{% include 'header.twig' %}

<div class="container">
	{% if contentText is not empty %}
		<div class="container">
			<div class="row">
				<div class="col-md-8 col-md-offset-2">
					<div class="well ">
						{{ contentText }}
					</div>
				</div>
			</div>
		</div>
	{% endif %}
	<div class="row">
		<div class="col-md-8 col-md-offset-2">

			{% if errorText %}
				<div class="alert alert-dismissible alert-danger">
					<button type="button" class="close" data-dismiss="alert">&times;</button>
					{{ errorText }}
				</div>
			{% endif %}
			{% if successText %}
				<div class="alert alert-dismissible alert-success">
					<button type="button" class="close" data-dismiss="alert">&times;</button>
					{{ successText }}
				</div>
			{% endif %}

			<div class="well">
				<form method="post" action="">
					{% if settings["register_name"] == 2 %}
						<div class="form-group">
							<label for="username" class="control-label">{{ lang['signup.name'] }}</label>
							<input type="text" class="form-control" name="name" value="{{ data['name'] }}">
						</div>
					{% endif %}
					<div class="form-group">
						<label for="username" class="control-label">{{ lang['signup.email'] }}</label>
						<input type="text" class="form-control" name="email" value="{{ data['email'] }}">
					</div>
					<div class="form-group">
						<label for="username" class="control-label">{{ lang['signup.username'] }}</label>
						<input type="text" class="form-control" name="username" value="{{ data['username'] }}">
					</div>
					{% if settings["register_whatsapp"] == 2 %}
						<div class="form-group">
							<label for="username" class="control-label">{{ lang['signup.telephone'] }}</label>
							<input type="text" class="form-control" name="telephone" value="{{ data['telephone'] }}">
						</div>
					{% endif %}
					
						{% if settings["register_states"] == 2 %}
											<div class="form-group">
		<label class="states" for="states">{{ lang['signup.countries'] }}</label>
 <select id="select2"  class="form-control " name="states" >
												
