<?xml version='1.0' encoding='UTF-8' standalone='yes'?><wp_ajax><response action='register_0'><login id='0' position='1'><response_data><![CDATA[<h2>Register</h2>
<div class="login" id="theme-my-login">
			<form name="registerform" id="registerform" action="https://www.basicenergy.ph/register/?ajax=1" method="post">
		
		<em>Fields marked with * are required.</em>
		
		<p>
			<input type="text" name="user_login" id="user_login" class="input" value="" size="20" placeholder="Username*" />
		</p>
		
		
		<p>
			<input type="text" name="first_name" id="first_name" class="input" value="" size="20" placeholder="First Name*" />
		</p>
		
		<p>
			<input type="text" name="last_name" id="last_name" class="input" value="" size="20" placeholder="Last Name*" />
		</p>
		
		<p>
			<input type="text" name="user_email" id="user_email" class="input" value="" size="20" placeholder="Email*" />
		</p>
		
		<p>
			<input type="tel" name="user_contact_num" id="user_contact_num" class="input" value="" size="20" placeholder="Contact Number" />
		</p>
		
		<div class="row">
			<div class="col-sm-6">
				<p>
					<input type="email" name="user_mail_address" id="user_mail_address" class="input" value="" size="20" placeholder="Mailing Address" />
				</p>
			</div>

			<div class="col-sm-6">
				<p>
					<input name="is_shareholder" id="is_shareholder" value="enabled" type="checkbox" checked> Are you a shareholder?
				</p>
			</div>
		</div>
		
		<p id="reg_passmail"></p>

				<p>
		<input autocomplete="off" name="pass1" id="pass1" class="input" size="20" value="" type="password" placeholder="Password*" /></p>
		<p>
		<input autocomplete="off" name="pass2" id="pass2" class="input" size="20" value="" type="password" placeholder="Confirm Password*" /></p>
				<div id="recaptcha">
			<noscript>
				<iframe src="www.google.com/recaptcha/api/noscript?k=6LdpnwMTAAAAAEJibxdZD8a5i7ER91M3jopB7wO_" height="300" width="500" frameborder="0"></iframe><br>
				<textarea name="recaptcha_challenge_field" rows="3" cols="40"></textarea>
				<input type="hidden" name="recaptcha_response_field" value="manual_challenge">
			</noscript>
		</div>
		
		<p class="submit">
			<input type="submit" name="wp-submit" class="button" id="wp-submit" value="Register" />
			<input type="hidden" name="redirect_to" value="https://www.basicenergy.ph/login/?pending=activation&amp;ajax=1" />
			<input type="hidden" name="instance" value="" />
			<input type="hidden" name="action" value="register" />
		</p>
	</form>
	</div>

]]></response_data><supplemental><html><![CDATA[<h2>Register</h2>
<div class="login" id="theme-my-login">
			<form name="registerform" id="registerform" action="https://www.basicenergy.ph/register/?ajax=1" method="post">
		
		<em>Fields marked with * are required.</em>
		
		<p>
			<input type="text" name="user_login" id="user_login" class="input" value="" size="20" placeholder="Username*" />
		</p>
		
		
		<p>
			<input type="text" name="first_name" id="first_name" class="input" value="" size="20" placeholder="First Name*" />
		</p>
		
		<p>
			<input type="text" name="last_name" id="last_name" class="input" value="" size="20" placeholder="Last Name*" />
		</p>
		
		<p>
			<input type="text" name="user_email" id="user_email" class="input" value="" size="20" placeholder="Email*" />
		</p>
		
		<p>
			<input type="tel" name="user_contact_num" id="user_contact_num" class="input" value="" size="20" placeholder="Contact Number" />
		</p>
		
		<div class="row">
			<div class="col-sm-6">
				<p>
					<input type="email" name="user_mail_address" id="user_mail_address" class="input" value="" size="20" placeholder="Mailing Address" />
				</p>
			</div>

			<div class="col-sm-6">
				<p>
					<input name="is_shareholder" id="is_shareholder" value="enabled" type="checkbox" checked> Are you a shareholder?
				</p>
			</div>
		</div>
		
		<p id="reg_passmail"></p>

				<p>
		<input autocomplete="off" name="pass1" id="pass1" class="input" size="20" value="" type="password" placeholder="Password*" /></p>
		<p>
		<input autocomplete="off" name="pass2" id="pass2" class="input" size="20" value="" type="password" placeholder="Confirm Password*" /></p>
				<div id="recaptcha">
			<noscript>
				<iframe src="www.google.com/recaptcha/api/noscript?k=6LdpnwMTAAAAAEJibxdZD8a5i7ER91M3jopB7wO_" height="300" width="500" frameborder="0"></iframe><br>
				<textarea name="recaptcha_challenge_field" rows="3" cols="40"></textarea>
				<input type="hidden" name="recaptcha_response_field" value="manual_challenge">
			</noscript>
		</div>
		
		<p class="submit">
			<input type="submit" name="wp-submit" class="button" id="wp-submit" value="Register" />
			<input type="hidden" name="redirect_to" value="https://www.basicenergy.ph/login/?pending=activation&amp;ajax=1" />
			<input type="hidden" name="instance" value="" />
			<input type="hidden" name="action" value="register" />
		</p>
	</form>
	</div>

]]></html><success><![CDATA[]]></success></supplemental></login></response></wp_ajax>