-
Notifications
You must be signed in to change notification settings - Fork 0
Expand file tree
/
Copy pathpayment_form.php
More file actions
62 lines (47 loc) · 1.71 KB
/
payment_form.php
File metadata and controls
62 lines (47 loc) · 1.71 KB
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
<!DOCTYPE html>
<html>
<head>
<meta name="viewport" content="with=device-width, initial-scale=1.0">
<link rel="stylesheet" href="style.css">
<title> Payment form</title>
</head>
<body>
<div class="loginbox">
<h1>Payment form</h1>
<form action="process_payment.php" method ="post">
<p>Email Address</p>
<input type="" name="email_address" placeholder="Enter email address">
<p>Card number</p>
<input type="text" name="card_number" placeholder="Enter card number">
<p>Hotel</p>
<select name="hotel" id="hotel">
<option value="Tamarind hotel">Tamarind hotel</option>
<option value="weston">Weston</option>
<option value="ole sereni">ole sereni</option>
<option value="panari">panari</option>
<option value="green span">green span</option>
<option value="kempinski">kempinski</option>
<option value="marigold">marigold</option>
<option value="travellers beach">travellers beach</option>
<option value="star fish">star fish</option>
</select>
<p>Price</p>
<select name="price" id="price">
<option value="100">Tamarind hotel-100</option>
<option value="120">Weston-120</option>
<option value="89">ole sereni-89</option>
<option value="150">panari-150</option>
<option value="115">green span-115</option>
<option value="139">kempinski-139</option>
<option value="108">marigold-108</option>
<option value="139">travellers beach-139</option>
<option value="108">star fish-108</option>
</select>
<p>Check_in</p>
<input type="text" name="check_in" placeholder="Enter check-in date">
<p>Days</p>
<input type="int" name="days" placeholder="Enter days">
<input type="submit" name="" value="PAY">
</form>
</body>
</html>