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index.html
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index.html
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>payment form</title>
<link rel="stylesheet" href="style.css"></link>
</head>
<body>
<div class="container">
<form action="" method="get" >
<h1 class="heading">Payment form</h1>
<p>Following field are required</p>
<h2>User information </h2>
<p>Name : <br>
*<input type="text" required>
</p>
<fieldset>
<legend>Gender</legend>
<p>Male <input type="radio" name="Gender" id="Male">
Female <input type="radio" name="Gender" id="Female">
Transgender <input type="radio" name="Gender" id="transgender">
</p>
</fieldset>
<p>Address: <br>
*<textarea name="address" id="address" cols="30" rows="10"></textarea></p>
<p>Email: <br>
<input type="email" name="email" id="email" required></p>
<p>pincode: <br>
<input type="number" name="pincode" id="pincode" required></p>
<h2 >Payment information </h2>
<p required>Card Type*
<br>
<select name="card_type" id="card_type">
<option value="">Select a card_type</option>
<option value="visa">visa</option>
<option value="rupay">rupay</option>
<option value="mastercard">mastercard</option>
</select>
</p>
<p>
Card number *
<br>
<input type="number" name="card number" id="card number">
</p>
<p>Expiration Date <br>
<input type="date" name="exp_date" id="exp_date" required>
</p>
<p>CVV
<br>
<input type="password" name="cvv" id="cvv" required> </p>
<input type="submit" value="pay Now">
</form>
</div>
</body>
</html>