templates/frontend/clinics/register.html.twig line 1

{% extends 'layout.html.twig' %}
{% block title %}Hello DistributorsController!{% endblock %}
{% block body %}
Let's Create Your Account.
Signing up for your Fluid is fast and free - be up and running in under a minute.

{# First Name #}

First Name *

Required Field

{# Last Name #}

Last Name *

Required Field

{# Postionn #}

Your Position *

Required Field

{# Country #}

Located In *

Required Field

{# Email #}

Business Email *

Required Field

{# Telephone #}

Business Telephone *

Required Field

{# Clinic Name #}

Business Name *

Required Field

{# Telephone #}

Mobile Phone Number *

Required Field

Loading...

{% endblock %}

{% block javascripts %}

{{ parent() }}

{% endblock %}

Filepath:: /var/www/html/fluid-digital-dev/templates/frontend/clinics/register.html.twig
Last modified:: August 13, 2025 09:53
Size:: 16 KB / 381 lines

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