portfolio/Registration.html at main · codhaking/portfolio · GitHub

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
<!DOCTYPE html>
<html>
<head>
  <title>Registration</title>
  <link rel="stylesheet" type="text/css" href="style1.css">
</head>
<body>
  <div class ="container">
    <header>
      <nav id="main_nav">
        <a href="index.html">About</a>
        <a href="contact.html">Contact</a>
        <a href="login.html">Log In</a>
      </nav>
    </header>
    <main class="reg_form">
      <div class="push">
        <h1>Registration Form</h1>
        <form action="" >
          <div>
            <p>First Name:</p>
            <input type="text" name="firstName" id="fName" placeholder="Enter your First Name">
          </div>
          <div>
            <p>Last Name:</p>
            <input type="text" name="lastName" id="lName" placeholder="Enter your Last Name">
          </div>
          <div>
            <p>Phone Number:</p>
            <input type="tel" name="phone" placeholder="0XXX-XXX-XXXX" required>
          </div>
          <div>
            <p>Gender:</p>
            <select id="gender" name="gender">
              <option value="male">Male</option>
              <option value="female">Female</option>
              <option value="other">Other</option>
            </select>
          </div>
          <div>
            <p>Country:</p>
            <input type="name" name="country" id="country" required>
          </div>
          <div>
            <p>State/Province:</p>
            <input type="name" name="state" id="state" required>
          </div>
          <div>
            <p>Email:</p>
            <input type="email" name="email" id="email" required placeholder="Enter your Email Address">
          </div>
          <div>
            <p>Password:</p>
            <input type="password" id="pwd" name="pwd" required>
          </div>
          <div>
            <p>Password:</p>
            <input type="password" id="pwd" name="pwd" required>
          </div>
          <div>

          </div>
          <input type="submit" value="Submit" class="submit">
        </form>
      </div>
    </main>
    <footer class="footer">
      <p>Thank you for Contacting Us. We'll attend to you shortly</p>
    </footer>

  </div>

</body>
</html>