- <tr>
- <th><label for="pi_phone">PI Phone: <span class="form-required" title="This field is required.">*</span></label></th>
- <td><input type="text" id="pi_phone" name="pi_phone" value="{{ pi_phone }}" size="20" maxlength="20" class="form-control" required> </td>
- </tr>
- <tr>
- <th><label for="pi_email">PI email: <span class="form-required" title="This field is required.">*</span></label></th>
- <td><input type="text" id="pi_email" name="pi_email" value="{{ pi_email }}" size="20" maxlength="40" class="form-control" required> </td>
- </tr>
- <tr>
- <th><label for="pi_password">PI password: <span class="form-required" title="This field is required.">*</span></label></th>
- <td><input type="password" id="pi_password" name="pi_password" value="" size="20" maxlength="20" class="form-control" required> </td>
- </tr>
- <tr><td colspan="2"> </td></tr>
- <tr><td colspan="2"><h4>Postal address</h4></td></tr>
- <tr>
- <th><label class="" for="address_line1">Address: </label></th>
- <td><input type="text" id="address_line1" name="address_line1" value="{{ address_line1 }}" size="30" maxlength="40" class="form-text"> </td>
- </tr>
- <tr>
- <th><label class="" for="address_line2">Address (2): </label></th>
- <td><input type="text" id="address_line2" name="address_line2" value="{{ address_line2 }}" size="30" maxlength="40" class="form-text"> </td>
- </tr>
- <tr>
- <th><label class="" for="address_line3">Address (3): </label></th>
- <td><input type="text" id="address_line3" name="address_line3" value="{{ address_line3 }}" size="30" maxlength="40" class="form-text"> </td>
- </tr>
- <tr>
- <th><label class="" for="address_city">City: </label></th>
- <td><input type="text" id="address_city" name="address_city" value="{{ address_city }}" size="20" maxlength="20" class="form-text"> </td>
- </tr>
- <tr>
- <th><label class="" for="address_postalcode">Postal Code: </label></th>
- <td><input type="text" id="address_postalcode" name="address_postalcode" value="{{ address_postalcode }}" size="10" maxlength="10" class="form-text"> </td>
- </tr>
- <tr>
- <th><label class="" for="address_state">State: </label></th>
- <td><input type="text" id="address_state" name="address_state" value="{{ address_state }}" size="20" maxlength="20" class="form-text"> </td>
- </tr>
- <tr>
- <th><label class="" for="address_country">Country: </label></th>
- <td><input type="text" id="address_country" name="address_country" value="{{ address_country }}" size="20" maxlength="20" class="form-text "> </td>
- </tr>
- <tr><td colspan="2"> </td></tr>
- <tr><td colspan="2" style="text-align:center"><input type="submit" name="op" value="Register" class="form-submit"></td></tr>
- </table>
- </fieldset>
- </form>
-</div>
+ </div>
+ <div class="form-group">
+ <input type="email" id="pi_email" name="pi_email" value="{{ pi_email }}" style="width:200px"
+ title="We may e-mail the manager as part of the validation process, and in case any issues arise with the use of the system."
+ placeholder="Email" maxlength="40" class="form-control" required>
+ </div>
+ <div class="form-group">
+ <input type="tel" id="pi_phone" name="pi_phone" value="{{ pi_phone }}"
+ title="We may phone the manager as part of the validation process, and in case any issues arise with the use of the system."
+ style="width:200px" placeholder="Phone number" maxlength="20" class="form-control" required>
+ </div>
+ <div class="form-group">
+ <input type="password" id="password" name="pi_password" class="form-control" style="width:200px" minlength="4" value="{{ password }}" placeholder="Password" required/>
+ </div>
+ <div class="form-group">
+ <input type="password" id="confirmpassword" name="confirmpassword" style="width:200px" minlength="4" class="form-control" value="" placeholder="Confirm Password" required/>
+ </div>