<form class="registerExpressMember js_registerExpressMember"
      method="post"
      action="{{ route('members-register-express-action', [], false) ~ '/' }}"
>

    <div class="row">
        <label for="registerExpressFirstname">
            First Name
        </label>
        <div class="inputWrap">
            <input type="text"
                   name="firstname"
                   id="registerExpressFirstname"
                   title="Your First Name"
                   class="text"
            />
        </div>
    </div>

    <div class="row">
        <label for="registerExpressLastname">
            Last Name
        </label>
        <div class="inputWrap">
            <input type="text"
                   name="lastname"
                   id="registerExpressLastname"
                   title="Your Last Name"
                   class="text"
            />
        </div>
    </div>

    <div class="row">
        <label for="registerExpressPhone">
            Phone Number
        </label>
        <div class="inputWrap">
            <input type="text"
                   name="phone"
                   id="registerExpressPhone"
                   title="Your Mobile Phone Number"
                   class="text"
            />
        </div>
    </div>

    <div class="row">
        <label for="registerExpressEmail">
            Email
        </label>
        <div class="inputWrap">
            <input type="text"
                   name="email"
                   id="registerExpressEmail"
                   title="Email Address"
                   class="text"
            />
        </div>
    </div>

    <div>
        <button type="submit"
                name="submitbtn"
                class="buttonAlt"
        >
            Continue
        </button>
    </div>
    <div>
        Have an account?
        <a href="{{ route('members-login', {
            redirect: request.redirect
        }, false) }}">
            Login
        </a>
    </div>

    <input type="hidden"
           name="redirect"
           value="{{ request.redirect }}"
    >

    <input type="hidden"
           name="book"
           value="{{ request.book }}"
    >

</form>