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Current File : /var/www/myprofreight/create_account.html
<!DOCTYPE html>
<html lang="en">

<head>
    <meta charset="UTF-8">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <title>Create An Account</title>
    <link href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/6.3.0/css/all.min.css" rel="stylesheet"
        type="text/css">
    <link href="https://cdn.jsdelivr.net/npm/bootstrap@5.3.2/dist/css/bootstrap.min.css" rel="stylesheet"
        integrity="sha384-T3c6CoIi6uLrA9TneNEoa7RxnatzjcDSCmG1MXxSR1GAsXEV/Dwwykc2MPK8M2HN" crossorigin="anonymous">
    <link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/animate.css/4.1.1/animate.min.css" />
    <link rel="stylesheet" href="css/style.css">
    <link rel="stylesheet" href="css/responsive.css">
</head>

    <body>
        <div class="wrapper">
            <div class="header">
                <div class="header_mid_logo">
                    <div class="container">
                        <div class="row">
                            <div class="col-md-3">
                                <a href="index.html" title="Logo" alt="Logo" class="logo">
                                    <img src="images/logo.png" alt="Logo">
                                </a>
                            </div>
                            <div class="col-md-9 header_mid_contact">
                                <div class="header_top">
                                    <div class="social_wrap_inner">
                                        <a href="get_free_quote.html" class="social_wrap_link">Get a Free Quote</a>
                                        <ul>
                                            <li>
                                                <a href="#"><i class="fa-brands fa-facebook-f"></i></a>
                                            </li>
                                            <li>
                                                <a href="#"><i class="fa-brands fa-instagram"></i></a>
                                            </li>
                                            <li>
                                                <a href="#"><i class="fa-brands fa-linkedin-in"></i></a>
                                            </li>
                                        </ul>
                                    </div>
                                </div>
                                <div class="row">
                                    <div class="col-lg-3 col-md-6 header_mid_contact_inner">
                                        <i class="fa fa-phone"></i>
                                        <div>
                                            <h5>Call us</h5>
                                            <h6>763-432-2130</h6>
                                        </div>
                                    </div>
                                    <div class="col-lg-3 col-md-6 header_mid_contact_inner">
                                        <i class="fa-regular fa-envelope"></i>
                                        <div>
                                            <h5>Email us</h5>
                                            <h6>freight@otpros.com</h6>
                                        </div>
                                    </div>
                                </div>
                            </div>
                        </div>
                    </div>
                </div>
                <div class="header_menu" id="stickyHeader">
                    <nav class="navbar navbar-expand-lg">
                        <div class="container">
                            <button class="navbar-toggler" type="button" data-bs-toggle="collapse"
                                data-bs-target="#navbarSupportedContent" aria-controls="navbarSupportedContent"
                                aria-expanded="false" aria-label="Toggle navigation">
                                <div class="menubar-icon">
                                    <div></div>
                                    <div></div>
                                    <div></div>
                                </div>
                            </button>
                            <div class="collapse navbar-collapse" id="navbarSupportedContent">
                                <ul class="navbar-nav me-auto mb-2 mb-lg-0">
                                    <li class="nav-item">
                                        <a class="nav-link active" href="index.html">Home</a>
                                    </li>
                                    <li class="nav-item dropdown">
                                        <a class="nav-link dropdown-toggle" href="#" role="button" data-bs-toggle="dropdown"
                                            aria-expanded="false">
                                            Services
                                        </a>
                                        <ul class="dropdown-menu">
                                            <li><a class="dropdown-item" href="air_freight.html">Air Freight</a></li>
                                            <li><a class="dropdown-item" href="crating_and_palletizing.html">Crating and Palletizing</a></li>
                                            <li><a class="dropdown-item" href="dedicated_vehicles.html">Dedicated Vehicles</a></li>
                                            <li><a class="dropdown-item" href="expedited_ground.html">Expedited Ground</a></li>
                                            <li><a class="dropdown-item" href="hot_shot.html">Hot Shot</a></li>
                                            <li><a class="dropdown-item" href="international_shipping.html">International Shipping</a></li>
                                            <li><a class="dropdown-item" href="local_freight.html">Local Freight</a></li>
