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thiago_db

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thiago_db
Jul 22nd, 2017
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  1. <?PHP
  2.  
  3. $dom_look = $_POST['dom_look'];
  4.  
  5. // if (isset($_POST['basic']))
  6. // {
  7. // echo 'botão foi basic';
  8. // }
  9. // if (isset($_POST['plus']))
  10. // {
  11. // echo 'botão foi plus';
  12. // }
  13.  
  14. ?>
  15.  
  16. <?php include 'header.php'; ?>
  17.  
  18. <!-- price-1 -->
  19. <section class="price-1 bg-gray">
  20.   <div class="container text-center tx-color">
  21.     <div class="row ptx">
  22.  
  23.     <div class="col-md-6">
  24.         <h3 class="text-left h2txt">Step 2: Enter your information</h3>
  25.         <span class="steps">Step 1: Select the domain > <strong>Step 2: Enter your information</strong></span>
  26.     </div>    
  27.                    
  28.     <div class="clearfix">&nbsp;</div>
  29.     <div class="clearfix">&nbsp;</div>
  30.  
  31.       <div class="col-lg-8">
  32.       <!-- <div class="col-md-12">
  33.        <h2 class="h2txt">Upgrade para o site: thiagoduarte1</h2><br>              
  34.      </div>  -->
  35.  
  36.      <!--  <div class="col-lg-12">
  37.        <div class="well bs-component">
  38.          <fieldset>
  39.            <div class="form-group">
  40.              <div class="col-lg-12">
  41.                <p>Escolha o domínio:</p>
  42.              </div>
  43.  
  44.              <div class="col-lg-7">
  45.                <div class="input-group">
  46.                  <label class="input-group-addon">www. </label>
  47.                  <input type="text" class="form-control" id="appendedInput">
  48.                  <span class="input-group-btn btn-group">
  49.                    <button class="btn btn-default dropdown-toggle" data-toggle="dropdown">.com.br </button>
  50.                    <ul class="dropdown-menu pull-right">
  51.                      <li>
  52.                        <input type="radio" id="weight_unit_kg" value="kg" name="weight_unit" checked="checked">
  53.                        <label for="weight_unit_kg">.com.br</label>
  54.                      </li>                    
  55.                    </ul>
  56.                  </span>                    
  57.                </div>
  58.                <span id="domain-registred">Dominio disponivel para registrar</span>
  59.                <span id="domain-not-registred">Dominio já registrado</span>  
  60.              </div>
  61.  
  62.              <div class="col-lg-5">
  63.                <div class="input-group">
  64.                  <button type="button" class="btn btn-primary">Verificar</button>
  65.                </div>
  66.              </div>
  67.  
  68.  
  69.              
  70.            </div>            
  71.          </fieldset>
  72.        </div> -->
  73.  
  74.         <div class="well bs-component">
  75.           <div class="panel-heading ph-head">
  76.               Contact Information
  77.           </div>
  78.           <fieldset>
  79.  
  80.             <div class="col-lg-6">
  81.               <div class="form-group">
  82.                 <label for="inputEmail" class="col-lg-12 control-label"><br>Name</label>
  83.                 <div class="col-lg-12">
  84.                   <input type="text" name="email" class="form-control">
  85.                 </div>
  86.               </div>                      
  87.               <div class="form-group">
  88.                 <label for="inputEmail" class="col-lg-12 control-label"><br>Phone</label>
  89.                 <div class="col-lg-12">
  90.                   <input type="text" name="phone" class="form-control">
  91.                 </div>
  92.               </div>
  93.               <div class="form-group">
  94.                 <label for="inputEmail" class="col-lg-12 control-label"><br>Zip code</label>
  95.                 <div class="col-lg-12">
  96.                   <input type="text" name="senha" class="form-control">
  97.                 </div>
  98.               </div>
  99.               <div class="form-group">
  100.                 <label for="inputEmail" class="col-lg-12 control-label"><br>Country</label>
  101.                 <div class="col-lg-12">
  102.                   <select class="form-control">  
  103. <option value="AF">Afghanistan</option>
