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