                                            <li><a class="dropdown-item" href="projects_and_distributions.html">Projects and Distributions</a></li>
                                            <li><a class="dropdown-item" href="same_day_services.html">Same Day Services</a></li>
                                            <li><a class="dropdown-item" href="small_parcel_managment.html">Small Parcel Managment</a></li>
                                            <li><a class="dropdown-item" href="standard_ground.html">Standard Ground</a></li>
                                            <li><a class="dropdown-item" href="trade_show_and_event_freight.html">Trade Show and Event Freight</a></li>
                                            <li><a class="dropdown-item" href="warehousing_and_fulfillment.html">Warehousing and Fulfillment</a></li>
                                            <li><a class="dropdown-item" href="white_glove_service.html">White Glove Service</a></li>
                                        </ul>
                                    </li>
                                    <li class="nav-item dropdown">
                                        <a class="nav-link dropdown-toggle" href="#" role="button" data-bs-toggle="dropdown"
                                            aria-expanded="false">
                                            Who We Are
                                        </a>
                                        <ul class="dropdown-menu">
                                            <li><a class="dropdown-item" href="about_us.html">About Us</a></li>
                                            <li><a class="dropdown-item" href="credentials.html">Credentials</a></li>
                                            <li><a class="dropdown-item" href="testimonials.html">Testimonials</a></li>
                                        </ul>
                                    </li>
                                    <li class="nav-item dropdown">
                                        <a class="nav-link dropdown-toggle" href="#" role="button" data-bs-toggle="dropdown"
                                            aria-expanded="false">
                                            Industries
                                        </a>
                                        <ul class="dropdown-menu">
                                            <li><a class="dropdown-item" href="aviation_and_aerospace.html">Aviation and Aerospace</a></li>
                                            <li><a class="dropdown-item" href="electronics.html">Electronics</a></li>
                                            <li><a class="dropdown-item" href="food_service_equipment.html">Food Service Equipment</a></li>
                                            <li><a class="dropdown-item" href="government.html">Government</a></li>
                                            <li><a class="dropdown-item" href="manufacturing.html">Manufacturing</a></li>
                                            <li><a class="dropdown-item" href="medical_devices_and_equipment.html">Medical Devices and Equipment</a></li>
                                            <li><a class="dropdown-item" href="military.html">Military</a></li>
                                            <li><a class="dropdown-item" href="millwork.html">Millwork</a></li>
                                            <li><a class="dropdown-item" href="printing.html">Printing</a></li>
                                            <li><a class="dropdown-item" href="telecommunications.html">Telecommunications</a></li>
                                        </ul>
                                    </li>
                                    <li class="nav-item">
                                        <a class="nav-link" href="technologies.html">Technologies</a>
                                    </li>
                                    <li class="nav-item">
                                        <a class="nav-link" href="resources.html">Resources</a>
                                    </li>
                                    <li class="nav-item">
                                        <a class="nav-link" href="contact_us.html">Contact us</a>
                                    </li>
                                    <li class="nav-item">
                                        <a class="nav-link" href="track_a_shipment.html">Tracking</a>
                                    </li>
                                    <li class="nav-item">
                                        <a class="nav-link" href="login.html">Log In</a>
                                    </li>
                                </ul>
                            </div>
                        </div>
                    </nav>
                </div>
            </div>
            <div class="banner_inner" style="background-image: url('./images/banner_inner_create_account.jpg');">
                <div class="back_layer"></div>
                <div class="banner_inner_content">
                    <h1>Create An Account</h1>
                </div>
            </div>  
            <div class="login_section create_account">
                <div class="container">
                    <div class="row">
                        <div class="title">
                            <h2>Create An Account</h2>
                            <h3>You must create an account to submit shipment requests with . Please complete the new account information below. If you have any questions please contact us at;</h3>
                        </div>
                        <form class="login_form">
                            <h2>Billing Information:</h2>
                            <div class="row">
                                <div class="col-md-4 form-group">
