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forms.html
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59 lines (47 loc) · 1.76 KB
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<title>Register With Us</title>
</head>
<body>
<h4>Please fill out the information requested below.</h4>
<form method="POST" action="https://request-inspector.glitch.me/">
<label for="username">Email</label>
<input id="username" name="username" type="text" placeholder="Enter your email address" >
<br>
<label for="password">Password</label>
<input id="password" name="password" type="password" placeholder="Please enter your password">
<br>
<br>
<p>Bio, please tell us about yourself?</p>
<textarea name="Bio"></textarea>
<br>
<br>
<fieldset>
<legend>How did you hear about us?</legend>
A <input id=awareness1 type="radio" name="quiz_question_1" value="a">Billboard <br>
<label for="awareness1"></label>
B <input id=awareness2 type="radio" name="quiz_question_1" value="a">Internet<br>
<label for="awareness2"></label>
C <input id=awareness3 type="radio" name="quiz_question_1" value="a">Radio<br>
<label for="awareness3"></label>
D <input id=awareness4 type="radio" name="quiz_question_1" value="a">Other<br>
<label for="awareness4"></label>
</fieldset>
<br>
<label for="web browser"> Which web browser are you using? </label>
<select name="web browser" id="web browser">
<option value="chrome">Google Chrome</option>
<option value="safari">Apple Safari</option>
<option value="edge">Microsoft Edge</option>
<option value="opera">Opera</option>
</select>
<br>
<br>
<input type="submit">
<input name="newsletter_signup" value="true" type="checkbox" checked>Sign Up For The Email Newsletter
<br>
</form>
</body>
</html>