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35 lines (35 loc) · 1.07 KB
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<!DOCTYPE html>
<html>
<head>
<title>Sign Up Form</title>
</head>
<body>
<h1>Course Sign Up Page</h1>
<p>Please Note: First name, Last name, Email and Password are required</p>
<form>
<label for="first">First Name:</label>
<input id="first" type="text" name="first" placeholder="Lakshay" required>
<label for="last">Last Name:</label>
<input id="last" type="text" name="last" placeholder="Khurana" required>
<br>
<br>
<label for="email">Email:</label>
<input id="email" type="email" name="email" placeholder="apnaemail@domain.com" required>
<label for="pass">Password:</label>
<input id="email" type="password" name="pass" placeholder="" required>
<p>Are you over 18?</p>
<label for="yes">Yes:</label>
<input type="radio" name="age">
<label for="no">No:</label>
<input type="radio" name="age">
<p>Do you have a Credit Card or PayPal?</p>
<select name="option">
<option value="Credit Card">Credit Card</option>
<option value="PayPal">PayPal</option>
</select>
<br>
<br>
<input type="submit" name="" value="Sign Up">
</form>
</body>
</html>