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<!doctype html>
<html lang="en">
<head>
<!-- Required meta tags -->
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
<!-- Bootstrap CSS -->
<link href="https://cdn.jsdelivr.net/npm/bootstrap@5.1.3/dist/css/bootstrap.min.css" rel="stylesheet"
integrity="sha384-1BmE4kWBq78iYhFldvKuhfTAU6auU8tT94WrHftjDbrCEXSU1oBoqyl2QvZ6jIW3" crossorigin="anonymous">
<!-- Optional JavaScript; choose one of the two! -->
<!-- Option 1: Bootstrap Bundle with Popper -->
<script src="https://cdn.jsdelivr.net/npm/bootstrap@5.1.3/dist/js/bootstrap.bundle.min.js"
integrity="sha384-ka7Sk0Gln4gmtz2MlQnikT1wXgYsOg+OMhuP+IlRH9sENBO0LRn5q+8nbTov4+1p"
crossorigin="anonymous"></script>
<!-- Option 2: Separate Popper and Bootstrap JS -->
<!--
<script src="https://cdn.jsdelivr.net/npm/@popperjs/core@2.10.2/dist/umd/popper.min.js" integrity="sha384-7+zCNj/IqJ95wo16oMtfsKbZ9ccEh31eOz1HGyDuCQ6wgnyJNSYdrPa03rtR1zdB" crossorigin="anonymous"></script>
<script src="https://cdn.jsdelivr.net/npm/bootstrap@5.1.3/dist/js/bootstrap.min.js" integrity="sha384-QJHtvGhmr9XOIpI6YVutG+2QOK9T+ZnN4kzFN1RtK3zEFEIsxhlmWl5/YESvpZ13" crossorigin="anonymous"></script>
-->
</head>
<body>
<section style="background-color: #eee;">
<div class="container h-100">
<div class="row d-flex justify-content-center align-items-center h-100">
<div class="col-lg-12 col-xl-11">
<div class="card text-black" style="border-radius: 25px;">
<div class="card-body p-md-5">
<div class="row justify-content-center">
<div class="col-md-10 col-lg-6 col-xl-5 order-2 order-lg-1">
<p class="text-center h1 fw-bold mb-5 mx-1 mx-md-4 mt-4">註冊</p>
<form class="mx-1 mx-md-4">
<div class="d-flex flex-row align-items-center mb-4">
<i class="fas fa-user fa-lg me-3 fa-fw"></i>
<div class="form-outline flex-fill mb-0">
<input type="text" id="register_name" class="form-control" />
<label class="form-label" for="register_name">你的名字</label>
</div>
</div>
<div class="d-flex flex-row align-items-center mb-4">
<i class="fas fa-user fa-lg me-3 fa-fw"></i>
<div class="form-outline flex-fill mb-0">
<input type="text" id="register_phone" class="form-control" />
<label class="form-label" for="register_phone">你的電話</label>
</div>
</div>
<div class="d-flex flex-row align-items-center mb-4">
<i class="fas fa-envelope fa-lg me-3 fa-fw"></i>
<div class="form-outline flex-fill mb-0">
<input type="email" id="register_email" class="form-control" />
<label class="form-label" for="register_email">你的email</label>
</div>
</div>
<div class="d-flex flex-row align-items-center mb-4">
<i class="fas fa-lock fa-lg me-3 fa-fw"></i>
<div class="form-outline flex-fill mb-0">
<input type="password" id="register_password" class="form-control" />
<label class="form-label" for="register_password">密碼</label>
</div>
</div>
<div class="d-flex flex-row align-items-center mb-4">
<i class="fas fa-key fa-lg me-3 fa-fw"></i>
<div class="form-outline flex-fill mb-0">
<input type="password" id="repeat_password" class="form-control" />
<label class="form-label" for="repeat_password">請再輸入一次密碼</label>
</div>
</div>
<div class="d-flex flex-row align-items-center mb-4">
<label class="form-label my-1 mx-3" for="register_phone">是否為仿約客戶</label>
<div class="form-check form-check-inline">
<input class="form-check-input" type="radio" name="inlineRadioOptions"
id="inlineRadio1" value="true">
<label class="form-check-label" for="inlineRadio1">是</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="radio" name="inlineRadioOptions"
id="inlineRadio2" value="false">
<label class="form-check-label" for="inlineRadio2">否</label>
</div>
</div>
<div class="d-flex justify-content-center mx-4 mb-3 mb-lg-4">
<button type="button" class="btn btn-primary btn-lg">註冊</button>
</div>
</form>
</div>
<div class="col-md-10 col-lg-6 col-xl-7 d-flex align-items-center order-1 order-lg-2">
<img src="https://mdbcdn.b-cdn.net/img/Photos/new-templates/bootstrap-registration/draw1.webp"
class="img-fluid" alt="Sample image">
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</section>
</body>