  104. <option value="AX">Åland Islands</option>
  105. <option value="AL">Albania</option>
  106. <option value="DZ">Algeria</option>
  107. <option value="AS">American Samoa</option>
  108. <option value="AD">Andorra</option>
  109. <option value="AO">Angola</option>
  110. <option value="AI">Anguilla</option>
  111. <option value="AQ">Antarctica</option>
  112. <option value="AG">Antigua and Barbuda</option>
  113. <option value="AR">Argentina</option>
  114. <option value="AM">Armenia</option>
  115. <option value="AW">Aruba</option>
  116. <option value="AU">Australia</option>
  117. <option value="AT">Austria</option>
  118. <option value="AZ">Azerbaijan</option>
  119. <option value="BS">Bahamas</option>
  120. <option value="BH">Bahrain</option>
  121. <option value="BD">Bangladesh</option>
  122. <option value="BB">Barbados</option>
  123. <option value="BY">Belarus</option>
  124. <option value="BE">Belgium</option>
  125. <option value="BZ">Belize</option>
  126. <option value="BJ">Benin</option>
  127. <option value="BM">Bermuda</option>
  128. <option value="BT">Bhutan</option>
  129. <option value="BO">Bolivia, Plurinational State of</option>
  130. <option value="BQ">Bonaire, Sint Eustatius and Saba</option>
  131. <option value="BA">Bosnia and Herzegovina</option>
  132. <option value="BW">Botswana</option>
  133. <option value="BV">Bouvet Island</option>
  134. <option value="BR">Brazil</option>
  135. <option value="IO">British Indian Ocean Territory</option>
  136. <option value="BN">Brunei Darussalam</option>
  137. <option value="BG">Bulgaria</option>
  138. <option value="BF">Burkina Faso</option>
  139. <option value="BI">Burundi</option>
  140. <option value="KH">Cambodia</option>
  141. <option value="CM">Cameroon</option>
  142. <option value="CA">Canada</option>
  143. <option value="CV">Cape Verde</option>
  144. <option value="KY">Cayman Islands</option>
  145. <option value="CF">Central African Republic</option>
  146. <option value="TD">Chad</option>
  147. <option value="CL">Chile</option>
  148. <option value="CN">China</option>
  149. <option value="CX">Christmas Island</option>
  150. <option value="CC">Cocos (Keeling) Islands</option>
  151. <option value="CO">Colombia</option>
  152. <option value="KM">Comoros</option>
  153. <option value="CG">Congo</option>
  154. <option value="CD">Congo, the Democratic Republic of the</option>
  155. <option value="CK">Cook Islands</option>
  156. <option value="CR">Costa Rica</option>
  157. <option value="CI">Côte d'Ivoire</option>
  158. <option value="HR">Croatia</option>
  159. <option value="CU">Cuba</option>
  160. <option value="CW">Curaçao</option>
  161. <option value="CY">Cyprus</option>
  162. <option value="CZ">Czech Republic</option>
  163. <option value="DK">Denmark</option>
  164. <option value="DJ">Djibouti</option>
  165. <option value="DM">Dominica</option>
  166. <option value="DO">Dominican Republic</option>
  167. <option value="EC">Ecuador</option>
  168. <option value="EG">Egypt</option>
  169. <option value="SV">El Salvador</option>
  170. <option value="GQ">Equatorial Guinea</option>
  171. <option value="ER">Eritrea</option>
  172. <option value="EE">Estonia</option>
  173. <option value="ET">Ethiopia</option>
  174. <option value="FK">Falkland Islands (Malvinas)</option>
  175. <option value="FO">Faroe Islands</option>
  176. <option value="FJ">Fiji</option>
  177. <option value="FI">Finland</option>
  178. <option value="FR">France</option>
  179. <option value="GF">French Guiana</option>
  180. <option value="PF">French Polynesia</option>
  181. <option value="TF">French Southern Territories</option>
  182. <option value="GA">Gabon</option>
  183. <option value="GM">Gambia</option>
  184. <option value="GE">Georgia</option>
  185. <option value="DE">Germany</option>
  186. <option value="GH">Ghana</option>
  187. <option value="GI">Gibraltar</option>
  188. <option value="GR">Greece</option>
  189. <option value="GL">Greenland</option>
  190. <option value="GD">Grenada</option>
  191. <option value="GP">Guadeloupe</option>
  192. <option value="GU">Guam</option>
  193. <option value="GT">Guatemala</option>
  194. <option value="GG">Guernsey</option>
  195. <option value="GN">Guinea</option>
  196. <option value="GW">Guinea-Bissau</option>
  197. <option value="GY">Guyana</option>
  198. <option value="HT">Haiti</option>
  199. <option value="HM">Heard Island and McDonald Islands</option>
