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registrationform.html
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>LOGIN&SIGN UP</title>
<link rel="stylesheet"href="https://unicons.iconscout.com/release/v2.1.6/css/unicons.css"/>
<link rel="stylesheet" href="registrationform.css">
</head>
<body>
<h1>Agent Registration</h1>
<nav>
<ul>
<li>Personal Details</li>
<li>Agency Details</li>
<li>Contact Person Details</li>
<li>Work Order Scope</li>
</ul>
</nav>
<h2>Profile Information</h2>
<main>
<div class="col-1">
<form action="">
<label for="A_name">Agency Name</label>
<input type="text" name="Agency name" id="A_name">
<br>
<label for="Add">Address</label>
<input type="text" name="Add" id="Add">
<br>
<label for="num">Toll-Free Number</label>
<input type="number" name="num" id="num">
<br>
<label for="C_name">Company Number</label>
<!-- <img src="./image/calender (1).svg" alt=""> -->
<!-- <div><i class="uil uil-adjust-circle"></i></div> -->
<i class="uil uil-adjust-circle"></i>
<input type="text" name="Com name" id="C_name">
</form>
</div>
<div class="col-2">
<form action="">
<label for="A_Type">Agency Type</label>
<input type="text" name="Agency type" id="A_Type">
<div class="CS"><label for="city">City</label><br>
<input type="text" name="city" id="city">
<label for="state">State</label>
<input type="text" name="state" id="state"></div>
<label for="email">Email ID</label>
<input type="text" name="email" id="email">
<label for="O_space">Office Space</label>
<input type="checkbox" name="O " id="O_space" value="Owned">
<label for="O_space">Office Space</label>
<input type="checkbox" name="R " id="O_space" value="Rental">
</form>
</div>
<div class="col-3">
<form action="">
<label for="pwd">Password</label>
<input type="password" name="pwd" id="pwd">
<label for="numb">Telephone Number</label>
<input type="number" name="number" id="numb">
<label for="web">Website</label>
<input type="text" name="web" id="web">
<label for="logo">Company Logo</label>
<input type="file" name="logo" id="logo" placeholder="choose file">
</form>
</div>
</main>
<small>In order to process your registration, we ask yoou to provide the folloeing information.Please note thet all fields marked with an asterik(*)are required</small>
<footer>
<button type="submit" id="cancelbtn">CANCEL</button>
<button type="submit" id="contbtn">CONTINUE</button>
</footer>
</body>
</html>