{% extends "base.html" %}

{% block page-title %}Sign up for Snipt Pro{% endblock %}

{% block body-class %}{{ block.super }} static pro{% endblock %}

{% block breadcrumb %}
    <li><a href="/pro/">Snipt Pro</a></li>
    <li><span class="prompt">/</span> <a href="/pro/signup/">Sign up</a></li>
{% endblock %}

{% block content %}
    <div class="static-box">
        <a href="https://stripe.com" title="Secure payment with Stripe" class="stripe">
            <img src="/static/images/stripe.png" alt="" />
        </a>
        <h2>Snipt <span class="pro">Pro</span> signup</h2>
        <form class="form-horizontal" method="post" action="">
            <fieldset>
                <legend>$19 USD will be charged to your card annually. Also, you rock. Tell yourself that every year, too.</legend>
                <div class="control-group">
                    <label class="control-label" for="name">Name on card:</label>
                    <div class="controls">
                        <input type="text" class="input-xlarge" id="name">
                    </div>
                </div>
                <div class="control-group">
                    <label class="control-label" for="number">Card number:</label>
                    <div class="controls cards">
                        <input type="text" class="input-xlarge" id="number">
                        <img src="/static/images/card-visa.png" alt="Visa" />
                        <img src="/static/images/card-mastercard.png" alt="MasterCard" />
                        <img src="/static/images/card-discover.png" alt="Discover" />
                        <img src="/static/images/card-american-express.png" alt="American Express" />
                    </div>
                </div>
                <div class="control-group">
                    <label class="control-label" for="exp-month">Expiration date:</label>
                    <div class="controls">
                        <select name="exp-month" class="span1 exp-month">
                            <option value="01">01</option>
                            <option value="02">02</option>
                            <option value="03">03</option>
                            <option value="04">04</option>
                            <option value="05">05</option>
                            <option value="06">06</option>
                            <option value="07">07</option>
                            <option value="08">08</option>
                            <option value="09">09</option>
                            <option value="10">10</option>
                            <option value="11">11</option>
                            <option value="12">12</option>
                        </select>
                        <select name="exp-year" class="span1">
                            <option value="2012">2012</option>
                            <option value="2013">2013</option>
                            <option value="2014">2014</option>
                            <option value="2015">2015</option>
                            <option value="2016">2016</option>
                            <option value="2017">2017</option>
                            <option value="2018">2018</option>
                            <option value="2019">2019</option>
                            <option value="2020">2020</option>
                            <option value="2021">2021</option>
                            <option value="2022">2022</option>
                        </select>
                    </div>
                </div>
                <div class="control-group">
                    <label class="control-label" for="cvc">Security code (CVC):</label>
                    <div class="controls">
                        <input type="text" class="input-min span1" id="cvc">
                    </div>
                </div>
                <div class="form-actions">
                    <button type="submit" class="btn btn-success">Sign up</button>
                    <div class="security">
                        <a href="https://stripe.com/help/security">Secure</a> by default. (Every page on Snipt is secure with HTTPS)
                    </div>
                </div>
            </fieldset>
        </form>
    </div>
{% endblock %}