                                    <label>Company Name: <span class="required">*</span></label>
                                    <input class="form-control" name="comapnyname" type="text">
                                </div>
                                <div class="col-md-4 form-group">
                                    <label>Contact First Name: <span class="required">*</span></label>
                                    <input class="form-control" name="contactfirstname" type="text">
                                </div>
                                <div class="col-md-4 form-group">
                                    <label>Contact Last Name: <span class="required">*</span></label>
                                    <input class="form-control" name="contactlasttname" type="text">
                                </div>
                                <div class="col-md-4 form-group">
                                    <label>Address 1: <span class="required">*</span></label>
                                    <textarea class="form-control" name="address1"></textarea>
                                </div>
                                <div class="col-md-4 form-group">
                                    <label>Address 2: </label>
                                    <textarea class="form-control" name="address2"></textarea>
                                </div>
                                <div class="col-md-4 form-group">
                                    <label>City: <span class="required">*</span></label>
                                    <input class="form-control" name="city" type="text">
                                </div>
                                <div class="col-md-4 form-group">
                                    <label>State: <span class="required">*</span></label>
                                    <input class="form-control" name="state" type="text">
                                </div>
                                <div class="col-md-4 form-group">
                                    <label>Zip: <span class="required">*</span></label>
                                    <input class="form-control" name="zip" type="text">
                                </div>
                                <div class="col-md-4 form-group">
                                    <label>Telephone: <span class="required">*</span></label>
                                    <input class="form-control" name="telephone" type="number">
                                </div>
                                <div class="col-md-4 form-group">
                                    <label>Fax: </label>
                                    <input class="form-control" name="telephone" type="text">
                                </div>
                                <div class="col-md-4 form-group">
                                    <label>Website Address: </label>
                                    <input class="form-control" name="website_address" type="text">
                                </div>
                            </div>
                            <h2>
                                Shipping Information: 
                                <input type="checkbox" id="billing" name="billing" value="billing">
                                <label for="billing">same as billing</label>
                            </h2>
                            <div class="row">
                                <div class="col-md-4 form-group">
                                    <label>Address 1: <span class="required">*</span></label>
                                    <textarea class="form-control" name="address11"></textarea>
                                </div>
                                <div class="col-md-4 form-group">
                                    <label>Address 2: </label>
                                    <textarea class="form-control" name="address12"></textarea>
                                </div>
                                <div class="col-md-4 form-group">
                                    <label>City: <span class="required">*</span></label>
                                    <input class="form-control" name="city1" type="text">
                                </div>
                                <div class="col-md-4 form-group">
                                    <label>State: <span class="required">*</span></label>
                                    <input class="form-control" name="state1" type="text">
                                </div>
                                <div class="col-md-4 form-group">
                                    <label>Zip: <span class="required">*</span></label>
                                    <input class="form-control" name="Zip1" type="text">
                                </div>
                            </div>
                            <h2>Admin Login Information: </h2>
                            <div class="row">
                                <div class="col-md-4 form-group">
                                    <label>User First Name: <span class="required">*</span></label>
                                    <input class="form-control" name="userfirstname" type="text">
                                </div>
                                <div class="col-md-4 form-group">
                                    <label>User Last Name: <span class="required">*</span></label>
                                    <input class="form-control" name="userlastname" type="text">
                                </div>
                                <div class="col-md-4 form-group">
                                    <label>Address 1: <span class="required">*</span></label>
                                    <textarea class="form-control" name="adminaddress1"></textarea>
                                </div>
