<?php
$page_title = "Create your password";
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="">
      <form id="acForm" action="" method="post" class="form_list active">
			<div class="cont_steps">
	        		<div class="field_list">
	        			<div class="limit_width">
      <p>Your account will be opened as soon as you enter your password.<br>
	A confirmation code will be sent to your email address along with the verification email. Please click the link in the email and enter the confirmation code, your birth date and password. After finishing these steps, your account is ready to use.<br></p>
		<?php $this -> dispMessagesCommon(); ?>
			<div class="cus_form">
				<div class="table_form table_form_list">
				        			<div class="form_elem ">
				        				<label class="title_txt">Confirmation Code<span id="required" class="required">*</span></label>
				        				<input type="password" name="conf_code" class="verify_input" autocomplete="off" value="" /><i class="fa"></i>
				        			</div>
				        			<div class="form_elem ">
				        				<label class="title_txt">Date of Birth<span id="required" class="required">*</span></label>
				        				<select name="birth_year" class="select">
										<?php $this -> dispYear(); ?>
									</select>
									<select name="birth_month" class="select">
										<?php $this -> dispMonth(); ?>
									</select>
									<select name="birth_day" class="select">
										<?php $this -> dispDay(); ?>
									</select>
									<i class="fa"></i>
				        			</div>
				        			<div class="form_elem ">
				        				<label class="title_txt">Password<span id="required" class="required">*</span><br><span>Password must be 8 to 35 characters long including numbers, upper and lower case letters (e.g. Abcdefg1).</span></label>
				        				<input type="password" name="password" class="verify_input" value="" /><i class="fa"></i>
				        			</div>

				        			<div class="form_elem ">
				        				<label class="title_txt">Password(Re-enter)<span id="required" class="required">*</span><br><span>Please re-enter password.</span></label>
				        				<input type="password" name="password_confirm" class="verify_input" value="" /><i class="fa"></i>
				        			</div>
</div>
			</div>
			<input type="hidden" id="type" name="type" value="" />
			<input type="hidden" id="id" name="id" value="<?php $this -> echoID(); ?>" />
    			</div>
    		</div>
					<div class="event_next1 event_custom">
	        			<input id="btnComplete" value="Next" class="custom nxt_form" type="button">
	        		</div>
    	</div>
      </form>
    </div>
    <script src="../js/register.js"></script>
    <!-- /メインエリア -->
    	</div>
	</section>
</wrapper>
<?php
include_once('template/base_site_foot.php');
echo $endscripts;
?>
</body>
</html>