-
Notifications
You must be signed in to change notification settings - Fork 0
Expand file tree
/
Copy pathforms_errors.html
More file actions
66 lines (53 loc) · 2.03 KB
/
forms_errors.html
File metadata and controls
66 lines (53 loc) · 2.03 KB
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
<!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/yqslxcyq">
<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>
<input type="radio" name="filing_status" value="single">Single<br>
<input type="radio" name="filing_status" value="married_joint">Married Filing Jointly<br>
<input type="radio" name="filing_status" value="married_separate">Married Filing Separately<br>
<input type="radio" name="filing_status" value="hoh">Head of Household<br>
<h2>This past year I was (check all that apply):</h2>
<input type="checkbox" id="employment_status[]" value="self_employed">
<label for="employment_status">Self-employed</label>
<br>
<input type="checkbox" id="employment_status[]" value="small_business">
<label for="employment_status">Employed by a small business (<50 employees)</label>
<br>
<input type="checkbox" id="employment_status[]" value="large_business">
<label for="employment_status">Employed by a large business (50> employees)</label>
<br>
<h2>What kind of phone do you have?</h2>
<select name="phone type">
<option value="1">Android</option>
<option value="2">iPhone</option>
<option value="3">Windows Phone</option>
<option value="4">Other</option>
</select>
<hr>
<label for="newsletter">Sign Me Up For The Newsletter
<input type="checkbox" name="newsletter" id="newsletter" value="yes" checked>
</label>
<p>
<button type="submit">Login</button>
</p>
</form>
</body>
</html>