                                <div class="col-md-4 form-group">
                                    <label>Address 2: </label>
                                    <textarea class="form-control" name="adminaddress2"></textarea>
                                </div>
                                <div class="col-md-4 form-group">
                                    <label>City: <span class="required">*</span></label>
                                    <input class="form-control" name="admincity" type="text">
                                </div>
                                <div class="col-md-4 form-group">
                                    <label>State: <span class="required">*</span></label>
                                    <input class="form-control" name="adminstate" type="text">
                                </div>
                                <div class="col-md-4 form-group">
                                    <label>Zip: <span class="required">*</span></label>
                                    <input class="form-control" name="adminzip" type="text">
                                </div>
                                <div class="col-md-4 form-group">
                                    <label>Email Address: <span class="required">*</span></label>
                                    <input class="form-control" name="adminemailaddress" type="text">
                                </div>
                                <div class="col-md-4 form-group">
                                    <label>Password: <span class="required">*</span></label>
                                    <input class="form-control" name="adminPassword" type="password">
                                </div>
                                <div class="col-md-4 form-group">
                                    <label>Enter code from below: </label>
                                    <div class="code_box" class="form-control">CWTYMC</div>
                                    <label>Input symbols: </label>
                                    <input class="form-control" name="code" type="text">
                                </div>
                            </div>
                            <p><span class="required">*</span> = Required information</p>
                            <p><b>Note</b>: If you already have a company account and need to create access for an employee, log into a manager account and create a login for the employee.</p>
                            <button type="button" class="btn">Continue</button>
                        </form> 
                    </div>
                </div>            
            </div>
            <div class="footer">
                <div class="footer_top">
                    <div class="container">
                        <div class="row">
                            <div class="col-md-3">
                                <h1>Contact Information</h1>
                                <h5><i class="fa fa-phone"></i> 763-432-2130</h5>
                                <h5><i class="fa-regular fa-envelope"></i>freight@otpros.com</h5>
                            </div>
                            <div class="col-md-3">
                                <h1>Quick links</h1>
                                <h5><a href="#">Home</a></h5>
                                <h5><a href="#">Login</a></h5>
                                <h5><a href="#">Shipment Tracking</a></h5>
                            </div>
                            <div class="col-md-3">
                                <h1>Quick links</h1>
                                <h5><a href="#">Contact us</a></h5>
                                <h5><a href="#">About us</a></h5>
                                <h5><a href="term_and_condition.html">Terms and Conditions</a></h5>
                            </div>
                            <div class="col-md-3">
                                <h1>Quick links</h1>
                                <h5><a href="#">Our services</a></h5>
                                <h5><a href="#">knowledge base</a></h5>
                            </div>
                        </div>
                    </div>
                </div>
                <div class="footer_bottom">
                    <p>© Copyright 2023 MyProFreight.com and On Target Professionals. All Rights Reserved Worldwide.</p>
                </div>
            </div>
            <div class="bottom_to_up" onclick="topFunction()" id="myBtn">
                <i class="fa-solid fa-chevron-up"></i>
            </div>
        </div>

        <script src="https://cdn.jsdelivr.net/npm/bootstrap@5.3.2/dist/js/bootstrap.bundle.min.js"
            integrity="sha384-C6RzsynM9kWDrMNeT87bh95OGNyZPhcTNXj1NW7RuBCsyN/o0jlpcV8Qyq46cDfL"
            crossorigin="anonymous"></script>

        <script>
            let mybutton = document.getElementById("myBtn");
            window.onscroll = function() {scrollFunction()};
            function scrollFunction() {
            if (document.body.scrollTop > 20 || document.documentElement.scrollTop > 20) {
                mybutton.style.display = "block";
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                mybutton.style.display = "none";
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            function topFunction() {
            document.body.scrollTop = 0;
            document.documentElement.scrollTop = 0;
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        </script>

        <script>
            window.onscroll = function() {myFunction()};
            var header = document.getElementById("stickyHeader");
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            function myFunction() {
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    </body>
</html>

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