  200. <option value="VA">Holy See (Vatican City State)</option>
  201. <option value="HN">Honduras</option>
  202. <option value="HK">Hong Kong</option>
  203. <option value="HU">Hungary</option>
  204. <option value="IS">Iceland</option>
  205. <option value="IN">India</option>
  206. <option value="ID">Indonesia</option>
  207. <option value="IR">Iran, Islamic Republic of</option>
  208. <option value="IQ">Iraq</option>
  209. <option value="IE">Ireland</option>
  210. <option value="IM">Isle of Man</option>
  211. <option value="IL">Israel</option>
  212. <option value="IT">Italy</option>
  213. <option value="JM">Jamaica</option>
  214. <option value="JP">Japan</option>
  215. <option value="JE">Jersey</option>
  216. <option value="JO">Jordan</option>
  217. <option value="KZ">Kazakhstan</option>
  218. <option value="KE">Kenya</option>
  219. <option value="KI">Kiribati</option>
  220. <option value="KP">Korea, Democratic People's Republic of</option>
  221. <option value="KR">Korea, Republic of</option>
  222. <option value="KW">Kuwait</option>
  223. <option value="KG">Kyrgyzstan</option>
  224. <option value="LA">Lao People's Democratic Republic</option>
  225. <option value="LV">Latvia</option>
  226. <option value="LB">Lebanon</option>
  227. <option value="LS">Lesotho</option>
  228. <option value="LR">Liberia</option>
  229. <option value="LY">Libya</option>
  230. <option value="LI">Liechtenstein</option>
  231. <option value="LT">Lithuania</option>
  232. <option value="LU">Luxembourg</option>
  233. <option value="MO">Macao</option>
  234. <option value="MK">Macedonia, the former Yugoslav Republic of</option>
  235. <option value="MG">Madagascar</option>
  236. <option value="MW">Malawi</option>
  237. <option value="MY">Malaysia</option>
  238. <option value="MV">Maldives</option>
  239. <option value="ML">Mali</option>
  240. <option value="MT">Malta</option>
  241. <option value="MH">Marshall Islands</option>
  242. <option value="MQ">Martinique</option>
  243. <option value="MR">Mauritania</option>
  244. <option value="MU">Mauritius</option>
  245. <option value="YT">Mayotte</option>
  246. <option value="MX">Mexico</option>
  247. <option value="FM">Micronesia, Federated States of</option>
  248. <option value="MD">Moldova, Republic of</option>
  249. <option value="MC">Monaco</option>
  250. <option value="MN">Mongolia</option>
  251. <option value="ME">Montenegro</option>
  252. <option value="MS">Montserrat</option>
  253. <option value="MA">Morocco</option>
  254. <option value="MZ">Mozambique</option>
  255. <option value="MM">Myanmar</option>
  256. <option value="NA">Namibia</option>
  257. <option value="NR">Nauru</option>
  258. <option value="NP">Nepal</option>
  259. <option value="NL">Netherlands</option>
  260. <option value="NC">New Caledonia</option>
  261. <option value="NZ">New Zealand</option>
  262. <option value="NI">Nicaragua</option>
  263. <option value="NE">Niger</option>
  264. <option value="NG">Nigeria</option>
  265. <option value="NU">Niue</option>
  266. <option value="NF">Norfolk Island</option>
  267. <option value="MP">Northern Mariana Islands</option>
  268. <option value="NO">Norway</option>
  269. <option value="OM">Oman</option>
  270. <option value="PK">Pakistan</option>
  271. <option value="PW">Palau</option>
  272. <option value="PS">Palestinian Territory, Occupied</option>
  273. <option value="PA">Panama</option>
  274. <option value="PG">Papua New Guinea</option>
  275. <option value="PY">Paraguay</option>
  276. <option value="PE">Peru</option>
  277. <option value="PH">Philippines</option>
  278. <option value="PN">Pitcairn</option>
  279. <option value="PL">Poland</option>
  280. <option value="PT">Portugal</option>
  281. <option value="PR">Puerto Rico</option>
  282. <option value="QA">Qatar</option>
  283. <option value="RE">Réunion</option>
  284. <option value="RO">Romania</option>
  285. <option value="RU">Russian Federation</option>
  286. <option value="RW">Rwanda</option>
  287. <option value="BL">Saint Barthélemy</option>
  288. <option value="SH">Saint Helena, Ascension and Tristan da Cunha</option>
  289. <option value="KN">Saint Kitts and Nevis</option>
  290. <option value="LC">Saint Lucia</option>
  291. <option value="MF">Saint Martin (French part)</option>
  292. <option value="PM">Saint Pierre and Miquelon</option>
  293. <option value="VC">Saint Vincent and the Grenadines</option>
  294. <option value="WS">Samoa</option>
