<h3 class="breadcrumb text-center">
    <%=title%>
</h3>
<form action="<%=routes.signup%>" method="post" class="form-horizontal">
    
    <div class="form-group">
        <div class="col-md-12">
            <input type="text" name="username" value="<%= data.username %>" placeholder="Usuário" class="form-control">
        </div>
    </div>
    
    <div class="form-group">
        <div class="col-md-12">
            <input type="password" name="password" placeholder="Senha" class="form-control">
        </div>
    </div>
    
    <div class="form-group">
        <div class="col-md-12">
            <input type="text" name="firstName" value="<%= data.firstName %>" placeholder="Nome" class="form-control">
        </div>
    </div>
    
    <div class="form-group">
        <div class="col-md-12">
            <input type="text" name="lastName" value="<%= data.lastName %>" placeholder="SobreNome" class="form-control">
        </div>
    </div>
    
    <div class="form-group">
        <div class="col-md-12">
            <input type="text" name="email" value="<%= data.email %>" placeholder="E-mail" class="form-control">
        </div>
    </div>    

    <input type="submit" value="Criar Conta" style="width: 100%" class="btn btn-blue-inverse">
</form>

<div class="clear"><br></div>

<div class="signin-option">
    <div class="signin-option-item">
        <a href="<%=routes.signin%>" class="grey-text">Fazer Login</a>
    </div>
</div>