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donate_blood.html
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donate_blood.html
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="utf-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1">
<title>Blood Bank System Organization | National Blood Centers</title>
<!-- Google Fonts -->
<link href='http://fonts.googleapis.com/css?family=Raleway:400,800,500,600,300,700' rel='stylesheet' type='text/css'>
<!-- ionicons Fonts for icons -->
<link href="css/ionicons.min.css" rel="stylesheet">
<!-- bootstrap -->
<link href="css/bootstrap.css" rel="stylesheet">
<!-- Styles CSS-->
<link href="css/style.css" rel="stylesheet">
<!-- Animate CSS-->
<link href="css/animate.css" rel="stylesheet">
<!-- HTML5 shim and Respond.js IE8 support of HTML5 elements and media queries -->
<!--[if lt IE 9]>
<script src="https://oss.maxcdn.com/libs/html5shiv/3.7.0/html5shiv.js"></script>
<script src="https://oss.maxcdn.com/libs/respond.js/1.4.2/respond.min.js"></script>
<![endif]-->
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<meta charset="utf-8">
<!--<title>Login / Sign Up Form</title>-->
<link rel="shortcut icon" href="/assets/favicon.ico">
<link rel="stylesheet" href="./css/style.css">
<script src="js/card-list.js"></script>
</head>
<body class="box-layout">
<!-- Page Loader -->
<div class="page-loader">
<div class="loader">
<span class="cssload-loading"></span>
</div>
</div>
<!-- End Page Loader -->
<div class="inner-conterner">
<!-- inner-conterner -->
<header class="site-header">
<div class="header-inner">
<!-- navigation panel -->
<div class="container">
<div class="row">
<div class="header-table col-md-12">
<div class="brand">
<a href="index.html">
<img src="images/logo.png" alt="Enfold">
</a>
</div>
<nav id="nav-wrap" class="main-nav">
<div id="mobnav-btn"> </div>
<ul class="sf-menu">
<li class="current">
<a href="index.html">Home</a>
</li>
<li class="current">
<a href="user_profile_page.html">User Profile</a>
</li>
<li class="current">
<a href="request_blood.html">Request Blood</a>
</li>
<li>
<a href="pending_orders.html">Pending Orders</a>
</li>
<li class="menu-search-bar">
<a id="search-label"><i class="ion-search"></i></a>
<form class="search-bar" id="searchform">
<input type="text" placeholder="Search..." name="s">
</form>
</li>
</ul>
</nav>
</div>
</div>
<!-- End navigation panel -->
</div>
<!-- End navigation panel -->
</div>
</header>
<!-- About Section -->
<article id="register"> </article>
<div class="container-about">
<div class="container">
<div class="row">
<div class="col-md-12">
<div class="request-form-body">
<div class="request-form-container">
<form class="form" id="request">
<div class="wrapper">
<div class="title">
Blood Donation Form
</div>
<div class="form">
<div class="inputfield">
<label>First Name</label>
<input type="text" class="input" id="don-firstName">
</div>
<div class="inputfield">
<label>Last Name</label>
<input type="text" class="input" id="don-lastName">
</div>
<div class="inputfield">
<label>Age</label>
<input type="text" class="input" id="don-age">
</div>
<div class="inputfield">
<label>Weight</label>
<input type="text" class="input" id=don-weight>
</div>
<div class="inputfield">
<label>Height</label>
<input type="text" class="input" id=don-height>
</div>
<div class="inputfield">
<label>Blood Type</label>
<input type="text" class="input" id=don-blood>
</div>
<div class="inputfield">
<label>Amount Requested</label>
<input type="text" class="input" id=don-amount>
</div>
<div class="inputfield">
<label>Gender</label>
<div class="custom_select" id="don-gender">
<select>
<option value="">Select</option>
<option value="male">Male</option>
<option value="female">Female</option>
</select>
</div>
</div>
<div class="inputfield">
