thrashr888 (owner)

Revisions

gist: 227499 Download_button fork
public
Description:
facebook register table
Public Clone URL: git://gist.github.com/227499.git
Embed All Files: show embed
facebook.php #
raw 
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<h1>Complete your registration</h1>
<hr />
 
<?=$this->flash()?>
 
<form action="/register/facebook/register" method="POST">
	<table style="width: 320px; margin: inherit auto;">
		<tr>
			<td><label>First Name*</label></td>
			<td colspan="2"><input type="text" name="data[User][first_name]" value="<?=$data['User']['first_name']?>" /></td>
		</tr>
		
		<tr>
			<td><label>Last Name*</label></td>
			<td colspan="2"><input type="text" name="data[User][last_name]" value="<?=$data['User']['last_name']?>" /></td>
		</tr>
		
		<tr>
			<td><label>Postal Code*</label></td>
			<td colspan="2"><input type="text" name="data[User][zip]" value="<?=$data['User']['zip']?>" /></td>
		</tr>
		
		<tr>
			<td><label>Email*</label></td>
			<td colspan="2"><input type="text" name="data[User][email]" value="<?=$data['User']['email']?>" /></td>
		</tr>
		
		<tr>
			<td><label>Year of Birth*</label></td>
			<td colspan="2"><select name="data[User][year_of_birth]" id="year_of_birth" size="1">
		          <option value="">select one</option>
		          <? yearOfBirthSelectList($v['year_of_birth']) ?>
		        </select></td>
		</tr>
		
		<tr>
			<td><label>Gender</label></td>
			<td colspan="2"><input type="radio" name="sex" id="f" value="f" <? if ($data['User']['sex']=='f') {echo 'checked';}?>>
				<label for="f">female</label> 
				
			    <input type="radio" name="sex" id="m" value="m" <? if ($data['User']['sex']=='m') {echo 'checked';}?>>
			    <label for="m">male </label></td>
		</tr>
		
		<tr>
			<td colspan="2" ><label>Please email me the Dogster Newsletter</label></td>
			<td><input type="checkbox" name="data[User][nl_dog]" value="true" /></td>
		</tr>
		
		<tr>
			<td colspan="2"><label>Please email me the Daily Dog Tips</label></td>
			<td><input type="checkbox" name="data[User][daily_tips]" value="true" /></td>
		</tr>
		
		<tr>
			<td colspan="2"><label>I agreen to the Terms of Service</label></td>
			<td><input type="checkbox" name="data[User][terms]" value="true" /></td>
		</tr>
		
		<tr>
			<td colspan="3" align="center"><input type="submit" name="submit" value="Submit" class="customButton customButton100" /></td>
		</tr>
	</table>
</form>