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ehpad.html
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<!--========== BOX ICONS ==========-->
<link href='https://cdn.jsdelivr.net/npm/boxicons@2.0.5/css/boxicons.min.css' rel='stylesheet'>
<!--========== CSS ==========-->
<link rel="stylesheet" href="assets/css/styles.css">
<title>1Letter1Smile Mockup</title>
</head>
<!--========== SCROLL TOP ==========-->
<a href="#" class="scrolltop" id="scroll-top">
<i class='bx bx-chevron-up scrolltop__icon'></i>
</a>
<!--========== HEADER ==========-->
<header class="l-header" id="header">
<nav class="nav bd-container">
<a href="index.html" class="nav__logo"><img src="assets/img/logo.png" alt=""></a>
<div class="nav__menu" id="nav-menu">
<ul class="nav__list">
<li class="nav__item"><a href="letter.html" class="nav__link">Write a Letter</a></li>
<li class="nav__item"><a href="login.html" class="nav__link">Register/Login</a></li>
<li class="nav__item"><a href="about.html" class="nav__link">About</a></li>
<li class="nav__item"><a href="#contact" class="nav__link">More</a></li>
<li><i class='bx bx-moon change-theme' id="theme-button"></i></li>
</ul>
</div>
<div class="nav__toggle" id="nav-toggle">
<i class='bx bx-menu'></i>
</div>
</nav>
</header>
<main class="l-main">
<!--========== INFORMATION ==========-->
<section class="information" id="information">
<span class="section-subtitle">For Care Homes,</span>
<h2 class="section-title">Register Your Care Home</h2>
<p>
Register your care home to receive letters:
This form allows retirement homes, nursing homes or other establishments caring for older people
to be registered to receive letters.
If you wish to write a letter, please fill the « Write a letter » form,
in yellow in the menu, not this one.
</p>
<div class="information__form">
<label>Care Home Information</label>
<div class="information__box">
<label>Facility Name</label>
<input type="text" class="information__input" id="firstname">
</div>
<div class="information__box">
<label>Facility Address</label>
<input type="textarea" class="information__input">
</div>
<div class="information__box">
<label>City</label>
<input type="text" class="information__input">
</div>
<div class="information__box">
<label>Postal Code</label>
<input type="text" class="information__input">
</div>
<div class="information__box">
<label>Country</label>
<input type="text" class="information__input">
</div>
<label>Administration Information</label>
<div class="information__box">
<label>Prefix</label>
<input type="text" class="information__input">
</div>
<div class="information__box">
<label>First Name</label>
<input type="text" class="information__input">
</div>
<div class="information__box">
<label>Last Name</label>
<input type="text" class="information__input">
</div>
<div class="information__box">
<label>Email</label>
<input type="text" class="information__input">
</div>
<div class="information__box">
<label>Phone</label>
<input type="text" class="information__input">
</div>
<label>Resident Information</label>
<div class="information__box">
<label>Number of women</label>
<input type="textarea" class="information__input">
</div>
<div class="information__box">
<label>Number of women</label>
<input type="text" class="information__input">
</div>
<label>Login Credentials</label>
<div class="information__box">
<label>Password</label>
<input type="textarea" class="information__input">
</div>
<div class="information__box">
<label>Confirm Password</label>
<input type="text" class="information__input">
</div>
<div class="information__box">
<label class="information__terms">
<input type="checkbox">
<span class="checkmark">I agree for my care home name to be displayed on 1Letter1Smile</span>
</label>
<label class="information__terms">
<input type="checkbox">
<span class="checkmark">I agree to Terms and Conditions</span>
</label>
</div>
</div>
<a href="confirmation.html" class="send__button">Submit application</a>
</section>
</main>
<!--========== FOOTER ==========-->
<footer class="footer section bd-container">
<div class="footer__container bd-grid">
<div class="footer__content">
<a href="#" class="footer__logo">1Letter1Smile</a>
<span class="footer__description">Non Profit</span>
<div>
<a href="https://www.facebook.com/1-lettre-1-sourire-104735304495540/" class="footer__social"><i class='bx bxl-facebook'></i></a>
<a href="https://www.instagram.com/1lettre1sourire/?hl=fr" class="footer__social"><i class='bx bxl-instagram'></i></a>
<a href="#" class="footer__social"><i class='bx bxl-twitter'></i></a>
</div>
</div>
<div class="footer__content">
<h3 class="footer__title">Services</h3>
<ul>
<li><a href="letter.html" class="footer__link">Write a Letter</a></li>
<li><a href="about.html" class="footer__link">About</a></li>
<li><a href="faq.html" class="footer__link">FAQs</a></li>
<li><a href="sponsor.html" class="footer__link">Our Sponsors</a></li>
</ul>
</div>
<div class="footer__content">
<h3 class="footer__title">Information</h3>
<ul>
<li><a href="login.html" class="footer__link">Register/Login</a></li>
<li><a href="#" class="footer__link">Donate</a></li>
<li><a href="#" class="footer__link">Privacy policy</a></li>
<li><a href="#" class="footer__link">Terms of services</a></li>
</ul>
</div>
<div class="footer__content">
<h3 class="footer__title">Address</h3>
<ul>
<li>Lille - France</li>
<li>+33 6 46 48 08 02.</li>
<li>1lettre1sourire.contact@gmail.com</li>
</ul>
</div>
</div>
<p class="footer__copy">© 2020 1Letter1Smile. All right reserved</p>
</footer>
<!--========== SCROLL REVEAL ==========-->
<script src="https://unpkg.com/scrollreveal"></script>
<!--========== MAIN JS ==========-->
<!-- <script src="assets/js/main.js"></script> -->
<!-- LOADER
<div class="loading">
<div class="loading__dot"></div>
<div class="loading__dot"></div>
<div class="loading__dot"></div>
</div> -->
</body>
</html>