<?php
$page_title = "密碼重置申請";
include_once('site_config.php');
include_once('template/base_site_head.php');
?>
<wrapper class="mymain_container">
	<section class="container page-container">
		<div class="form_information">
		<div class="row page-title">
			<div class="col-sm-12">
				<h1 class="blue-line-ctr"><?php echo $page_title; ?></h1>
			</div>
		</div>
    <!-- メインエリア -->
    <div id="main" class="container">

      <form id="acForm" action="" method="post" class="form_list active">
		<div class="cont_steps s_step">
	       	 <div class="field_list">
	        		<div class="limit_width">
			<p>如果您忘記帳戶密碼，可以透過註冊電子信箱來重置密碼。</p>
			<?php $this -> dispMessagesCommon(); ?>
			        		<div class="cus_form">
			        			<div class="table_form table_form_list">
				        			<div class="form_elem ">
				        				<label class="title_txt">電子信箱<br><span>請輸入您的帳戶註冊電子信箱：</span></label>
				        				<input type="email" name="email" value="<?php $this -> echoEmail(); ?>" class="form-control verify_input"><i class="fa"></i>
				        			</div>

				        		</div>
			        		</div>
			        			
			<input type="hidden" id="type" name="type" value="" />


          
				        		</div>
			        		</div>
	        		<div class="event_next1 event_custom">
	        			<input type="button" id="btnSend" value="下一步" class="custom nxt_form">
	        		</div>
	        			</div>
      </form>
    </div>
    <script src="../js/forgot.js"></script>
    <!-- /メインエリア -->
    	</div>
	</section>
</wrapper>
<?php
include_once('template/base_site_foot.php');
echo $endscripts;
?>
</body>
</html>