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create.html
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113 lines (99 loc) · 3.29 KB
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<!DOCTYPE html>
<html lang="en">
<head>
<meta name="viewport" content="width=device-width, initial-scale=1.0" />
<title>Create Account</title>
<link rel="stylesheet" href="css/main-styles.css" />
<script src="js/states.js" defer></script>
</head>
<body>
<div id="container" class="special">
<form name="signup" method="post" action="create.py">
<label class="heading"><b>Sign Up</b></label>
<div class="row">
<div class="col-25">
<label for="fname">Firstname</label>
<input name="fname" type="text" />
</div>
<div class="col-25">
<label for="lname">Lastname</label>
<input name="lname" type="text" />
</div>
<div class="col-25">
<label for="age">Age</label>
<input name="age" type="number" />
</div>
<div class="col-25">
<label for="polAffil">Political Affiliation</label>
<select id="polAffli" name="polaffil">
<option value=""></option>
<option value="Democrat">Democrat</option>
<option value="Independent">Independent</option>
<option value="Republican">Republican</option>
</select>
</div>
</div>
<div class="row">
<div class="col-25">
<label for="addr">Address</label>
<input name="addr" type="text" />
</div>
<div class="col-25">
<label for="cty">City</label>
<input name="cty" type="text" />
</div>
<div class="col-25">
<label for="st">State</label>
<select id="st" name="st">
<option value=""></option>
</select>
</div>
<div class="col-25">
<label for="zip">Zip Code</label>
<input name="zip" type="number" />
</div>
</div>
<div class="row">
<div class="col-75">
<label for="email">Email Address</label>
<input name="email" type="email" />
</div>
</div>
<div class="row">
<div class="col-25">
<label for="uname">Username</label>
<input
name="uname"
type="text"
title="Note: Any extra whitespace characters (such as spaces) will be removed"
/>
</div>
<div class="col-25">
<label for="psw1">Password</label>
<input
name="psw1"
type="password"
title="Note: Any extra whitespace characters (such as spaces) will be removed"
/>
</div>
<div class="col-25">
<label for="psw2">Re-Enter Password</label>
<input
name="psw2"
type="password"
title="Note: Any extra whitespace characters (such as spaces) will be removed"
/>
</div>
</div>
<input
type="submit"
value="Sign Up"
title="Note: If you are taken back to the Login page, then your account was created"
/>
<div class="separate">
<a class="cancel" href="login.html" title="Cancel">Cancel</a>
</div>
</form>
</div>
</body>
</html>