<div class="modal fade" id="signupModal" tabindex="-1" role="dialog" aria-labelledby="signupModalLabel">
    <div class="modal-dialog" role="document">
        <div class="modal-content">
            <div class="modal-header">
                <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">&times;</span></button>
                <h4 class="modal-title" id="signupModalLabel">Sign Up</h4>
            </div>
            <div class="modal-body">
                <form action="<?= base_url() ?>customers/signup" method="POST">
                    <div class="form-group">
                        <label for="username">Username</label>
                        <input type="text" name="username" class="form-control" id="username" placeholder="Useranme">
                    </div>
                    <div class="form-group">
                        <label for="password">Password</label>
                        <input type="password" name="password" class="form-control" id="password" placeholder="Password">
                    </div>
                    <div class="form-group">
                        <label for="name">Full Name</label>
                        <input type="text" name="name" class="form-control" id="name" placeholder="Full Name">
                    </div>
                    <div class="form-group">
                        <label for="email">E-mail</label>
                        <input type="email" name="email" class="form-control" id="email" placeholder="Email">
                    </div>
                    <div class="form-group">
                        <label for="phone">Phone Number</label>
                        <input type="text" name="phone" class="form-control" id="phone" placeholder="Phone Number">
                    </div>
                    <div class="form-group">
                        <label for="address">Address</label>
                        <textarea name="address" class="form-control" id="address" placeholder="Address"></textarea>
                    </div>
                    <button type="submit" class="btn btn-primary">Sign Up</button>
                </form>
            </div>
            <div class="modal-footer">
                <button type="button" class="btn btn-default" data-dismiss="modal">Close</button>
            </div>
        </div>
    </div>
</div>