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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<title></title>
</head>
<body>
<h1>Please Sign Up</h1>
<form method="POST" action="https://request-inspector.glitch.me/">
<label for="username">Username</label>
<input id="username" type="text" name="username">
<br>
<label for="email">Email</label>
<input id="email" name ="email" type="text">
<br>
<label for="password">password</label>
<input id="password" type="password" name="password">
<br>
<label for="confirm_password">confirm password</label>
<input id="confirm_password" type="password" name="confirm_password">
<br>
<h2>Filing Status</h2>
<label for="single">
<input id="single" type="radio" name="filing_status" value="single">
Single
</label>
<br>
<label for="married_joint">
<input id="married_joint" type="radio" name="filing_status" value="married_joint">
Married Filing Jointly
</label>
<br>
<label for="married_seperate">
<input id="married_seperate" type="radio" name="filing_status" value="married_separate">
Married Filing Separately
</label>
<br>
<label for="hoh">
<input id="hoh" type="radio" name="filing_status" value="hoh">
Head of Household
</label>
<br>
<h2>This past year I was (check all that apply)</h2>
<label for="self_employed">
<input id="self_employed" type="checkbox" name="employment_status" value="self_employed">
Self - Employed
</label>
<br>
<label for="small_business">
<input id="small_business" type="checkbox" name="employment_status" value="small_business">
Employed by a small business (< 50 employees)
</label>
<br>
<label for="large_business">
<input id="large_business" type="checkbox" name="employment_status" value="large_business">
Employed by a large business (> 50 employees)
</label>
<br>
<h2>What kind of phone do you have</h2>
<select name="phone type">
<option value="android">Android</option>
<option value="iphone">iPhone</option>
<option value="windows">Windows Phone</option>
<option value="other">Other</option>
</select>
<hr>
<label for="newsletter">Sign Me Up For The Newsletter
<input type="checkbox" name="newsletter" id="newsletter" checked>
</label>
<button type="submit">Sign Up</button>
</form>
</body>
</html>