{{ template "header.html" . }}
{{ .lang.pageTitle }}
{{ .lang.successHeader }}
{{ .successMessage }}
{{ .lang.successContinueButton }}
{{ .lang.createAccountHeader }}
{{ .helpMessage }}
{{ .lang.username }}
{{ .lang.emailAddress }}
{{ .lang.password }}
{{ .lang.reEnterPassword }}
{{ .lang.createAccountButton }}
{{ .lang.passwordRequirementsHeader }}
{{ range $key, $value := .requirements }}
{{ end }}
{{ if .contactMessage }} {{ end }}
{{ template "form-base" . }}