Advertisement
Not a member of Pastebin yet?
Sign Up,
it unlocks many cool features!
- <html>
- <head>
- <title>Company Registration</title>
- </head>
- <body>
- <form>
- <center>
- <h1>Registration Form</h1>
- Business Name *:
- <input type="text" ><br><br>
- Mobile Number *:
- <input type="text"><br><br>
- Email id *:
- <input type="email"><br><br>
- website :
- <input type="text"><br><br>
- Shipping Address *:
- <input type="text" value="street address">
- <input type="text" value="street address2"><br><br>
- <input type="text" value="city">
- <input type="text" value="state">
- <input type="text" value="zip code"><br><br>
- <input type="text" value="country"><br><br>
- Trading since :
- Month<select name="Month" size="4" multiple>
- <option value="Jan">Jan</option>
- <option value="Feb">Feb</option>
- <option value="Mar">Mar</option>
- <option value="Apr">Apr</option>
- <option value="May">May</option>
- <option value="Jun">Jun</option>
- <option value="Jul">Jul</option>
- <option value="Aug">Aug</option>
- <option value="Sep">Sep</option>
- <option value="Oct">Oct</option>
- <option value="Nov">Nov</option>
- <option value="Dec">Dec</option>
- </select><br><br>
- Type of Bussiness *:<br><br>
- <input type="checkbox">Internet<br>
- <input type="checkbox">Wholesale<br><br>
- Preferred Payment : <br><br>
- <input type="checkbox"> Paypal<br>
- <input type="checkbox"> Bank Transfer<br>
- <input type="checkbox"> Money Order<br>
- <input type="checkbox"> Cheque<br>
- <input type="checkbox"> Visa/Mastercard<br>
- <link rel="stylesheet" href="Tutorial 1.css">
- <script src="Tutorial 1.js"></script>
- </center>
- </form>
- </body>
- </html>
Advertisement
Add Comment
Please, Sign In to add comment
Advertisement