title = 'Signup'; $this->params ['breadcrumbs'] [] = $this->title; ?>

Signup

'form-signup']); ?>

Select a username and password

field($model, 'username')?> field($model, 'password')->passwordInput()?> field($model, 'passwordSecond')->passwordInput()?>

Contact information

field($model, 'form_of_adress')->dropDownList( ['Mr'=>'Mr', 'Mrs'=>'Mrs'], ['prompt'=>'-----'])?> field($model, 'title')?> field($model, 'name')?> field($model, 'firstName')?> field($model, 'email')?> field($model, 'emailSecond')?>

Billing adress

field($model, 'institution')?> field($model, 'division')?> field($model, 'streetPOBox')?> field($model, 'postalCode')?> field($model, 'locationCity')?> field($model, 'country')?>

Delivery adress

field($model, 'deliveryInstitution')?> field($model, 'deliveryDivision')?> field($model, 'deliveryStreet')?> field($model, 'deliveryPostalCode')?> field($model, 'deliveryLocation')?> field($model, 'deliveryCountry')?>

Cites code

field($model, 'citesCode')?>
'btn btn-primary', 'name' => 'signup-button'])?>