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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">
<link rel="stylesheet" href="g1.css">
<title>PAY</title>
</head>
<body>
<form action="">
<h1>PAYMENT Form</h1>
<h2>INfO</h2>
<fieldset>
<legend>Money</legend>
<span>Name:* <input type="text" name="name" required></span>
<p>
Male <input type="radio" name="gender" id="Male">
Female <input type="radio" name="gender" id="Female">
</p>
</fieldset>
<p>Address: <textarea type="text" name="address" cols="300"
rows="5"></textarea></p>
<fieldset>
<p>
Email: <input type="email" name="email" id="email" >
<br><p>
Pin: <input type="number" name="pin" id="pin">
</p></p></fieldset>
<p>Card Type:
<select name="card_type" id="CD">
<option value="">--Select a Card Type--</option>
<option value="Visa">Visa</option>
<option value="rupay">rupay</option>
<option value="master">master</option>
</select>
<p>Card Number: <input type="Number" name="cdnumber" id="cdnumber"></p>
<p>EXP Date: <input type="date" name="date" id="date" required ></p>
<p>CVV: <input type="password" name="CVV" id="CVV" required ></p>
</p>
<input type="submit" value="Pay Now">
</form>
</body>
</html>

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