-
Notifications
You must be signed in to change notification settings - Fork 0
/
index.html
102 lines (93 loc) · 2.63 KB
/
index.html
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
<!DOCTYPE HTML>
<html>
<head>
<meta http-equiv="content-type" content="text/html" />
<meta name="author" content="" />
<link href="form.css" rel="stylesheet" type="text/css" />
<title>Registration form US</title>
</head>
<body>
<strong><h1><p align="center">Registration form US</p></h1></strong>
<form action="/action_page.php">
<div class="container">
<table >
<tr>
<td class="fieldname"><label for="Name"><b> Full Name:*</b></label></td>
<td class="required"><input type="required" name="Name" placeholder="Enter your name" required></td>
</tr>
<tr>
<td class="fieldname"><label for="email"><b>Email</b></label></td>
<td class="required"><input type="required" placeholder="Enter Email" name="email" required></td>
</tr>
<tr>
<td class="fieldname"><label for="psw"><b>Password*</b></label></td>
<td class="required"><input type="required" placeholder="Enter password" name="psw" required></td>
</tr>
<tr>
<td></td>
<td class="uppertext">At least 6 symbols</td>
</tr>
<tr>
<td class="fieldname"><label for="psw"><b>Password*</b></label></td>
<td class="required"><input type="required" placeholder="Reenter password" name="psw" required></td>
</tr>
<tr>
<td></td>
<td class="uppertext">At least 6 symbols</td>
</tr>
<tr>
<td class="fieldname"><label for="psw-repeat"><b>Address line 1*</b></label></td>
<td class="required"><input type="required" placeholder="Enter address1"/></td>
<tr>
<td></td>
<td class="uppertext">Appartment; state; unit; bulding; floor; etc.</td>
</tr>
</tr>
<tr>
<td class="fieldname">
<label for="psw-repeat"><b>Addres line 2</b></label>
</td>
<td class="default"><input type="text" placeholder="Enter address2"/></td>
</tr>
<tr>
<td></td>
<td class="uppertext">Appartment; state; unit; bulding; floor; etc.</td>
</tr>
<tr>
<td class="fieldname">
<label for="psw-repeat"><b>City*</b></label>
</td>
<td class="required"><input type="required" placeholder="Enter city"/></td>
</tr>
<tr>
<td class="fieldname">
<label for="psw-repeat"><b>Zipcode*</b></label>
</td>
<td class="required"><input type="required"placeholder="Enter Zip"/></td>
</tr>
<tr>
<td class="fieldname">
<label for="psw-repeat"><b>State*</b></label></td>
<td class="required"><input type="required" placeholder="Enter state"/></td>
</tr>
<tr>
<td class="fieldname" >
<label for="psw-repeat"><b>Phone*</b></label></td>
<td class="required"><input type="required" placeholder="Your phone"/></td>
<td></td>
</tr>
<tr>
<td></td>
<td class="uppertext">Format (XXX) XXX-XXXX</td>
</tr>
</div>
</form>
</table>
<div class="button">
<tr>
<td><button type="submit" class="registerbtn">Confirm</button></td>
</tr>
</table></p>
</div>
</body>
</html>