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<script src="//netdna.bootstrapcdn.com/bootstrap/3.2.0/js/bootstrap.min.js"></script>
<script src="//code.jquery.com/jquery-1.11.1.min.js"></script>
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<div class="container-fluid">
<section class="container">
<div class="container-page">
<div class="col-md-6">
<h3 class="dark-grey">Registro Gratis</h3>
<div class="form-group col-lg-12">
<label>Nombre</label>
<input type="" name="" class="form-control" id="" value="">
</div>
<div class="form-group col-lg-6">
<label>Empresa</label>
<input type="password" name="" class="form-control" id="" value="">
</div>
<div class="form-group col-lg-6">
<label>País</label>
<input type="password" name="" class="form-control" id="" value="">
</div>
<div class="form-group col-lg-6">
<label>Correo Electrónico</label>
<input type="" name="" class="form-control" id="" value="">
</div>
<div class="form-group col-lg-6">
<label>Confirma Correo Electrónico</label>
<input type="" name="" class="form-control" id="" value="">
</div>
<div class="col-sm-6">
<input type="checkbox" class="checkbox" />Recibir promociones y bonos
</div>
<div class="col-sm-6">
<input type="checkbox" class="checkbox" />Recibir notificaciones al Correo Electrónico
</div>
</div>
<div class="col-md-6">
<h3 class="dark-grey">Terms and Conditions</h3>
<p>
By clicking on "Register" you agree to The Company's' Terms and Conditions
</p>
<p>
While rare, prices are subject to change based on exchange rate fluctuations -
should such a fluctuation happen, we may request an additional payment. You have the option to request a full refund or to pay the new price. (Paragraph 13.5.8)
</p>
<p>
Should there be an error in the description or pricing of a product, we will provide you with a full refund (Paragraph 13.5.6)
</p>
<p>
Acceptance of an order by us is dependent on our suppliers ability to provide the product. (Paragraph 13.5.6)
</p>
<button type="submit" class="btn btn-primary">Register</button>
</div>
</div>
</section>
</div>