<php lang="en">
<head>
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<title>La Pieza.DO | Registro</title>
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</head>
<body>
<div class="ugf-wrapper flat-grey-bg">
<div class="ugf-content-block">
<div class="logo">
<a href="../register.php">
<!-- <img class="light-logo" src="assets/images/logo.png" alt=""> -->
<!-- <img class="" src="assets/images/logo-dark2.png" alt=""> -->
</a>
</div>
<div class="container-md">
<div class="row">
<div class="col-lg-7 offset-lg-5 p-sm-0">
<div class="ugf-content pt150">
<a href="personal-account.php" class="prev-page"><i class="las la-arrow-left"></i> Volver Atrás</a>
<h2>Detalles de Pago</h2>
<p>Escribe los datos de la cuenta de banco donde deseas recibir tus fondos luego de hacer una venta!</p>
<form action="personal-billing.php" class="account-form">
<div class="row">
<div class="col-md-6 p-sm-0">
<div class="form-group">
<label for="inputDate">Nombre del Banco</label>
<div class="select-input">
<span></span>
<select id="inputDate" class="form-control">
<option value="">Selecciona el Banco</option>
<option value="Banco Ademi">Banco Ademi</option>
<option value="Banco BDI">Banco BDI</option>
<option value="Banco Bellbank">Banco Bellbank</option>
<option value="Banco BHD">Banco BHD</option>
<option value="Banco Caribe">Banco Caribe</option>
<option value="Banco Lafise">Banco Lafise</option>
<option value="Banco López de Haro">Banco López de Haro</option>
<option value="Banco Múltiple Activo">Banco Múltiple Activo</option>
<option value="Banco Popular">Banco Popular</option>
<option value="Banco Promerica">Banco Promerica</option>
<option value="Banco Santa Cruz">Banco Santa Cruz</option>
<option value="Banco Vimenca">Banco Vimenca</option>
<option value="Banesco">Banesco</option>
<option value="Banreservas">Banreservas</option>
<option value="Citibank">Citibank</option>
<option value="Scotiabank">Scotiabank</option>
</select>
</div>
</div>
</div>
<div class="col-md-6 p-sm-0">
<div class="form-group">
<label for="inputDate">Tipo de Cuenta</label>
<div class="select-input">
<span></span>
<select id="inputDate" class="form-control">
<option value="select" selected>Selecciona Tipo</option>
<option value="Ahorros">Ahorros</option>
<option value="Corriente">Corriente</option>
</select>
</div>
</div>
</div>
</div>
<div class="form-group">
<label for="inputFname">Número de Cuenta</label>
<input type="text" placeholder="ej. 0000 0000 0000 0000" class="form-control" id="inputFname">
</div>
<div class="form-group">
<label for="inputFname">Responsable de la Cuenta</label>
<input type="text" placeholder="ej. Juan Pérez" class="form-control" id="inputFname">
</div>
<div class="btn-wrap">
<button class="btn"><span>Siguiente</span> <i class="las la-arrow-right"></i></button>
<a href="personal-billing.php">Saltar este paso</a>
</div>
</form>
</div>
</div>
</div>
</div>
</div>
<div class="ugf-sidebar flex-bottom ugf-sidebar-bg-2 sidebar-steps">
<div class="steps">
<div class="step complete-step">
<span>1</span>
<p>Verificación de Correo</p>
</div>
<div class="step complete-step">
<span>2</span>
<p>Detalles de la Cuenta Personal</p>
</div>
<div class="step step-onprocess">
<span>3</span>
<p>Detalle de Pagos</p>
</div>
<div class="step">
<span>4</span>
<p>Detalle de Facturación</p>
</div>
</div>
</div>
</div>
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</body>
</php> |