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Exercise 9.html
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Exercise 9.html
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="utf-8">
<meta name="author" content="Billy Dhen Clir Busilan" />
<meta name="viewport" content="width=device-width, initial-scale=1">
<title>Exercise 9</title>
</head>
<body>
<body style="background-color: black;"></body>
<h1>
<font face = "Sans-serif" color = "White"</font>
<b><center>"Registration Form" Billy Dhen Clir Busilan</b></center>
</h1>
<h3>Fields marked(*)are required</h3>
<form>
<label><center>Your Details</label></center>
<center><fieldset>
Name*: <input type="text" name="Full name*" /> <br>
Email*: <input type="email" name="Email"/> <br>
Phone*: <input type="tel" name="Phone number"/>
</fieldset></center>
<br>
<label><center>Delivery Address</center></label>
<center><fieldset>
<form>
Address 1* <input type="text" name="Address"/> <br>
District or Barangay* <input type="text" name="Barangay"/> <br>
City* <input type="tel" name="city" /> <br>
Postal Code* <input type="text" name="code" /> <br>
Province* <input type="" name="Province" /> <br>
</form>
</fieldset></center>
<label><center>Delivery Address</center></label>
<center><fieldset>
Username* <input type="text" name="username" /> <br>
Password* <input type="password" name="pwd" /> <br>
Magazine Subscriptions <input type="checkbox" id="vehicle1" name="vehicle1" value="Bike">
<label for="magazine1"> </label><br>
<input type="checkbox" id="vehicle2" name="vehicle2" value="Car">
<label for="vehicle2"> Wired</label><br>
<input type="checkbox" id="vehicle3" name="vehicle3" value="Boat">
<label for="vehicle3"> PC Magazine</label><br>
</fieldset></center>
</form>
</body>