PaymentForm/Payment.html at main · Banerjee2021/PaymentForm · GitHub

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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 Page</title>
    <link rel="stylesheet" href="Payment_CSS.css">
</head>
<body>
    <h2>Payment Form</h2><br><br>
    <form action="">
        <p>Name:<em>*</em> <input type="text" required></p> <hr>
        <p>Email:<em>*</em> <input type="email" name="" id="" required></p> <hr>
        <p>Phone No:<em>*</em> <input type="tel" name="" id=""
            pattern="[1-9]{1}[0-9]{9}" required></p><hr>
        <legend>Gender<em>*</em>
            <fieldset>
                <p>Male<input type="radio" name="gender" id=""required>
            Female<input type="radio" name="gender" id=""required></p></legend></fieldset> <hr>
        <p>Enter your PIN:<em>*</em> <input type="password" name="" id="" required></p> <hr>
        <p><b>Payment Type</b></p>
       <select name="" id="">
        <option value="payment">Select an option</option>
       <option value="payment">Credit Card</option>
       <option value="payment">Debit Card</option>
       <option value="payment">Net Banking</option>
       <option value="payment">Cash on Delivery</option></select>
        <p><input class="button" type="button" value="Submit"></p>
    </form>
</body>
</html>