| Server IP : 162.214.74.102 / Your IP : 216.73.216.59 Web Server : Apache System : Linux dedi-4363141.lrsys.com.br 3.10.0-1160.119.1.el7.tuxcare.els25.x86_64 #1 SMP Wed Oct 1 17:37:27 UTC 2025 x86_64 User : lrsys ( 1015) PHP Version : 5.6.40 Disable Function : exec,passthru,shell_exec,system MySQL : ON | cURL : ON | WGET : ON | Perl : ON | Python : ON | Sudo : ON | Pkexec : ON Directory : /home/lrsys/www/lrsys_projetos/sopizzas/application/views/frontend/ |
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<div class="for-fixed"></div>
<section id="checkout">
<div class="container">
<div class="col-md-12 col-sm-12 col-xs-12 paddxs">
<div class="col-md-8 col-sm-12 col-xs-12 paddxs col-md-offset-2">
<?php if($this->session->flashdata('success_msg')) { ?>
<div class="alert alert-info text-center">
<a href="#" class="close" data-dismiss="alert" aria-label="close">×</a>
<strong><?php echo $this->session->flashdata('success_msg'); ?></strong>
</div>
<?php } ?>
<?php if($this->session->flashdata('error_msg')) { ?>
<div class="alert alert-danger text-center">
<a href="#" class="close" data-dismiss="alert" aria-label="close">×</a>
<strong><?php echo $this->session->flashdata('error_msg'); ?></strong>
</div>
<?php } ?>
<?php if(validation_errors() != FALSE) { ?>
<div class="alert alert-danger text-center">
<a href="#" class="close" data-dismiss="alert" aria-label="close">×</a>
<strong><?php echo validation_errors(); ?></strong>
</div>
<?php } ?>
<?php $validator = array('role' => 'form', 'data-toggle' => 'validator'); echo form_open('frontend/addcustomer',$validator); ?>
<div class="checkBg col-md-12">
<h3 class="ckh text-center"><img src="<?php echo base_url(); ?>assets/img/front-end/create-account.png"> <?php echo $this->lang->line('Sign_Up_To');?></h3>
<div class=" col-md-6 col-xs-12 col-sm-6 paddingleft0 mctop30 paddxs">
<div class="input-group form-group">
<span class="input-group-btn">
<button class="btn btn-secondary btn-icon" type="button"><i class="fa fa-user" aria-hidden="true"></i></button>
</span>
<input value="<?php echo set_value('customer_name', isset($data['customer_name']) ? $data['customer_name'] : ''); ?>" required name="customer_name" id="customer_name" type="text" class="form-control bod-form" data-error="<?php echo $this->lang->line('Error_First_Name');?>" placeholder="<?php echo $this->lang->line('First_Name');?>" tabindex="1">
<div class="help-block with-errors"></div>
</div>
</div>
<div class=" col-md-6 col-xs-12 col-sm-6 mctop30 paddxs" style="padding-right: 0px;">
<div class="form-group">
<input value="<?php echo set_value('customer_lastname', isset($data['customer_lastname']) ? $data['customer_lastname'] : ''); ?>" required name="customer_lastname" id="customer_lastname" type="text" class="form-control bod-form" data-error="<?php echo $this->lang->line('Error_Last_Name');?>" placeholder="<?php echo $this->lang->line('Last_Name');?>" tabindex="2">
<div class="help-block with-errors"></div>
</div>
</div>
<div class="clearfix"></div>
<div class="input-group form-group">
<span class="input-group-btn">
<button class="btn btn-secondary btn-icon" type="button"><i class="fa fa-phone" aria-hidden="true"></i></button>
</span>
<input value="<?php echo set_value('customer_phone', isset($data['customer_phone']) ? $data['customer_phone'] : ''); ?>" name="customer_phone" id="customer_phone" required type="text" class="form-control bod-form" pattern="(?:[+][0-9]{1,3}[\s]?)?(?:(?:[(][0-9]{2}[)][\s]?)|(?:[0-9]{2}[\s]?))?(?:(?:[0-9]{1}[0-9.-]{6,8}[0-9]{1})|(?:[0-9]{1}[\s]?[0-9\.-]{6,8}[0-9]{1})){1}" data-error="<?php echo $this->lang->line('Error_mobile');?>" data-pattern-error="<?php echo $this->lang->line('Error_pattern_mobile');?>" placeholder="<?php echo $this->lang->line('Your_Contact_Number');?>" maxlength="16" tabindex="3">
<div class="help-block with-errors"></div>
</div>
<!-- (?:[+][0-9]{1,3}[\s]?)?(?:(?:[(][0-9]{2}[)][\s]?)|(?:[0-9]{2}[\s]?))?(?:(?:[0-9]{1}[0-9.-]{6,8}[0-9]{1})|(?:[0-9]{1}[\s]?[0-9\.-]{6,8}[0-9]{1})){1}->Brazil -->
<!-- ^(?:\+?1[-. ]?)?\(?([0-9]{3})\)?[-. ]?([0-9]{3})[-. ]?([0-9]{4})$->Australia -->
<div class="clearfix"></div>
<h3><?php echo $this->lang->line('Your_Home_Address');?></h3>
<p class="instP"><?php echo $this->lang->line('This_is_your');?></p>
<div class="input-group form-group">
<span class="input-group-btn">
<button class="btn btn-secondary btn-icon" type="button"><i class="fa fa-map-marker" aria-hidden="true"></i></button>
</span>
<input value="<?php echo set_value('customer_street', isset($data['customer_street']) ? $data['customer_street'] : ''); ?>" name="customer_street" id="customer_street" required type="text" class="form-control bod-form" placeholder="<?php echo $this->lang->line('Address');?>" data-error="<?php echo $this->lang->line('Error_address');?>" tabindex="4">
<div class="help-block with-errors"></div>
</div>
