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43 lines (35 loc) · 1.24 KB
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<title>Register With us</title>
</head>
<body>
<form method="POST" action="https://request-inspector.glitch.me/">
<h2>Please enter your information below</h2>
<br>
<input type="text" name="email" placeholder="Enter your email address">
<br><br>
<input type="password" name="password" placeholder="Enter your password">
<br><br><br><br>
<h4>Bio</h4>
<textarea name="bio"></textarea>
<br><br><br>
<h3>How did you hear about us?</h3>
Billboard <input type="radio" name="quiz_question_1" value="billboard"><br>
Radio Advertisement <input type="radio" name="quiz_question_1" value="radio advertisement"><br>
Internet Advertisement <input type="radio" name="quiz_question_1" value="Internet Advertisement"><br>
Other <input type="radio" name="quiz_question_1" value="other"><br>
<br><br><br><br>
<h3>What internet browser are you using?</h3>
<select name="browser">
<option value="google chrome">Google Chrome</option>
<option value="firefox">Firefox</option>
<option value="edge">Edge</option>
<option value="safari">Safari</option>
</select>
<br><br><br>
<input type="submit">
</form>
</body>
</html>