-
Notifications
You must be signed in to change notification settings - Fork 0
/
hello-forms.html
93 lines (73 loc) · 2.46 KB
/
hello-forms.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
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<title></title>
</head>
<body>
<h1>Please Sign Up</h1>
<form method="POST" action="http://requestb.in/1fn6f7q1">
<label for="username">Username</label>
<input id="username" type="text" name="username">
<br>
<label for="email">Email</label>
<input id="email" type="text" name="email">
<br>
<label for="password">Password</label>
<input id="password" type="password" name="password">
<br>
<label for="confirm_password">Confirm Password</label>
<input id="confirm_password" type="password" name="confirm_password">
<br>
<h2>Filing Status</h2>
<label for="single">
<input type="radio" id="single" name="filing_status" value="single">
Single
</label>
<br>
<label for="marriedjoint">
<input type="radio" id="marriedjoint" name="filing_status" value="married_joint">
Married Filing Jointly
</label>
<br>
<label for="marriedseparate">
<input type="radio" id="marriedseparate" name="filing_status" value="married_separate">
Married Filing Separately
</label>
<br>
<label for="hoh">
<input type="radio" id="hoh" name="filing_status" value="hoh">
Head of Household
</label>
<br>
<h2>This past year I was (check all that apply)</h2>
<label for="self_employed">
<input type="checkbox" id="self_employed" name="employment_status[]" value="self_employed">
Self - Employed
</label>
<br>
<label for="smallbusiness">
<input type="checkbox" id="smallbusiness" name="employment_status[]" value="small_business">
Employed by a small business (< 50 employees)
</label>
<br>
<label for="largebusiness">
<input type="checkbox" id="largebusiness" name="employment_status[]" value="large_business">
Employed by a large business (> 50 employees)
</label>
<br>
<label for="phonetype"><h2>What kind of phone do you have</h2></label>
<select id="phonetype" name="phone_type" multiple>
<option value="android">Android</option>
<option value="iphone">iPhone</option>
<option value="windows">Windows Phone</option>
<option value="other">Other</option>
</select>
<hr>
<label for="newsletter">Sign Me Up For The Newsletter
<input type="checkbox" name="newsletter" id="newsletter" checked>
</label>
<input type="submit">
</form>
</body>
</html>