<div class="page page-signup no-toolbar" data-name="signup">
  <div class="navbar navbar-large">
    <div class="navbar-bg">
    </div>
    <div class="navbar-inner">
      <div class="left">
      </div>
      <div id="pg_title" data-lang="signup_title" class="title">SignUp</div>
      <div class="title-large">
        <div id="pg_title_large" data-lang="signup_title" class="title-large-text">SignUp</div>
      </div>
      <div class="right">
      </div>
    </div>
  </div>
  <div class="page-content">
    <form class="mt-40">
      <label data-lang="email" for="reg_email">
      </label>
      <input type="text" id="reg_email" data-ph_lang="email" placeholder="Email" value="">
      <div class="grid grid-cols-2 grid-gap grid-no-margin">
        <div>
          <label data-lang="first_name" for="reg_first_name">
          </label>
          <input type="text" id="reg_first_name" data-ph_lang="first_name" placeholder="" value="">
        </div>
        <div>
          <label data-lang="last_name" for="reg_last_name">
          </label>
          <input type="text" id="reg_last_name" data-ph_lang="last_name" placeholder="" value="">
        </div>
      </div>
      <label data-lang="phone" for="reg_phone">
      </label>
      <input type="text" id="reg_phone" data-ph_lang="phone" placeholder="" value="">
      <div class="grid grid-cols-2 grid-gap grid-no-margin">
        <div>
          <label data-lang="password" for="reg_password">Password</label>
          <input type="password" id="reg_password" data-ph_lang="password" placeholder="Password" value="">
        </div>
        <div>
          <label data-lang="password_repeat" for="reg_password_repeat">Password Repeat</label>
          <input type="password" id="reg_password_repeat" data-ph_lang="password_repeat" placeholder="Password Repeat" value="">
        </div>
      </div>
      <p class="mt-0">
        <a href="#" onclick="toggle_signup()" data-lang="show_password" id="reg_show_password"></a>
      </p>
      <p>
        <label class="checkbox checkbox-inline">
          <input id="terms" value="1" type="checkbox" checked="checked">
          <i class="icon-checkbox"></i>
        </label>Accept
        <a href="/terms/" data-lang="terms" class="link"></a>&
        <a href="/terms/" data-lang="privacy" class="link"></a>
      </p>
      <div class="centered-text">
        <a href="#" data-lang="save" id="signup_button" class="button button-fill fw-800"></a>
      </div>
    </form>
    <p class="grid grid-cols-2 grid-gap grid-buttons-demo mt-15">
      <a href="/password_forgot/" data-lang="password_forgot" class="link"></a>
      <a href="/signin/" data-lang="signin" class="link"></a>
    </p>
  </div>
</div>