Advertisement
Not a member of Pastebin yet?
Sign Up,
it unlocks many cool features!
- <h2>Pendaftaran untuk Kontributor Artikel</h2>
- </div>
- <div class="block-content">
- <div class="shortcode-content">
- <div class="column12">
- <div id="writecomment">
- <form action="" method="POST" enctype='multipart/form-data' onSubmit="return validasireg(this)">
- <p class="contact-form-user">
- <label for="c_name">Username<span class="required">*</span></label>
- <input type="text" placeholder="Nickname" name='a' style='width:40%' id="c_name" />
- </p>
- <p class="contact-form-user">
- <label for="c_name">Password<span class="required">*</span></label>
- <input type="text" placeholder="Password" name='b' style='width:40%' id="c_name" />
- </p>
- <p class="contact-form-user">
- <label for="c_name">Nama Lengkap<span class="required">*</span></label>
- <input type="text" placeholder="Nama Lengkap" name='c' style='width:90%' id="c_name" />
- </p>
- <p class="contact-form-email">
- <label for="c_email">E-mail<span class="required">*</span></label>
- <input type="text" placeholder="E-mail" name='d' style='width:90%' id="c_email" />
- </p>
- <p class="contact-form-email">
- <label for="c_email">No Telpon<span class="required">*</span></label>
- <input type="text" placeholder="No Telpon" name='e' id="c_email" />
- </p>
- <p class="contact-form-email">
- <label for="c_email">Foto<span class="required">*</span></label>
- <input type="file" name='fupload' id="c_email" />
- </p>
- <p><br><input type="submit" class="styled-button" name='daftar' value="Daftar Sekarang!" /></p>
- </form>
- </div>
- </div>
- </div><br>
Advertisement
Add Comment
Please, Sign In to add comment
Advertisement