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index.html
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<!DOCTYPE html>
<html lang="en">
<head>
<!-- Required meta tags -->
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1, shrink-to-fit=no">
<!-- Twitter -->
<!-- <meta name="twitter:site" content="@bootstrapdash">
<meta name="twitter:creator" content="@bootstrapdash">
<meta name="twitter:card" content="summary_large_image">
<meta name="twitter:title" content="Azia">
<meta name="twitter:description" content="Responsive Bootstrap 4 Dashboard Template">
<meta name="twitter:image" content="https://www.bootstrapdash.com/azia/img/azia-social.png"> -->
<!-- Facebook -->
<!-- <meta property="og:url" content="https://www.bootstrapdash.com/azia">
<meta property="og:title" content="Azia">
<meta property="og:description" content="Responsive Bootstrap 4 Dashboard Template">
<meta property="og:image" content="https://www.bootstrapdash.com/azia/img/azia-social.png">
<meta property="og:image:secure_url" content="https://www.bootstrapdash.com/azia/img/azia-social.png">
<meta property="og:image:type" content="image/png">
<meta property="og:image:width" content="1200">
<meta property="og:image:height" content="600"> -->
<!-- Meta -->
<meta name="description" content="Fasten Health - Beta Signup">
<meta name="author" content="Fasten Health">
<title>Fasten Health - Beta Signup</title>
<style>
#logobackground {
background-image: url("img/abby-anaday-Z3fXPuxa15k-unsplash.jpg");
background-color: #cccccc;
}
#textforeground {
background: rgba(255,255,255, 0.75);
padding:30px;
}
</style>
<!-- azia CSS -->
<link rel="stylesheet" href="css/azia.css">
<link rel="stylesheet" href="https://cdn.jsdelivr.net/npm/[email protected]/dist/css/bootstrap.min.css" integrity="sha384-MCw98/SFnGE8fJT3GXwEOngsV7Zt27NXFoaoApmYm81iuXoPkFOJwJ8ERdknLPMO" crossorigin="anonymous">
<script src="https://cdn.jsdelivr.net/npm/[email protected]/dist/js/bootstrap.min.js" integrity="sha384-ChfqqxuZUCnJSK3+MXmPNIyE6ZbWh2IMqE241rYiqJxyMiZ6OW/JmZQ5stwEULTy" crossorigin="anonymous"></script>
</head>
<body class="az-body">
<div class="az-signup-wrapper">
<div class="az-column-signup-left" id="logobackground">
<div id="textforeground">
<i class="typcn typcn-chart-bar-outline"></i>
<h1 class="az-logo">fasten</h1>
<h5>Access, aggregate and track your medical records.</h5>
<p>Import your medical, dental and vision history from your various health providers. Your data is always stored safely and securely on your computer.</p>
<p>Build one consolidated health record of your full health history, supports multiple users, create accounts for your whole family </p>
</div>
</div><!-- az-column-signup-left -->
<div class="az-column-signup">
<h1 class="az-logo">fasten</h1>
<div class="az-signup-header">
<h2>Coming Soon!</h2>
<h4>We're launching soon. Sign up to get notified!</h4>
<form autocomplete="on" method="post" action="https://docs.google.com/forms/d/e/1FAIpQLSct6O8f5xuI_bqq8rItjCL6kl3G1jEBj_A5siP6Coz4Lwh5lg/formResponse">
<div class="form-group">
<label>Firstname & Lastname</label>
<input autocomplete="name" type="text" id="name" name="entry.1366999228" class="form-control" placeholder="Enter your firstname and lastname">
</div><!-- form-group -->
<div class="form-group">
<label>Email</label>
<input autocomplete="email" type="email" id="email" name="entry.161689586" class="form-control" placeholder="Enter your email">
</div><!-- form-group -->
<button type="submit" class="btn btn-az-primary btn-block">Notify Me!</button>
</form>
</div><!-- az-signup-header -->
<div class="az-signup-footer">
</div><!-- az-signin-footer -->
</div><!-- az-column-signup -->
</div><!-- az-signup-wrapper -->
</body>
</html>