p>To register on the St. Christopher House Community Learning Network system:</p>
<ol>
	<li>Fill out your personal information below and click "Register Now".</li>
	<li>You will receive an email with a temporary password, which you can use to come back and login.</li>
	<li>Once you have logged in, your account will be validated and you can then change your password.</li>
</ol>
<p>If you do not yet have an email address, there are a number of free web-based email providers you can use.</p>
<p>Although St. Christopher does not endorse any email providers, <a href="http://mail.yahoo.ca">http://mail.yahoo.ca</a> is one that we've tried and seems to work fine.</p>

<div class="grRow">
		<span class="grFormLabel"><label for="userFirstName">First Name:</label></span>
		<input type="text" class="grFormElement" id="userFirstName" name="userFirstName" size="30" maxlength="80" value="<?php echo $_SESSION['User']->firstName; ?>" />
</div>

<div class="grRow">
	<span class="grFormLabel"><label for="userLastName">Last Name:</label></span>
	<input class="grFormElement" type="text" id="userLastName" name="userLastName" size="30" maxlength="50" value="<?php echo $_SESSION['User']->lastName; ?>" />
</div>

<div class="grRow">
	<span class="grFormLabel"><label for="userMemberName">Member Name:</label></span>
	<input class="grFormElement" type="text" id="userMemberName" name="userMemberName" size="30" maxlength="50" value="<?php echo $_SESSION['User']->memberName; ?>" />
</div>

<div class="grRow">
	<span class="grFormLabel"><label for="userEmail">Email Address:</label></span>
	<input class="grFormElement" type="text" id="userEmail" name="userEmail" size="30" maxlength="50" value="<?php echo $_SESSION['User']->email; ?>" />
</div>

<div class="grRow">
	<span class="grFormLabel"><label for="userCompany">Organization:</label></span>
	<input class="grFormElement" type="text" id="userCompany" name="userCompany" size="30" maxlength="50" value="<?php echo $_SESSION['User']->company; ?>" />
</div>

<div class="grRow">
	<span class="grFormLabel"><label for="userTelephone">Telephone:</label></span>
	<input type="text" class="grFormElement" id="userTelephone" name="userTelephone" size="14" maxlength="20" value="" />
</div>

<div class="grRow">
	<span class="grFormLabel"><label for="userStreet">Street Address:</label></span>
	<input type="text" class="grFormElement" id="userStreet" name="userStreet" size="40" maxlength="250" value="" />
</div>

<div class="grRow">
	<span class="grFormLabel"><label for="userCity">City</label></span>
	<input type="text" class="grFormElement" id="userCity" name="userCity" size="30" maxlength="30" value="" />
</div>

<div class="grRow">
	<span class="grFormLabel"><label for="userProvince">Province</label></span>
	<select class="grFormElement" id="userProvince" name="userProvince">
		<option value="Alberta">Alberta</option>
		<option value="BritishColumbia">British Columbia</option>
		<option value="Manitoba">Manitoba</option>
		<option value="Ontario">Ontario</option>
		<option value="NewBrunswick">New Brunswick</option>
		<option value="NovaScotia">Nova Scotia</option>
		<option value="NewfoundlandLabrador">Newfoundland/Labr.</option>
		<option value="PrinceEdwardIsland">Prince Edward Island</option>
		<option value="Quebec">Quebec</option>
		<option value="Saskatchewan">Saskatchewan</option>
		<option value="NWT">N.W.T</option>
		<option value="Nunavut">Nunavut</option>
		<option value="Yukon">Yukon</option>
	</select>
</div>

<div class="grRow">
	<span class="grFormLabel"><label for="userPostalCode">Postal Code</label></span>
	<input type="text" class="grFormElement" id="userPostalCode" name="userPostalCode" size="7" maxlength="7" value="" />


<div class="grRow">
	<span class="grFormLabel">
	<input class="grFormInput" id="registerUser" type="submit" name="registerUser" value="Register Now" />
	</span>
</div>

</form>

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