<div class="boxp"> <div class="cbox"> <form method="post" class="form" data-fa> <div class="mb-4"> <img src="{{ logoImage }}" alt="" class="logo mb-4" /> <div class="hr mb-4"></div> <h2>Formular de inrolare</h2> <h3>* sunt campuri obligatorii</h3> </div> <div> <div class="row"> {{ form_row(form.lastName) }} {{ form_row(form.firstName) }} </div> </div> <div> <div class="row"> {{ form_row(form.emailAddress) }} {{ form_row(form.phoneNumber) }} </div> </div> <div> <div class="row"> {{ form_row(form.companyName) }} </div> </div> <div> <div class="row"> {{ form_row(form.judet) }} </div> </div> <div> <label for="KeepMeLogged">Consimtamant</label> <div class="form-check form-switch"> <input class="form-check-input" name="_remember_me" type="checkbox" id="KeepMeLogged"> <label class="form-check-label" for="KeepMeLogged">Sunt de acord cu prelucrarea datelor</label> </div> </div> {{ form_row(form._token) }} <button>Trimite</button> <div class="hr mt-4"></div> <div class="row mt-3"> <div class="col-md-12 text-sm-center text-md-end"> <a href="{{ path('app_login') }}">Logare</a> </div> </div> </form> </div></div>