newSAVE

<% provide(:title, "Sign Up") %>

<div class="signup">
<div class="container">
	<div class="signup-holder col-sm-9">
		<h2>FlipCoin Token Sale Registration</h2>
		<p id="ERRexistence" class="pp-description">Existing user? <%= link_to "Login", login_path %></p>
		<%= form_for(@user, url: '/signup') do |f| %>
			<%= render 'shared/error_messages' %>
				<div class="center-block">
					<div id="REGfname" class="REG">
						<%= f.label :firstName, value: 'First Name *' %>
						<%= f.text_field :firstName, class: 'form-control', placeholder: "John" %>
					</div>
					<div id="REGlname" class="REG">
						<%= f.label :lastName, value: 'Last Name *' %>
						<%= f.text_field :lastName, class: 'form-control', placeholder: "Doe" %>
					</div>
				</div>
				<div class="center-block">
					<div id="REGemail" class="REG">
						<%= f.label :email, value: 'Email *' %>
						<%= f.text_field :email, class: 'form-control', placeholder: "johndoe123@example.com" %>
					</div>
					<div id="REGphone" class="REG">
						<%= f.label :phoneNumber, value: 'Phone Number' %>
						<%= f.text_field :phoneNumber, class: 'form-control', placeholder: "1-888-222-6666" %>
					</div>
				</div>
					<!-- DELETED ADDRESS INPUTS -->
				<div class="center-block">
					<div id="REGadd1" class="REG">
						<%= f.label :address1, value: 'Address Line 1 *' %>
						<%= f.text_field :address1, class: 'form-control' %>
					</div>
					<div id="REGadd2" class="REG">
						<%= f.label :address2, value: 'Address Line 2' %>
						<%= f.text_field :address2, class: 'form-control' %>
					</div>
				</div>
				<div class="center-block">
					<div id="REGcity" class="REG">
						<%= f.label :city, value: 'City *' %>
						<%= f.text_field :city, class: 'form-control' %>
					</div>
					<div id="REGzip" class="REG">
						<%= f.label :zipCode, value: 'Postal / Zip Code *' %>
						<%= f.text_field :zipCode, class: 'form-control' %>
					</div>
				</div>
				<div class="center-block">
					<div id="REGstate" class="REG">
						<%= f.label :state, value: 'State/Province *' %>
						<%= f.text_field :state, class: 'form-control' %>
					</div>
					<div id="REGdob" class="REG">
						<%= f.label :dob, value: 'Date of Birth *' %>
						<%= f.date_select :dob, class: 'form-control' %>
					</div>
				</div>
				<div class="center-block">	
					<div id="REGpass" class="REG">
						<%= f.label :password, value: 'Password *' %>
						<%= f.password_field :password, class: 'form-control' %>
					</div>
					<div id="REGconfirm" class="REG">
						<%= f.label :password_confirmation, "Password Confirmation *" %>
				  		<%= f.password_field :password_confirmation, class: 'form-control' %>
			  		</div>
			  	</div>
			  	<div class="center-block">
			  		<div id="REGestimate" class="REG">
				  		<%= f.label :estimatedContribution, value: 'Estimated Contribution (USD) *' %>
						<%= f.text_field :estimatedContribution, class: 'form-control', placeholder: "5000" %>
					</div>
					<div id="REGsubmit">
		    			<%= f.submit "Submit", class: "btn" %>
		    		</div>
		    	</div>
		<% end %>
	</div>
</div>
</div>