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Sourabh_5050

CRForm

Sep 5th, 2023
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HTML 1.93 KB | Source Code | 0 0
  1. <html>
  2. <head>
  3.     <title>Company Registration</title>
  4. </head>
  5. <body>
  6.     <form>
  7.         <center>
  8.         <h1>Registration Form</h1>
  9.         Business Name *:
  10.         <input type="text" ><br><br>
  11.         Mobile Number *:
  12.         <input type="text"><br><br>
  13.         Email id *:
  14.         <input type="email"><br><br>
  15.         website :
  16.         <input type="text"><br><br>
  17.         Shipping Address *:
  18.         <input type="text" value="street address">
  19.         <input type="text" value="street address2"><br><br>
  20.         <input type="text" value="city">
  21.         <input type="text" value="state">
  22.         <input type="text" value="zip code"><br><br>
  23.         <input type="text" value="country"><br><br>
  24.         Trading since :
  25.         Month<select name="Month" size="4" multiple>
  26.             <option value="Jan">Jan</option>
  27.             <option value="Feb">Feb</option>
  28.             <option value="Mar">Mar</option>
  29.             <option value="Apr">Apr</option>
  30.             <option value="May">May</option>
  31.             <option value="Jun">Jun</option>
  32.             <option value="Jul">Jul</option>
  33.             <option value="Aug">Aug</option>
  34.             <option value="Sep">Sep</option>
  35.             <option value="Oct">Oct</option>
  36.             <option value="Nov">Nov</option>
  37.             <option value="Dec">Dec</option>
  38.         </select><br><br>
  39.         Type of Bussiness *:<br><br>
  40.         <input type="checkbox">Internet<br>
  41.         <input type="checkbox">Wholesale<br><br>
  42.         Preferred Payment : <br><br>
  43.         <input type="checkbox"> Paypal<br>
  44.         <input type="checkbox"> Bank Transfer<br>
  45.         <input type="checkbox"> Money Order<br>
  46.         <input type="checkbox"> Cheque<br>
  47.         <input type="checkbox"> Visa/Mastercard<br>
  48.         <link rel="stylesheet" href="Tutorial 1.css">
  49.         <script src="Tutorial 1.js"></script>
  50.  
  51.      
  52.  
  53.        
  54.        
  55.  
  56.  
  57.     </center>
  58.     </form>
  59. </body>
  60.  
  61. </html>
  62.  
  63.  
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