<div class="input-group form-group">
<span class="input-group-btn">
<button class="btn btn-secondary btn-icon" type="button"><i class="fa fa-location-arrow" aria-hidden="true"></i></button>
</span>
<input onkeyup="findAddressByZip(this.value)" pattern="^([0-9]){5}([-])([0-9]){3}$" value="<?php echo set_value('customer_zip', isset($data['customer_zip']) ? $data['customer_zip'] : ''); ?>" name="customer_zip" id="customer_zip" data-error="<?php echo $this->lang->line('Error_zipcode');?>" required type="text" class="form-control bod-form" placeholder="<?php echo $this->lang->line('Zipcode');?>" tabindex="5">
<div class="help-block with-errors"></div>
</div>
<div class="clearfix"></div>
<div class="form-group col-md-6 col-xs-12 col-sm-6 paddingleft0 paddxs">
<input value="<?php echo set_value('customer_city', isset($data['customer_city']) ? $data['customer_city'] : ''); ?>" name="customer_city" id="customer_city" required type="text" class="form-control bod-form generatedCity" placeholder="<?php echo $this->lang->line('City');?>" data-error="<?php echo $this->lang->line('Error_city');?>" readonly>
<div class="help-block with-errors"></div>
</div>
<div class="form-group col-md-6 col-xs-12 col-sm-6 paddingright paddxs">
<input value="<?php echo set_value('customer_state', isset($data['customer_state']) ? $data['customer_state'] : ''); ?>" name="customer_state" id="customer_state" required type="text" class="form-control bod-form generatedState" placeholder="<?php echo $this->lang->line('State');?>" data-error="<?php echo $this->lang->line('Error_State');?>" readonly>
</div>
<div class="clearfix"></div>
<h3><?php echo $this->lang->line('Login_Info');?></h3>
<div class="input-group form-group">
<span class="input-group-btn">
<button class="btn btn-secondary btn-icon" type="button"><i class="fa fa-envelope" aria-hidden="true"></i></button>
</span>
<input value="<?php echo set_value('customer_email', isset($data['customer_email']) ? $data['customer_email'] : ''); ?>" name="customer_email" id="customer_email" required type="email" class="form-control bod-form" placeholder="<?php echo $this->lang->line('Email');?>" pattern="^([0-9a-zA-Z]([-.\w]*[0-9a-zA-Z])*@([0-9a-zA-Z][-\w]*[0-9a-zA-Z]\.)+[a-zA-Z]{2,9})$" data-pattern-error="<?php echo $this->lang->line('Error_email');?>" tabindex="8">
<div class="help-block with-errors"></div>
</div>
<p class="instP"><?php echo $this->lang->line('We_will_send');?></p>
<div class="input-group form-group">
<span class="input-group-btn">
<button class="btn btn-secondary btn-icon" type="button"><i class="fa fa-lock" aria-hidden="true"></i></button>
</span>
<input value="<?php echo set_value('customer_password', isset($data['customer_password']) ? $data['customer_password'] : ''); ?>" name="customer_password" id="customer_password" required type="password" class="form-control bod-form" placeholder="<?php echo $this->lang->line('Password');?>" data-minlength="6" data-error="<?php echo $this->lang->line('Error_password');?>" tabindex="9">
<div class="help-block with-errors"></div>
</div>
<div class="input-group form-group">
<span class="input-group-btn">
<button class="btn btn-secondary btn-icon" type="button"><i class="fa fa-lock" aria-hidden="true"></i></button>
</span>
<input data-match="#customer_password" data-match-error="<?php echo $this->lang->line('Error_cnf_password');?>" name="customer_repassword" id="customer_repassword" type="password" class="form-control bod-form" placeholder="<?php echo $this->lang->line('Confirm_Password');?>" tabindex="10">
<div class="help-block with-errors"></div>
</div>
<div class="input-group form-group">
<label class="checkbox-inline">
<input name="newsletter_signup" id="newsletter_signup" type="checkbox" class="checkbox" tabindex="11">
<input name="newsletter_subscriber" value="0" type="hidden">
<strong><?php echo $this->lang->line('SubscribeNewsletter');?></strong><br/>
<?=SITENAME?> <?php echo $this->lang->line('newslettercontains');?>
</label>
<div class="help-block with-errors"></div>
</div>
</div>
<div class="clearfix"></div>
<div class="col-md-6 col-sm-6 text-center mctop30 paddleft">
<button type="submit" class="btn btn-info col-xs-12" style="float:none;padding: 12px 12px;" tabindex="12"><?php echo $this->lang->line('Submit');?></button>
</div>
</form>
<div class="col-md-6 col-sm-6 text-center mctop30 paddright">
<p class="a-user"><?php echo $this->lang->line('Already_member');?> <a href="<?php echo base_url();?>login/" tabindex="13"><?php echo $this->lang->line('Sign_in');?> </a> </p>
</div>
</div>
<!-- <div class="col-md-4 col-sm-12 col-xs-12 paddxs">
<div class="col-md-12 text-center">
<img src="assets/img/front-end/delivery_man.png">
</div>
<div class="clearfix"></div>
<p class="a-user">Already member? <a href="login.html">Sign in </a> </p>
</div> -->
</div>
</div>
</section>
<div class="clearfix"></div>