Current File : /home/aventura/www/web/modulos/inscripcion/templates/ver.html

    <!--SECTION HEADING -->
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    <div class="section-heading-page">
      <div class="container">
        <div class="row">
          <div class="col-sm-6">
            <h1 class="heading-page text-center-xs">Reserva ya tu viaje</h1>
          </div>
          <div class="col-sm-6">
            <ol class="breadcrumb text-right text-center-xs">
              <li>
                <a href="#">Inicio</a>
              </li>
              <li>
                <a href="#">Inscripción</a>
              </li>
              <li class="active">Reserva Ya!</li>
            </ol>
          </div>
        </div>
      </div>
    </div>

    <!--SECTION -->
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    <div class="section section-xs section-bottom">
      <div class="container">
        <div class="row mb">
          <div class="col-md-6 col-sm-offset-3">
            <h3 class="title-md hr-left text-theme">Reserva y Congela el Precio</h3>
            <div class="panel panel-primary text-theme">
              <div class="panel-heading">
                <h3 class="panel-title">Formulario de Inscripci&oacute;n</h3>
              </div>
              <div class="panel-body">
                <form>
                  <div class="form-group">
                    <label for="input-name">A&ntilde;o</label>
					<select name="" class="form-control">
					<option value="">Seleccionar..</option>
					<option value="2016">2016</option>
					<option value="2017">2017</option>
					<option value="2018">2018</option>
					</select>
                  </div>
                  <div class="form-group">
                    <label for="input-name">Tu nombre</label>
                    <input type="text" class="form-control" id="input-name" placeholder="Nombre">
                  </div>
                  <div class="form-group">
                    <label for="first-name">Tu apellido</label>
                    <input type="text" class="form-control" id="first-name" placeholder="Apellido">
                  </div>
                  <div class="form-group">
                    <label for="last-name">Fecha de Nacimiento</label>
                    <input type="text" class="form-control" id="last-name" placeholder="05-03-1990">
                  </div>
                  <div class="form-group">
                    <label for="inputEmail">Email</label>
                    <input type="email" class="form-control" id="inputEmail" placeholder="tucuenta@dominio.com.ar">
                  </div>
                  <div class="form-group">
                    <label for="inputEmail">Tel&eacute;fono</label>
                    <input type="email" class="form-control" id="inputEmail" placeholder="Tel&eacute;fono">
                  </div>
                  <div class="form-group">
                    <label for="inputEmail">Tel&eacute;fono Celular</label>
                    <input type="email" class="form-control" id="inputEmail" placeholder="Tel&eacute;fono Celular">
                  </div>
                  <div class="form-group">
                    <label for="inputEmail">Tu ciudad</label>
                    <input type="email" class="form-control" id="inputEmail" placeholder="Tu Ciudad">
                  </div>
                  <div class="checkbox">
                    <label>
                      <input type="checkbox"> Tenes pasaporte?</label>
                  </div>
                  <button type="submit" class="btn btn-primary">Reserva</button>
				  <button type="submit" class="btn btn-primary">Limpiar</button>
                </form>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>