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form.html
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63 lines (57 loc) · 2.25 KB
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<title>HTML AND CSS</title>
</head>
<body>
<h1>Register With Us</h1>
<form method="POST" action="https://request-inspector.glitch.me/">
<label for="username">Username: </label>
<br>
<input id="username" name="Username" type="text" placeholder="Username" autocomplete="off">
<br>
<br>
<label for="password">Password: </label>
<br>
<!-- <input type="text" name="password" placeholder="Password"> -->
<input id="password" name="Password" type="password" placeholder="Password">
<br><br>
<label for="bio">BIO: </label>
<br>
<textarea id="bio" name="BIO" rows="10" col="300"></textarea>
<br>
<p>How Did You Hear About Us?</p>
<br>
<div>
<input type="radio" id="selectChoice1" name="select1" value="Newspaper">
<label for="selectChoice1">Newspaper</label>
</div>
<div>
<input type="radio" id="selectChoice2" name="select2" value="Internet">
<label for="selectChoice2">Internet</label>
</div>
<div>
<input type="radio" id="selectChoice3" name="select1" value="Billboard">
<label for="selectChoice3">Billboard</label>
</div>
<input type="radio" id="selectChoice4" name="select4" value="Other">
<label for="selectChoice3">Other</label>
<div>
</div>
<br>
<div>
<label for="browser"> What Web Browser You Use:</label>
<select id="browser" name="browser">
<option value="1">Firefox</option>
<option value="2">Google Chrome</option>
<option value="3">Microsoft Edge</option>
<option value="4">Safari</option>
</select>
</div>
<br>
<!-- <input type="submit"> -->
<button type="submit">Submit</button>
</form>
</body>
</html>