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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 http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Paymenet Form</title>
<link rel="stylesheet" href="style.css">
<link rel="preconnect" href="https://fonts.googleapis.com">
<link rel="preconnect" href="https://fonts.gstatic.com" crossorigin>
<link href="https://fonts.googleapis.com/css2?family=Homemade+Apple&display=swap" rel="stylesheet">
</head>
<body>
<div class="container">
<form action="">
<h1 class="main_heading">Payment Form</h1>
<hr>
<h2>User Information</h2>
<p>Name:* <input type="text" class="inputtext" name="name" required placeholder="Badal Singh"></p>
<fieldset class="field">
<legend>Gender</legend>
<p>
Male* <input type="radio" name="gender" id="male" required>
Female* <input type="radio" name="gender" id="female" required>
</p>
</fieldset>
<p>
Address: <textarea name="address" id="address" cols="100" rows="6" placeholder="Enter Your Address.."></textarea>
</p>
<p>
Email:* <input type="email" class="inputtext" name="email" id="email" required placeholder="example@gmail.com">
</p>
<p>
Pincode: <input type="number" class="inputtext" name="pincode" id="pincode" placeholder="123456">
</p>
<h2>Payment Information</h2>
<p>
Card Type:
<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>
Card Number: <input type="number" class="inputtext" name="card_number" id="card_number" placeholder="1111-2222-3333-4444">
</p>
Expiration Date: <input type="date" class="inputtext" name="expiration_date" id="expiration_date">
</p>
<p>
CVV: <input type="password" class="inputtext" name="cvv" id="cvv" placeholder="123">
</p>
<button class="button">Submit</button>
</form>
</div>
</body>
</html>