<?php
$page_title = "Create an account";
include_once('site_config.php');
include_once('template/base_site_head.php');
?>
    <!-- メインエリア -->
<wrapper class="mymain_container">
	<section class="container page-container">
		<div class="form_information">
			<div class="number-list">
	            <ul class="num_ul">
	                <li class="active f_1"><div class="circle">1</div><div class="line"></div></li><!--
	                --><li class="f_2"><div class="circle">2</div><div class="line"></div></li><!--
	                --><li class="f_3"><div class="circle">3</div><div class="line"></div></li><!--
	                --><li class="f_4"><div class="circle">4</div><div class="line"></div></li><!--
	                --><li class="f_5"><div class="circle">5</div></li>
	            </ul>
	        </div>
      <form id="acForm" action="" method="post" class="form_list active">
		<?php $this -> dispMessagesCommon(); ?>
				<div class="cont_steps f_step active">
	        		<div class="field_list">
	        			<div class="limit_width">
	        				<label class="title_name">Create an account</label>
			        		<p>
			        			Once email verification is done, iWallet can be used to make payments to any organization, individual or corporation that holds an account with us. 
			        		</p>
			        		<ul>
			        			<li>iWallet account has a total payout limit of US$1,000. KYC documents are required in order to increase the limit.</li>
			        			<li>Only one account per person is allowed. For multi account cases, an account close procedure and US$5.00 closure fee will be requested for each extra account.</li>
			        			<li>Customers interested in opening a corporate account, please contact us via <a href="/en/support" target="_blank">support</a>.</li>
			        		</ul>
			        		<p>Customers who need a personal account, please enter a valid email address for your registration.</p>
			        		<ul>
			        			<li>The provided email address is used as login ID.</li>
			        		</ul>
			        		<label class="pinkme">Account Type :</label><label>Individual</label>
			        		<div class="cus_form">
			        			<div class="table_form">
				        			<div class="form_elem email_info">
				        				<label class="title_txt">E-mail Address</label>
				        				<input type="email" name="email" value="<?php $this -> echoEmail(); ?>" class="mymail" placeholder="Enter e-mail address">
				        			</div>
				        		</div>
			        		</div>
	        			</div>
	        			
	        		</div>
	        		<div class="event_next1 event_custom">
			<input type="hidden" id="account_type" name="account_type" value="0" />
			<input type="hidden" id="type" name="type" value="" />
			<input type="hidden" id="agent_code" name="agent_code" value="<?php $this -> echoAgent(); ?>" />
        <input type="button" id="btnInput" value="Next" class="custom nxt_form submitemail">
	        		</div>
			</div>

      </form>
    <script src="../js/register.js"></script>
    	
		</div>		
	</section>

</wrapper>
    <!-- /メインエリア -->
<?php
include_once('template/base_site_foot.php');
echo $endscripts;
?>
</body>
</html>