  <option value="afghanistan">Afghanistan</option>
  <option value="albania">Albania</option>
  <option value="algeria">Algeria</option>
  <option value="andorra">Andorra</option>
  <option value="angola">Angola</option>
  <option value="antigua_and_barbuda">Antigua and Barbuda</option>
  <option value="argentina">Argentina</option>
  <option value="armenia">Armenia</option>
  <option value="australia">Australia</option>
  <option value="austria">Austria</option>
  <option value="azerbaijan">Azerbaijan</option>
  <option value="bahamas">Bahamas</option>
  <option value="bahrain">Bahrain</option>
  <option value="bangladesh">Bangladesh</option>
  <option value="barbados">Barbados</option>
  <option value="belarus">Belarus</option>
  <option value="belgium">Belgium</option>
  <option value="belize">Belize</option>
  <option value="benin">Benin</option>
  <option value="bhutan">Bhutan</option>
  <option value="bolivia">Bolivia</option>
  <option value="bosnia_and_herzegovina">Bosnia and Herzegovina</option>
  <option value="botswana">Botswana</option>
  <option value="brazil">Brazil</option>
  <option value="brunei">Brunei</option>
  <option value="bulgaria">Bulgaria</option>
  <option value="burkina_faso">Burkina Faso</option>
  <option value="burundi">Burundi</option>
  <option value="cabo_verde">Cabo Verde</option>
  <option value="cambodia">Cambodia</option>
  <option value="cameroon">Cameroon</option>
  <option value="canada">Canada</option>
  <option value="central_african_republic">Central African Republic</option>
  <option value="chad">Chad</option>
  <option value="chile">Chile</option>
  <option value="china">China</option>
  <option value="colombia">Colombia</option>
  <option value="comoros">Comoros</option>
  <option value="congo">Congo</option>
  <option value="costa_rica">Costa Rica</option>
  <option value="croatia">Croatia</option>
  <option value="cuba">Cuba</option>
  <option value="cyprus">Cyprus</option>
  <option value="czech_republic">Czech Republic</option>
  <option value="denmark">Denmark</option>
  <option value="djibouti">Djibouti</option>
  <option value="dominica">Dominica</option>
  <option value="dominican_republic">Dominican Republic</option>
  <option value="east_timor">East Timor</option>
  <option value="ecuador">Ecuador</option>
  <option value="egypt" selected>Egypt</option>
  <option value="el_salvador">El Salvador</option>
  <option value="equatorial_guinea">Equatorial Guinea</option>
  <option value="eritrea">Eritrea</option>
  <option value="estonia">Estonia</option>
  <option value="eswatini">Eswatini</option>
  <option value="ethiopia">Ethiopia</option>
  <option value="fiji">Fiji</option>
  <option value="finland">Finland</option>
  <option value="france">France</option>
  <option value="gabon">Gabon</option>
  <option value="gambia">Gambia</option>
  <option value="georgia">Georgia</option>
  <option value="germany">Germany</option>
  <option value="ghana">Ghana</option>
  <option value="greece">Greece</option>
  <option value="grenada">Grenada</option>
  <option value="guatemala">Guatemala</option>
  <option value="guinea">Guinea</option>
  <option value="guinea-bissau">Guinea-Bissau</option>
  <option value="guyana">Guyana</option>
  <option value="haiti">Haiti</option>
  <option value="honduras">Honduras</option>
  <option value="hungary">Hungary</option>
  <option value="iceland">Iceland</option>
  <option value="india">India</option>
  <option value="indonesia">Indonesia</option>
  <option value="iran">Iran</option>
  <option value="iraq">Iraq</option>
  <option value="ireland">Ireland</option>
  <option value="israel">Israel</option>
  <option value="italy">Italy</option>
  <option value="ivory_coast">Ivory Coast</option>
  <option value="jamaica">Jamaica</option>
  <option value="japan">Japan</option>
  <option value="jordan">Jordan</option>
  <option value="kazakhstan">Kazakhstan</option>
  <option value="kenya">Kenya</option>
  <option value="kiribati">Kiribati</option>
  <option value="kosovo">Kosovo</option>
  <option value="kuwait">Kuwait</option>
  <option value="kyrgyzstan">Kyrgyzstan</option>
  <option value="laos">Laos</option>
  <option value="latvia">Latvia</option>
  <option value="lebanon">Lebanon</option>
  <option value="lesotho">Lesotho</option>
  <option value="liberia">Liberia</option>
  <option value="libya">Libya</option>
  <option value="liechtenstein">Liechtenstein</option>
  <option value="lithuania">Lithuania</option>
  <option value="luxembourg">Luxembourg</option>
  <option value="madagascar">Madagascar</option>
  <option value="malawi">Malawi</option>
  <option value="malaysia">Malaysia</option>
  <option value="maldives">Maldives</option>
  <option value="mali">Mali</option>
  <option value="malta">Malta</option>
  <option value="marshall_islands">Marshall Islands</option>
<option value="mauritania">Mauritania</option>