  295. <option value="SM">San Marino</option>
  296. <option value="ST">Sao Tome and Principe</option>
  297. <option value="SA">Saudi Arabia</option>
  298. <option value="SN">Senegal</option>
  299. <option value="RS">Serbia</option>
  300. <option value="SC">Seychelles</option>
  301. <option value="SL">Sierra Leone</option>
  302. <option value="SG">Singapore</option>
  303. <option value="SX">Sint Maarten (Dutch part)</option>
  304. <option value="SK">Slovakia</option>
  305. <option value="SI">Slovenia</option>
  306. <option value="SB">Solomon Islands</option>
  307. <option value="SO">Somalia</option>
  308. <option value="ZA">South Africa</option>
  309. <option value="GS">South Georgia and the South Sandwich Islands</option>
  310. <option value="SS">South Sudan</option>
  311. <option value="ES">Spain</option>
  312. <option value="LK">Sri Lanka</option>
  313. <option value="SD">Sudan</option>
  314. <option value="SR">Suriname</option>
  315. <option value="SJ">Svalbard and Jan Mayen</option>
  316. <option value="SZ">Swaziland</option>
  317. <option value="SE">Sweden</option>
  318. <option value="CH">Switzerland</option>
  319. <option value="SY">Syrian Arab Republic</option>
  320. <option value="TW">Taiwan, Province of China</option>
  321. <option value="TJ">Tajikistan</option>
  322. <option value="TZ">Tanzania, United Republic of</option>
  323. <option value="TH">Thailand</option>
  324. <option value="TL">Timor-Leste</option>
  325. <option value="TG">Togo</option>
  326. <option value="TK">Tokelau</option>
  327. <option value="TO">Tonga</option>
  328. <option value="TT">Trinidad and Tobago</option>
  329. <option value="TN">Tunisia</option>
  330. <option value="TR">Turkey</option>
  331. <option value="TM">Turkmenistan</option>
  332. <option value="TC">Turks and Caicos Islands</option>
  333. <option value="TV">Tuvalu</option>
  334. <option value="UG">Uganda</option>
  335. <option value="UA">Ukraine</option>
  336. <option value="AE">United Arab Emirates</option>
  337. <option value="GB">United Kingdom</option>
  338. <option value="US" selected>United States</option>
  339. <option value="UM">United States Minor Outlying Islands</option>
  340. <option value="UY">Uruguay</option>
  341. <option value="UZ">Uzbekistan</option>
  342. <option value="VU">Vanuatu</option>
  343. <option value="VE">Venezuela, Bolivarian Republic of</option>
  344. <option value="VN">Viet Nam</option>
  345. <option value="VG">Virgin Islands, British</option>
  346. <option value="VI">Virgin Islands, U.S.</option>
  347. <option value="WF">Wallis and Futuna</option>
  348. <option value="EH">Western Sahara</option>
  349. <option value="YE">Yemen</option>
  350. <option value="ZM">Zambia</option>
  351. <option value="ZW">Zimbabwe</option>
  352.                   </select>
  353.                 </div>
  354.               </div>
  355.             </div>
  356.  
  357.             <div class="col-lg-6">
  358.               <div class="form-group">
  359.                 <label for="inputEmail" class="col-lg-12 control-label"><br>Last name</label>
  360.                 <div class="col-lg-12">
  361.                   <input type="text" name="email" class="form-control">
  362.                 </div>
  363.               </div>                      
  364.               <div class="form-group">
  365.                 <label for="inputEmail" class="col-lg-12 control-label"><br>Email</label>
  366.                 <div class="col-lg-12">
  367.                   <input type="text" name="senha" class="form-control">
  368.                 </div>
  369.               </div>
  370.               <div class="form-group">
  371.                 <label for="inputEmail" class="col-lg-12 control-label"><br>City</label>
  372.                 <div class="col-lg-12">
  373.                   <input type="text" name="senha" class="form-control">
  374.                 </div>
  375.               </div>
  376.               <div class="form-group">
  377.                 <label for="inputEmail" class="col-lg-12 control-label"><br>Tipo de Pessoa</label>
  378.                 <div class="col-lg-12">
  379.                   <select class="form-control">  
  380.                     <option value="">Física</option>
  381.                     <option value="">Jurídica</option>
  382.                   </select>
  383.                 </div>
  384.               </div>
  385.             </div>
  386.  
