You are on page 1of 3

<!

DOCTYPE html>
<html>
<head>
<title>Signup Form</title>
<style type="text/css">

body{
background-color: #323232;

}
.wrap{
width: 350px;
margin: auto;
background-color: #00adee;
margin-top: 50px;
padding: 5px;
}
form{
padding: 10px;
font-family: arial;
border:1px dotted white;
padding-left: 2px;
padding-right: 2px;

}
h2{
text-align: center;
background-color: orange;
color: white;
padding: 10px;
border-radius: 10px;
}
.txt{
border-bottom: 2px dotted white;
padding:2px;
margin-left: 0px;
margin-right: 0px;
}

input{
padding: 10px;
margin: 5px;
border-radius: 5px;
border:none;
}
input[type=text], input[type=email], input[type=number], input[type=password]{
width: 90%;
}
input[type=submit]{
width: 95%;
background-color: orange;
cursor: pointer;
font-size: 15px;
font-weight: bold;
color: white;
}
input[type=submit]:hover{
background-color: yellow;
}
select{
padding: 10px;
width: 32%;
border-radius: 5px;
}
</style>
</head>
<body>
<div class="wrap">
<form>
<h2>SignUp Free</h2>
<div class="txt">
<input type="text" name="yourname" placeholder="Your Name"></div>
<div class="txt">
<input type="email" name="email" placeholder="Your Email"></div>
<div class="txt">
<input type="number" name="number" placeholder="Your Mobile
Number"></div>
<div class="txt">
<input type="password" name="yourpassword" placeholder="Your
Password"></div>
<div class="txt">
<input type="password" name="confirmpassword"
placeholder="Confirm Your Password"></div>
<br>

<span style="font-size:18px;">Date of Birth</span>


<br>
<select name="DoBmonth">
<option>Month</option>
<option value="january">January</option>
<option value="february">February</option>
<option value="march">March</option>
<option value="april">April</option>
<option value="may">May</option>
<option value="june">June</option>
<option value="july">July</option>
<option value="august">August</option>
<option value="september">September</option>
<option value="october">October</option>
<option value="november">November</option>
<option value="december">December</option>

</select>
<select name="DoBday">
<option>Month</option>
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>

</select>
<select name="DoByear">
<option>Year</option>
<option value="2000">2000</option>
<option value="1999">1999</option>
<option value="1998">1998</option>
<option value="1997">1997</option>
</select>
<br/><br/>
<div class="txt">
Select Your Gender:
<input type="radio" name="male" value="male">Male
<input type="radio" name="female" value"female">Female </div>
<br/>
<div class="txt">
<input type="checkbox">I Agree To The Terms of Use</div>
<br>
<input type="submit" value="Submit Now">

</form>

</body>
</html>