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49 lines (37 loc) · 1.33 KB
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<title>Register With Us</title>
</head>
<body>
<form method="GET" action="https://request-inspector.glitch.me/">
<label for="Email">Email</label><br>
<input id="Email" type="text" name="email" placeholder="Enter your email address"><br>
<label for="password">Password</label><br>
<input id="password" name="password" type="password" placeholder="Enter your password">
<br/>
</form>
<p>
<textarea name="Bio" placeholder = "Your Bio here"></textarea>
</p>
<fieldset>
<label>How did you hear about us</label></br>
<input type="checkbox" name="billboard" value="billboard">Billboard<br>
<input type="checkbox" name="radio" value="radio advertisement">Radio advertisement<br>
<input type="checkbox" name="advertisement" value="advertisement">Advertisement<br>
<input type="checkbox" name="other" value="other">Other<br>
</fieldset>
<br/>
<label for="browser">What web browser are you using?
<select name="browser" id="browser">
<option value="chrome">Chrome</option>
<option value="firefox">Firefox</option>
<option value="brave">Brave</option>
<option value="other">Other</option>
</select>
<br/>
</label>
<input type="submit" value="Submit Responses" name="submit" id="submit">
</body>
</html>