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Form.html
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<!DOCTYPE html>
<html>
<head>
<title>Form</title>
</head>
<body>
<fieldset>
<center><h1>Delivery Form</h1></center>
<table width ="450px">
</tr>
<tr>
<td>
<label for="fname">First name:</label>
</td>
<td>
<input type="text"id="fname"name="fname">
</td>
</tr>
<tr>
<td>
<label for="lname">Last name:</label>
</td>
<td>
<input type="text"id="lname"name="lname">
</td>
</tr>
<tr>
<td>
<label for="email">Email Address:</label>
</td>
<td>
<input type="text"name="email"name="Email Address">
</td>
</tr>
<td>
<label for="address">Address:</label>
</td>
<td>
<textarea name="message" rows="5" cols="25"></textarea>
</td>
<tr>
<td>
<label for="postcode">Postcode:</label>
</td>
<td>
<input type="text"name="postcode"name="postcode">
</td>
</tr>
<table border="1" cellpadding="10px" cellspacing="5px">
<tbody>
<tr>
<th>Product</th>
<th>Part Number</th>
<th>Quantity</th>
<th>Unit Price</th>
<th>Subtotal</th>
</tr>
<tr>
<td>Econo Box</td>
<td>LB100</td>
<td><input type="quantity"></input></td>
<td>₱5</td>
<td>₱<input type="subtotal"></input></td>
</tr>
<tr>
<td>Standard Box</td>
<td>LB200</td>
<td><input type="quantity"></input></td>
<td>₱10</td>
<td>₱<input type="subtotal"></input></td>
</tr>
<tr>
<td>Premium Box</td>
<td>LB300</td>
<td><input type="quantity"></input></td>
<td>₱15</td>
<td>₱<input type="subtotal"></input></td>
</tr>
<tr>
<td>Deluxe Box</td>
<td>LB400</td>
<td><input type="quantity"></input></td>
<td>₱20</td>
<td>₱<input type="subtotal"></input></td>
</tr>
<tr>
<td>Supreme Deluxe Box</td>
<td>LB500</td>
<td><input type="quantity"></input></td>
<td>₱30</td>
<td>₱<input type="subtotal"></input></td>
</tr>
<td><td><td><td>Total:</td></td></td></td>
<td>₱<input type="Total"></input></td>
</table>
<center><h2>Payment Method<h2></center>
<tr>
<td>
<input type="radio" name="Master Card" value="Master Card">
<label for="Master Card">Master Card</label>
<tr>
<td>
<br><label for="cardnumber">Card Number:</label></br>
</td>
<td>
<input type="text"name="cardnumber"name="cardnumber">
</td>
</tr>
<td>
<br><input type="radio" name="Visa"value="visa">
<label for="visa">Visa</label></br>
<tr>
<td>
<label for="expiry date">Expiry Date:</label>
</td>
<td>
<br><input type="text"name="expirydate"name="expirydate"></br>
</td>
</tr>
<td>
<input type="radio" name="American Express"value="americanexpress">
<label for="americanexpress">Emerican Express</label>
</td>
<td>
<br><input type="radio" name="DinnersClub"value="dinnersclub">
<label for="dinnersclub">Dinners Club</label></br>
</td>
<center><h3>Confirmation</h3></center>
<form>
<tr>
<td>
<label for="address">Address:</label>
</td>
<td>
<textarea name="message" rows="5" cols="25"></textarea>
</td>
</tr>
</body>
<body>
<tr>
<br><td><input type="submit"value="Submit"></td></br>
</tr>
<tr>
<br><button value="ClearForm">Clear Form</br>
</tr>
</form>
</fielset>
</form>
</body>
</html>