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58 lines (55 loc) · 2.02 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>Email:
<input type="text" name="email" placeholder="Enter your email" required>
</label>
<br><br>
<label>Password:
<input type="password" name="password" placeholder="Enter your password"required>
</label>
<br><br>
<label>Bio:
<br>
<textarea name="Bio" placeholder="Say something about yourself..."></textarea>
</label>
<br>
<h4>How did you hear about us?</h4>
<label>billboard
<input type="radio" name="where-user-heard-question" value="billboard">
</label>
<br>
<label>radio advertisement
<input type="radio" name="where-user-heard-question" value="radio advertisement">
</label>
<br>
<label>internet advertisement
<input type="radio" name="where-user-heard-question" value="internet advertisement">
</label>
<br>
<label>other
<input type="radio" name="where-user-heard-question" value="other" required>
</label>
<br>
<h4>What web browser are you using?</h4>
<label>
<select name="web-browser-type" required>
<option value=""></option>
<option value="edge">Microsoft Edge</option>
<option value="safari">Safari</option>
<option value="chrome">Google Chrome</option>
<option value="firefox">Firefox</option>
</select>
</label>
<br>
<br>
<!-- <input type="submit"> -->
<button type="submit">Submit</button>
</form>
</body>
</html>