<link href="//netdna.bootstrapcdn.com/bootstrap/3.1.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css">
<script src="//netdna.bootstrapcdn.com/bootstrap/3.1.0/js/bootstrap.min.js"></script>
<script src="//code.jquery.com/jquery-1.11.1.min.js"></script>
<link href="//netdna.bootstrapcdn.com/font-awesome/4.0.3/css/font-awesome.css" rel="stylesheet">
<div class="container">
<div class="row">
<img style="margin-top:-10px;"class="pull-left" src="https://sierra.uah.edu:9021/wtlgifs/uah-logo10-1.jpg" alt="UAH"/>
<p style="margin:14px 20px 0 0;" class="pull-right">
<a href="http://www.uah.edu/oit/getting-started/for-students/67-main/its/666-campus-ids" accesskey="H" onclick="popup = window.open('http://www.uah.edu/oit/getting-started/for-students/67-main/its/666-campus-ids', 'PopupPage','height=500,width=450,scrollbars=yes,resizable=yes'); return false" target="_blank" onmouseover="window.status=''; return true" onmouseout="window.status=''; return true" onfocus="window.status=''; return true" onblur="window.status=''; return true" class="submenulinktext2"><i class="fa fa-question-circle"></i>·Help</a>··|··
<a href="bwskalog.p_displogoutnon" accesskey="3" class="submenulinktext2"><i class="fa fa-sign-out"></i>·Exit</a></p>
</div>
<div class="omb_login">
<div class="row omb_row-sm-offset-3">
<div class="col-xs-12 col-sm-6 col-sm-offset-3">
<h1>Admissions Registration</h1>
<form class="omb_loginForm" action="" autocomplete="off" method="POST">
<div class="input-group">
<span class="input-group-addon"><i class="fa fa-user"></i></span>
<input type="text" class="form-control" name="newid" maxlength="9" id-"login_id" placeholder="Create a Login ID">
</div>
<span class="help-block"></span>
<div class="input-group">
<span class="input-group-addon"><i class="fa fa-lock"></i></span>
<input type="password" class="form-control" name="newpin" maxlength="6" id="pin_id"placeholder="Create a PIN">
</div>
<span class="help-block"></span>
<div class="input-group">
<span class="input-group-addon"><i class="fa fa-lock"></i></span>
<input type="password" class="form-control" name="verifypin" maxlength="6" id="verify_pin_id"placeholder="Retype PIN">
</div>