  387.           </fieldset>
  388.         </div>  
  389.  
  390.         <div class="well bs-component">
  391.           <div class="panel-heading ph-head">
  392.               Plan data
  393.           </div>
  394.           <fieldset>
  395.             <div class="form-group">
  396.               <div class="col-lg-7">
  397.                 <p>Selected plan:</p>
  398.               </div>
  399.               <div class="col-lg-7">
  400.                 Basic - Monthly Payment
  401.               </div>  
  402.               <div class="col-lg-5">
  403.                 <span class="text-right" style="display:block"><a href="#">Edit</a></span>
  404.               </div>              
  405.             </div>            
  406.           </fieldset>
  407.         </div>
  408.  
  409.         <div class="well bs-component">
  410.           <fieldset>
  411.             <div class="form-group">
  412.               <div class="col-lg-7">
  413.                <p>Enter the payment method</p>
  414.              </div>  
  415.            </div>    
  416.            <div class="form-group">
  417.             <div class="col-lg-12 text-left">
  418.               <input type="radio" name="pagamento" value="boleto" checked> Boleto <br>      
  419.               <input type="radio" name="pagamento" value="cartaodecredito"> Cartão de Crédito <br>
  420.               <input type="radio" name="pagamento" value="paypal"> PayPal
  421.             </div>
  422.           </div>            
  423.         </fieldset>
  424.       </div>  
  425.  
  426.       <div class="well bs-component">
  427.         <fieldset>
  428.  
  429.           <div class="col-lg-6">
  430.             <div class="form-group">            
  431.               <div class="col-lg-12">
  432.                 <input type="text" name="numero-carto" placeholder="Número do cartão" class="form-control"><br>
  433.               </div>
  434.               <div class="col-lg-12">
  435.                 <input type="text" name="titular-carto" placeholder=" Titular do cartão" class="form-control">
  436.               </div>
  437.             </div>
  438.  
  439.           </fieldset>
  440.         </div>
  441.  
  442.         <fieldset>
  443.         <div class="form-group">
  444.           <div class="col-lg-12"><br>
  445.            <button type="button" class="btn btn-block btn-lg btn-success">Finalizar Pagamento</button>
  446.          </div>  
  447.        </div>    
  448.      </fieldset>
  449.  
  450.        
  451.       </div>
  452.  
  453.       <!-- -->
  454.       <div class="col-lg-4">
  455.       <div class="well bs-component">
  456.  
  457.         <div class="panel-heading ph-head">
  458.               Order Summary:
  459.           </div>
  460.  
  461.           <fieldset>
  462.             <div class="form-group">
  463.               <div class="col-lg-7">
  464.                <p>&nbsp;</p>
  465.              </div>
  466.  
  467.  
  468.              <div class="table-responsive">
  469.               <table class="table table-bordered table-striped bs-events-table">
  470.                 <tbody>
  471.                   <tr>
  472.                     <td>Básico - Pagamento mensal</td>
  473.                     <td>R$ <!--< php $_POST['planos']; ?>--></td>
  474.                   </tr>
  475.                   <tr>
  476.                     <td>Taxa do boleto</td>
  477.                     <td>R$ 2,00</td>
  478.                   </tr>
  479.                   <tr>
  480.                     <td>Total</td>
  481.                     <td>R$ <!--< php $_POST['planos']; ?>--></td>
  482.                   </tr>        
  483.                 </tbody>
  484.               </table>
  485.             </div>
  486.  
  487.           </div>            
  488.         </fieldset>
  489.       </div>  
  490.       <!-- -->
  491.  
  492.      
  493.  
  494.    </div>
  495.  
  496. </div>
  497. </div>
  498. </div>
  499. </div>
  500. </section>
  501.  
  502. <?php include 'footer.php'; ?>
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