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forms.html
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63 lines (50 loc) · 1.89 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/">
<fieldset>
<legend><h3>General Information</h3></legend>
<label for="email">Email Address</label>
<input id="email" name="email" type="text" placeholder="Email Address">
<br>
<label for="password">Password</label>
<input id="password" name="password" type="password" placeholder="Password">
<br>
<!-- <button>Submit</button>-->
<br>
</fieldset>
<fieldset>
<legend><h3>Biography</h3></legend>
<!-- <label for="Bio">Biography</label>-->
<textarea id="Bio" name="Bio" placeholder="Enter your Biography" cols="50" rows="5"></textarea>
<br>
</fieldset>
<fieldset>
<legend><h3>How did you hear about us?</h3></legend>
Billboard <input type="radio" name="How did you hear about us? 1" value="Billboard"><br>
Radio Advertisement <input type="radio" name="How did you hear about us? 2" value="Radio Advertisement"><br>
Internet Advertisement <input type="radio" name="How did you hear about us? 3"
value="Internet Advertisement"><br>
Other <input type="radio" name="How did you hear about us? 4" value="Other"><br>
</p>
<br>
</fieldset>
<fieldset>
<legend><h3>Browser Inquire</h3></legend>
<p>
What web browser are you utilizing?
<select name="What web browser are you utilizing?">
<option value="FireFox">FireFox</option>
<option value="Brave">Brave</option>
<option value="Chrome">Chrome</option>
</select>
<button type="submit">Submit</button>
</p>
</fieldset>
</form>
</body>
</html>