<label>Email Address</label>
<input type="text" class="input" id="don-email">
</div>
<div class="inputfield">
<label>Phone Number</label>
<input type="text" class="input" id="don-phone">
</div>
<div class="inputfield">
<label>Address</label>
<textarea class="textarea" id="don-address"></textarea>
</div>
<div class="inputfield">
<label>Postal Code</label>
<input type="text" class="input" id=don-postal>
</div>
<div class="inputfield terms">
<label class="check">
<input type="checkbox">
<span class="checkmark"></span>
</label>
<p>Agreed to terms and conditions</p>
</div>
<div class="inputfield"><a href="user_profile_page.html">
<button type="submit" value="Complete" class="btn" onclick="generateDonation()">
<a href="user_profile_page.html" class="complete">Complete</a></button>
</div>
</div>
</div>
</form>
</div>
</div>
<script src="./js/main.js"></script>
<!--<p class="title-un-des">INSERT REGISTERING SYNTAX HERE</p> -->
</div>
</div>
</div>
</div>
<!-- Footer area -->
<div class="footer-area-container">
<div class="container">
<div class="row">
<div class="col-md-3">
<div class="footer-widget">
<a href="index.html"><img class="footer-logo" src="images/logo.png" alt="Enfold"></a>
<p>Help Save lives by donating blood.</p>
</div>
</div>
<div class="col-md-3">
<div class="footer-widget widget_nav_menu">
<h4 class="footer-widget-title">Get In Touch</h4>
<p>If you wish to contact us please feel free to write, call, or email us with the provided information below.</p>
<div> <i class="ion-ios-location-outline"></i> 1234 Somewhere. Chicago Il,
<br>
<i class="ion-ios-telephone-outline"></i> (000) 123 - 4567
<br>
<i class="ion-paper-airplane"></i> <a href="[email protected]">[email protected]</a>
</div>
</div>
</div>
<div class="col-md-3">
<div class="footer-widget widget_nav_menu">
<h4 class="footer-widget-title">LINKS</h4>
<ul>
<li class="menu-item"><a href="index.html"> Home </a></li>
<li class="menu-item"><a href="login_register.html">Login/Register</a></li>
<li class="menu-item"><a href="index.html"> Donate</a></li>
<li class="menu-item"><a href="index.html"> Q&A's </a></li>
<li class="menu-item"><a href="index.html"> About Us </a></li>
<li class="menu-item"><a href="index.html"> Our Locations </a></li>
</ul>
</div>
</div>
<div class="col-md-3">
<div class="footer-widget">
<h4 class="footer-widget-title">Donate</h4>
<div class="post-img">
<img src="images/i1.jpg" alt="Inspiration of UX design">
</div>
</div>
</div>
</div>
</div>
</div>
<!-- End Footer area -->
<!-- Footer -->
<div class="footer-holder">
<div class="container">
<footer class="site-footer">
<div class="row">
<div class="col-md-6">
<p>© Copyright 2016 | <a href="http://templatestock.co" target="_blank">Template Stock</a></p>
</div>
<div class="col-md-6">
<ul class="footer-nav">
<li>Support</li>
<li>About Us</li>
<li>Terms</li>
<li>Privacy</li>
</ul>
</div>
</div>
</footer>
</div>
</div>
<!-- End Footer -->
</div>
<!-- End inner-conterner -->
<!-- ================================================== -->
<!-- Placed js files at the end of the document so the pages load faster -->
<script src="js/jquery.min.js"></script>
<script src="js/bootstrap.min.js"></script>
<script src="js/superfish.js"></script>
<script src="js/jquery.easing.js"></script>
<script src="js/wow.js"></script>
<script src="js/jquery.isotope.min.js"></script>
<script src="js/owl.carousel.min.js"></script>
<script src="js/jquery.magnific-popup.js"></script>
<script src="js/jflickrfeed.min.js"></script>
<script src="js/jquery.fitvids.js"></script>
<script src="js/jquery.fractionslider.min.js"></script>
<script src="js/jquery-ui-1.10.4.custom.min.js"></script>
<script type="text/javascript" src="js/SmoothScroll.js"></script>
<script src="js/main.js"></script>
</body>
</html>