<option value="mauritius">Mauritius</option>
<option value="mexico">Mexico</option>
<option value="micronesia">Micronesia</option>
<option value="moldova">Moldova</option>
<option value="monaco">Monaco</option>
<option value="mongolia">Mongolia</option>
<option value="montenegro">Montenegro</option>
<option value="morocco">Morocco</option>
<option value="mozambique">Mozambique</option>
<option value="myanmar">Myanmar</option>
<option value="namibia">Namibia</option>
<option value="nauru">Nauru</option>
<option value="nepal">Nepal</option>
<option value="netherlands">Netherlands</option>
<option value="new_zealand">New Zealand</option>
<option value="nicaragua">Nicaragua</option>
<option value="niger">Niger</option>
<option value="nigeria">Nigeria</option>
<option value="north_korea">North Korea</option>
<option value="north_macedonia">North Macedonia</option>
<option value="norway">Norway</option>
<option value="oman">Oman</option>
<option value="pakistan">Pakistan</option>
<option value="palau">Palau</option>
<option value="palestine">Palestine</option>
<option value="panama">Panama</option>
<option value="papua_new_guinea">Papua New Guinea</option>
<option value="paraguay">Paraguay</option>
<option value="peru">Peru</option>
<option value="philippines">Philippines</option>
<option value="poland">Poland</option>
<option value="portugal">Portugal</option>
<option value="qatar">Qatar</option>
<option value="romania">Romania</option>
<option value="russia">Russia</option>
<option value="rwanda">Rwanda</option>
<option value="saint_kitts_and_nevis">Saint Kitts and Nevis</option>
<option value="saint_lucia">Saint Lucia</option>
<option value="saint_vincent_and_the_grenadines">Saint Vincent and the Grenadines</option>
<option value="samoa">Samoa</option>
<option value="san_marino">San Marino</option>
<option value="sao_tome_and_principe">Sao Tome and Principe</option>
<option value="saudi_arabia">Saudi Arabia</option>
<option value="senegal">Senegal</option>
<option value="serbia">Serbia</option>
<option value="seychelles">Seychelles</option>
<option value="sierra_leone">Sierra Leone</option>
<option value="singapore">Singapore</option>
<option value="slovakia">Slovakia</option>
<option value="slovenia">Slovenia</option>
<option value="solomon_islands">Solomon Islands</option>
<option value="somalia">Somalia</option>
<option value="south_africa">South Africa</option>
<option value="south_korea">South Korea</option>
<option value="south_sudan">South Sudan</option>
<option value="spain">Spain</option>
<option value="sri_lanka">Sri Lanka</option>
<option value="sudan">Sudan</option>
<option value="suriname">Suriname</option>
<option value="sweden">Sweden</option>
<option value="switzerland">Switzerland</option>
<option value="syria">Syria</option>
<option value="taiwan">Taiwan</option>
<option value="tajikistan">Tajikistan</option>
<option value="tanzania">Tanzania</option>
<option value="thailand">Thailand</option>
<option value="togo">Togo</option>
<option value="tonga">Tonga</option>
<option value="trinidad_and_tobago">Trinidad and Tobago</option>
<option value="tunisia">Tunisia</option>
<option value="turkey">Turkey</option>
<option value="turkmenistan">Turkmenistan</option>
<option value="tuvalu">Tuvalu</option>
<option value="uganda">Uganda</option>
<option value="ukraine">Ukraine</option>
<option value="united_arab_emirates">United Arab Emirates</option>
<option value="united_kingdom">United Kingdom</option>
<option value="uruguay">Uruguay</option>
<option value="uzbekistan">Uzbekistan</option>
<option value="vanuatu">Vanuatu</option>
<option value="vatican_city">Vatican City</option>
<option value="venezuela">Venezuela</option>
<option value="vietnam">Vietnam</option>
<option value="yemen">Yemen</option>
<option value="zambia">Zambia</option>
<option value="zimbabwe">Zimbabwe</option>
												
												</select>
											</div>
												{% endif %}
						
					<div class="form-group">
						<label for="password" class="control-label">{{ lang['signup.password'] }}</label>
						<input type="password" class="form-control" name="password">
					</div>
					<div class="form-group">
						<label for="password" class="control-label">{{ lang['signup.confirm.password'] }}</label>
						<input type="password" class="form-control" name="password_again">
					</div>
					<div class="checkbox">
						<label>
							<input type="checkbox" name="terms" value="1">
							{{ lang['signup.accept_terms_text'] }}
						</label>
					</div>

					{% if captcha %}
						<div class="form-group">
							<div class="g-recaptcha" data-sitekey="{{ captchaKey }}"></div>
						</div>
					{% endif %}
	<input type="hidden" name="crsf_token" value="{{ csrf_token() }}">
					<button type="submit" class="btn btn-primary click">{{ lang['signup.button'] }}</button>
				</form>
			</div>
		</div>
	</div>
</div>


{% include 'footer.twig' %}