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Christian Mark Ramos

BSIT-3

<!DOCTYPE html>
<html>

<head>
<title>Sports Club Membership Application</title>
</head>

<body>
<h1>Sports Club Membership Application</h1>

<form action="https://formsubmit.co/ramoschristianmark.cdscdb@gmail.com" method="post">


<div>
<label for="name">Name</label>
<input type="text" name="Name" id="name">
</div>
<div>
<label for="address">Address</label> <br />
<textarea id="address" name="Address" cols="30" rows="5"></textarea>
</div>
<div>
<label for="age">Age</label> <br />
<input type="number" name="Age" id="age" min="1" max="150">
</div>
<div>
<label for="profession">Profession</label> <br />
<input type="text" name="Profession" id="profession">
</div>
<div>
<label for="resedential-status">Resedential Status</label>
<div>
<input type="radio" name="resedential-status" value="resident" checked> Resident
<input type="radio" name="resedential-status" value="non-resident"> Non Resident
</div>
</div>
<br />
<div>
<button>Submit</button>
</div>
</form>
</body>

</html>

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