<html lang="{{ app.request.getLocale() }}" locale="{{ app.request.getLocale() }}">
<head>
<meta charset="utf-8"/>
<title>{% trans %}Password Reset{% endtrans %}</title>
<meta name="viewport" content="width=device-width, initial-scale=1, shrink-to-fit=no">
<link rel="shortcut icon" href="{{ asset('/assets/image/favicon.png') }}"/>
<link href="{{ asset('/assets/css/main.css') }}" rel="stylesheet" type="text/css"/>
<link href="{{ asset('/assets/css/theme.css') }}" rel="stylesheet" type="text/css"/>
<link href="{{ asset('/assets/css/custom.css') }}" rel="stylesheet" type="text/css"/>
<script>
const PARAMS = {};
{% include 'translate.js.twig' %}
</script>
</head>
<body class="kt-header--fixed kt-header-mobile--fixed kt-subheader--fixed kt-subheader--enabled kt-subheader--solid kt-aside--enabled kt-aside--fixed kt-page--loading">
<body class="kt-grid kt-grid--ver kt-grid--root">
<div class="kt-grid kt-grid--hor kt-grid--root kt-login kt-login--v3 kt-login--signin" id="kt_login">
<div class="kt-grid__item kt-grid__item--fluid kt-grid kt-grid--hor"
style="background-image: url('{{ asset('/assets/image/background-login.jpg') }}');">
<div class="kt-grid__item kt-grid__item--fluid kt-login__wrapper">
<div class="kt-login__container login-{{ getLogoClass() }}">
<div class="kt-login__logo" >
<img src="{{ asset('/assets/image/'~getLogo()) }}" style="max-width: 100%"/>
</div>
<div class="kt-login">
<div class="kt-login__head">
<h3 class="kt-login__title">{% trans %}Register You Company{% endtrans %}</h3>
</div>
<form id="register_company" autocomplete="off"
data-register-company="true"
data-register-company-url="/api/register/new-company"
data-register-company-message="{% trans %}Registration request has been sent successfully. Please check your mailbox.{% endtrans %}"
data-register-company-error-message="{% trans %}Please check you data.{% endtrans %}"
data-register-company-redirect-url="/register-company-success"
>
<div class="col-12 col-sm-12 col-md-12 col-lg-12 col-center mt-4 mx-auto">
<div class="m-content">
<div class="m-portlet">
<div class="m-form">
<div class="row m-portlet__body" >
<div class="col-12">
<div class="m-form__section m-form__section--first">
<div class="form-group m-form__group"></div>
<div class="form-group m-form__group">
<label for="email">{% trans %}Agent Name{% endtrans %}</label>
<input type="text" autofocus autocomplete="off"
id="name"
name="name"
value=""
data-method-key="name"
required="true"
aria-required="true"
data-msg-required="{% trans %}Please enter company name.{% endtrans %}"
data-msg-email="{% trans %}Please enter a valid company name.{% endtrans %}"
class="form-control m-input">
</div>
<div class="form-group m-form__group">
<label for="email">{% trans %}Contact First Name{% endtrans %}</label>
<input type="text" autofocus autocomplete="off"
id="firstName"
name="firstName"
value=""
data-method-key="firstName"
required="true"
aria-required="true"
data-msg-required="{% trans %}Please enter your contact first name.{% endtrans %}"
data-msg-email="{% trans %}Please enter a valid contact first name.{% endtrans %}"
class="form-control m-input">
</div>
<div class="form-group m-form__group">
<label for="email">{% trans %}Contact Last Name{% endtrans %}</label>
<input type="text" autofocus autocomplete="off"
id="lastName"
name="lastName"
value=""
data-method-key="lastName"
required="true"
aria-required="true"
data-msg-required="{% trans %}Please enter your contact last name.{% endtrans %}"
data-msg-email="{% trans %}Please enter a valid contact last name.{% endtrans %}"
class="form-control m-input">
</div>
<div class="form-group m-form__group">
<label for="email">{% trans %}Company Name{% endtrans %}</label>
<input type="text" autofocus autocomplete="off"
id="companyName"
name="companyName"
value=""
