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< div class = "app flex-row align-items-center" >
< div class = "container" >
< div class = "row justify-content-center" >
< div class = "col-md-6" >
< div class = "card mx-4" >
< div class = "card-block p-4" >
< h1 > Register< / h1 >
< p class = "text-muted" > Create your account< / p >
< div class = "input-group mb-3" >
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< span class = "input-group-addon" > < i class = "icon-key" > < / i > < / span >
< input type = "text" class = "form-control" placeholder = "Token" >
< / div >
< div class = "input-group mb-3" >
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< span class = "input-group-addon" > < i class = "icon-user" > < / i > < / span >
< input type = "text" class = "form-control" placeholder = "Username" >
< / div >
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< div class = "input-group mb-3" >
< span class = "input-group-addon" > < i class = "icon-user" > < / i > < / span >
< input type = "text" class = "form-control" placeholder = "Full Name" >
< / div >
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< div class = "input-group mb-3" >
< span class = "input-group-addon" > @< / span >
< input type = "text" class = "form-control" placeholder = "Email" >
< / div >
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< div class = "input-group mb-3" >
< span class = "input-group-addon" > < i class = "icon-user" > < / i > < / span >
< input type = "text" class = "form-control" placeholder = "Postcode" >
< / div >
< div class = "input-group mb-3" >
< span class = "input-group-addon" > < i class = "icon-calendar" > < / i > < / span >
< select required id = "agerange" class = "form-control" >
< option value = "" > Please select< / option >
< option value = "1" > Option #1< / option >
< option value = "2" > Option #2< / option >
< option value = "3" > Option #3< / option >
< / select >
< / div >
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< div class = "input-group mb-3" >
< span class = "input-group-addon" > < i class = "icon-lock" > < / i > < / span >
< input type = "password" class = "form-control" placeholder = "Password" >
< / div >
< div class = "input-group mb-4" >
< span class = "input-group-addon" > < i class = "icon-lock" > < / i > < / span >
< input type = "password" class = "form-control" placeholder = "Repeat password" >
< / div >
< button type = "button" class = "btn btn-block btn-success" > Create Account< / button >
< / div >
< / div >
< / div >
< / div >
< / div >
< / div >