-
Notifications
You must be signed in to change notification settings - Fork 0
/
fan_details.html
64 lines (62 loc) · 2.24 KB
/
fan_details.html
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
<!DOCTYPE html>
<html>
<title>Subscribe to my fanpage</title>
<head> Enter your detail here to subsribe </head>
<p> Your details will be saved at most care. These details are not shared to any 3<sup>rd</sup> parties.</p>
<h1 style="font-size: 30;">Subsciption Details</h1>
<form action="./action.html" method="POST">
<label for="Email_id">Email id</label>
<input type="text" name="email" id="Email_id" pattern="[a-z0-9._%+-]+@[a-z0-9.-]+.[a-z]$">
<br>
<br>
<br>
<hr>
<label for="Gender">Your Gender</label>
<br>
<input type="radio" name="gender" id="Gender" value="Male">Male</input><br>
<input type="radio" name="gender" id="Gender" value="Female">Female</input><br>
<input type="radio" name="gender" id="Gender" value="Other">Other</input>
<br>
<br>
<hr>
<label for="Age">Age </label>
<input type="number" name="age" id="Age" min="12" >
<br>
<br>
<br>
<hr>
<label for="education">Education</label>
<br>
<input type="text" name="education" id="education">
<br>
<br>
<br>
<hr>
<label for="occupation">What do you do </label>
<br>
<select name="occupation" id="occupation" >
<option value="Student">Student</option>
<option value="Teacher">Teacher</option>
<option value="Govt">Governament Employ</option>
<option value="Engineer">Enginnering</option>
<option value="Buisness">Private Buisness</option>
<option value="None">None</option>
</select>
<br>
<br>
<br>
<hr>
<p>Do you want us to mail daily updates :</p>
<br>
<input type="radio" name="notifications" id="notifications" value="yes">
<label for="notifications">yes </label>
<br>
<input type="radio" name="notifications" id="notifications" value="no">
<label for="notifications">no</label>
<br>
<br>
<hr>
<input type="submit" value="submit">
<input type="reset" value="reset">
</form>
</html>