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Text File  |  2010-08-21  |  3KB  |  61 lines
  1. ∩╗┐<%@ Page Title="" Language="VB" MasterPageFile="~/HealthCard.master" AutoEventWireup="false" CodeFile="Default.aspx.vb" Inherits="_Default" %>
  2.  
  3. <asp:Content ID="Content1" ContentPlaceHolderID="cntPageTitle" Runat="Server">
  4.     <h1>
  5.         Login</h1>
  6. </asp:Content>
  7. <asp:Content ID="Content2" ContentPlaceHolderID="cntBody" Runat="Server">
  8.     <form id="form1" runat="server">
  9.     <div class="login_right">
  10.         <div class="fieldgrp">
  11.             <span>New? <a href="register.aspx">Click here to register</a>  |  Forgot
  12.                 your password? <a href="passRetrieve.aspx">Click here</a></span><br />
  13.             <asp:Label ID="lblInvalidLogin" runat="server" ForeColor="Red"></asp:Label>
  14.         </div>
  15.         <div class="fieldgrp">
  16.             <label>
  17.                 ID Number<strong><span class="style3"> *</span></strong></label>
  18.             <div class="field">
  19.                 <asp:TextBox ID="txtIDNumber" runat="server" CssClass="input1"></asp:TextBox>
  20.             </div>
  21.             
  22.         </div>
  23.         <div class="fieldgrp">
  24.             <label>
  25.                 <span class="style2"><strong>health</strong></em></span><span class="style1">CARD</span>
  26.                 Number <strong><span class="style3">*</span></strong></label>
  27.             <div class="field">
  28.                 <asp:TextBox ID="txtHealthCardNumber" runat="server" CssClass="input1"></asp:TextBox>
  29.             </div>
  30.         </div>
  31.         <div class="fieldgrp">
  32.             <label>
  33.                 Surname <strong><span class="style3">*</span></strong></label>
  34.             <div class="field">
  35.                 <asp:TextBox ID="txtSurname" runat="server" CssClass="input1"></asp:TextBox>
  36.             </div>
  37.         </div>
  38.         <div class="fieldgrp">
  39.             <label>
  40.                 Password <strong><span class="style3">*</span></strong></label>
  41.             <div class="field">
  42.                 <asp:TextBox ID="txtPassword" runat="server" CssClass="input1" TextMode="Password"></asp:TextBox>
  43.             </div>
  44.         </div>
  45.         <div class="fieldgrp">
  46.             <label>
  47.                  </label>
  48.             <asp:ImageButton ID="imgLogin" runat="server" ImageUrl="images/new_submit.jpg" />
  49.             <asp:ImageButton ID="ImageButton1" runat="server" ImageUrl="images/new_query.jpg" />
  50.         </div>
  51.     </div>
  52.     <div class="alt_col1">
  53.         <img src="images/hr2.gif" width="653" height="2" alt="" /><br />
  54.         <br />
  55.         | <a href="register.aspx">I am a member but not registered</a> | <a href="http://www.resolution-sa.co.za/contact.php">
  56.             Contact Us</a> |
  57.     </div>
  58.     </form>
  59. </asp:Content>
  60.  
  61.