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payment_form.html
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payment_form.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>Payment Form</title>
</head>
<body>
<form action="">
<h1>Payment Form</h1>
necessary filed are indicated by *
<br>
<h2 >Personal Detail </h2>
<p>
Name * :<input type="text" name="name" required>
<fieldset>
<legend>Gender *</legend>
male <input type="radio" name="gender" id="male" required>
female<input type="radio" name="gender" id="female" required>
</fieldset>
</p>
<p>
address <textarea name="address" cols="100" rows="8"></textarea>
</p>
<p>
Email* <input type="email" name="email" required>
</p>
<p>Pincode* <input type="number" name="pincode" id="pincode" required></p>
<hr>
<h2>Payment Details</h2>
<p>Card Type*:
<select name="card type" id="card type" required>
<option value="" >select your card type</option>
<option value="visa">visa</option>
<option value="debit">debit</option>
<option value="master">master</option>
<option value="others">others</option>
</select>
</p>
<p>
card number*:<input type="number" name="card number" id="card number" required>
</p>
<p>
expiry date*:<input type="date" name="exp date" id="exp date" required>
</p>
<P>
CVV*:<input type="password" name="cvv" id="cvv" required>
</P>
<p><input type="submit" value="Pay now" ></p>
</form>
</body>
</html>