data-method-key="companyName"
required="true"
aria-required="true"
data-msg-required="{% trans %}Please enter company business name.{% endtrans %}"
data-msg-email="{% trans %}Please enter a valid company business name.{% endtrans %}"
class="form-control m-input">
</div>
<div class="form-group m-form__group">
<label for="email">{% trans %}Address{% endtrans %}</label>
<input type="text" autofocus autocomplete="off"
id="address"
name="address"
value=""
data-method-key="address"
required="true"
aria-required="true"
data-msg-required="{% trans %}Please enter company address.{% endtrans %}"
data-msg-email="{% trans %}Please enter a valid company address.{% endtrans %}"
class="form-control m-input">
</div>
<div class="form-group m-form__group">
<label for="email">{% trans %}Phone{% endtrans %}</label>
<input type="text" autofocus autocomplete="off"
id="phone"
name="phone"
value=""
data-method-key="phone"
required="true"
aria-required="true"
data-msg-required="{% trans %}Please enter company phone.{% endtrans %}"
data-msg-email="{% trans %}Please enter a valid company phone.{% endtrans %}"
class="form-control m-input">
</div>
<div class="form-group m-form__group">
<label for="email">{% trans %}Email Address{% endtrans %}</label>
<input type="text" autofocus autocomplete="off"
id="email"
name="email"
value=""
data-type="email"
data-method-key="email"
required="true"
aria-required="true"
data-msg-required="{% trans %}Please enter your email address.{% endtrans %}"
data-msg-email="{% trans %}Please enter a valid e-mail address.{% endtrans %}"
class="form-control m-input">
</div>
<div class="form-group m-form__group">
<label for="email">{% trans %}Tax Id{% endtrans %}</label>
<input type="text" autofocus autocomplete="off"
id="taxId"
name="taxId"
value=""
data-method-key="taxId"
required="true"
aria-required="true"
data-msg-required="{% trans %}Please enter your tax id.{% endtrans %}"
data-msg-email="{% trans %}Please enter a valid tax id.{% endtrans %}"
class="form-control m-input">
</div>
<div class="form-group m-form__group">
<label for="email">{% trans %}Tax Office{% endtrans %}</label>
<input type="text" autofocus autocomplete="off"
id="taxOffice"
name="taxOffice"
value=""
data-method-key="taxOffice"
required="true"
aria-required="true"
data-msg-required="{% trans %}Please enter your tax office name.{% endtrans %}"
data-msg-email="{% trans %}Please enter a valid tax office name.{% endtrans %}"
class="form-control m-input">
</div>
</div>
</div>
</div>
<div class="m-portlet__foot m-portlet__foot--fit">
<div class="m-form__actions m-form__actions text-center">
<button type="button"
id="register_company_button"
class="btn btn-primary"
data-register-company-button="true"
>
{% trans %}Register{% endtrans %}
</button>
<a class="btn btn-label"
href="/"
>
{% trans %}Back{% endtrans %}
</a>
</div>
</div>
</div>
</div>
</div>
</div>
</form>
</div>
</div>
<p class="font-size-12 text-center">©<a href="http://www.emeltur.com/">Emel Tur</a> Copyright {{ 'now'|date('Y') }}
. {% trans %}All rights reserved.{% endtrans %}</p>
<p class="font-size-12 text-center">{% trans %}Powered by{% endtrans %}
<a href="http://nionweb.com">NionWeb</a></p>
<p class="font-size-12 text-center">
{% trans %}Version{% endtrans %} 1.0
</p>
</div>
</div>
</div>
<script>
var KTAppOptions = {
"colors": {
"state": {
"brand": "#5d78ff",
"dark": "#282a3c",
"light": "#ffffff",
"primary": "#5867dd",
"success": "#34bfa3",
"info": "#36a3f7",
"warning": "#ffb822",
"danger": "#fd3995"
},
"base": {
"label": ["#c5cbe3", "#a1a8c3", "#3d4465", "#3e4466"],
"shape": ["#f0f3ff", "#d9dffa", "#afb4d4", "#646c9a"]
}
}
};
</script>
<script src="{{ asset('/assets/js/vendor.js') }}" type="text/javascript"></script>
<script src="{{ asset('/assets/js/custom.js') }}" type="text/javascript"></script>
</body>
</html>