Daily UI #001 - Sign Up

Hi,
I decided to participate in Daily UI Challenge and this is the first one.
The challenge was to create a setup page, and my inspiration was parking lots. So I created a sign up page for a giveaway/reward the clients will received. The voucher is valid for any parking lot owned by Metrocar (fictitious name) in the city of Rio de Janeiro - Brazil. The client need to access their account ir order to get the voucher.

I would love to receive feedback from you guys! (: