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added step 3 form
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Uzzije committed Feb 21, 2016
1 parent b5064c5 commit 28772e1
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24 changes: 23 additions & 1 deletion application/views/steps/3.twig
Original file line number Diff line number Diff line change
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{% block content %}
<div id="step-3">
Hi, this is where step three will go

<form action="url/of/controller/function/that/runs/this/form">
<div class= "row" >
<div id="step-2" class="large-6 large-offset-3 small-12 columns">
<p class="panel">
<label>
Do any household members (including you) currently participate in one or
more of the following assistance programs: SNAP, TNAF, or FDPIR
<input type="checkbox" name="yes" value="yes">Yes<br>
<input type="checkbox" name="no" value="no"> No<br>
</label>

<fieldset>
<legend>Case Number</legend>
<label>Case Number
<input type="text" placeholder="Case Number">
</label>
<button class="button nice">Submit</button>
</fieldset>
</p>
</div>
</div>
</form>
</div>
{% endblock %}

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