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forms.html
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62 lines (49 loc) · 1.47 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/">
<label>Username:
<input name="email" type="text" placeholder="Enter Email Here" required>
</label>
<br><br>
<label>Password:
<input name="password" type="password" placeholder="Enter Password Here" required>
</label>
<br><br>
<label>Tell us a little bit about you:<br>
<textarea name="bio" placeholder="Optional" maxlength="300"></textarea>
</label>
<br><br>
<label>How did you hear about us?
<br>
<label>Billboard
<input type="radio" name="q1" value="billboard" required>
</label><br>
<label>Radio Advertisement
<input type="radio" name="q1" value="radio_advertisement">
</label><br>
<label>Internet Advertisement
<input type="radio" name="q1" value="internet_advertisement">
</label><br>
<label>Other
<input type="radio" name="q1" value="other">
</label>
</label>
<br><br>
<label>Which Operating System are you using?
<select name="web_browser" required>
<option value=""></option>
<option value="chrome">Chrome</option>
<option value="firefox">Firefox</option>
<option value="safari">Safari</option>
</select>
</label>
<br><br>
<button type="submit">Submit</button>
</form>
</body>
</html>