codeup-web-exercises/Checkout.html at master · MrOffer/codeup-web-exercises · GitHub

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<!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="UTF-8">
    <title>Check Out</title>
</head>
<body>
<h1>Check Out!</h1>
<div>Type of Card</div>
<form>
    <label>
        <select name="Cardtype">
            <option value="visa">Visa</option>
            <option value="mc">MasterCard</option>
            <option value="amex">American Express</option>
            <option value="disc">Discover</option>
        </select>
    </label>
    <br>
    <br>
    <label for="cc#">Credit Card Numer</label><br>
    <input id="cc#" type="text" name="feet" placeholder="################" required>
    <br>
    <br>
    <label for="name">Name on the card</label><br>
    <input id="name" type="text" name="price" placeholder="John Doe" required>
    <br>
    <br>
    <label for="exp">Expiration</label><br>
    <input id="exp" type="text" name="expr" placeholder="##/##" required>
    <br>
    <br>
    <label for="scode">Security Code</label><br>
    <input id="scode" type="text" name="secode" placeholder="####" required>
    <br>
    <br>
    <label for="bill">Billing Address</label><br>
    <input id="bill" type="text" name="bed" placeholder="12345 Runner's way San Antoniom Tx 78006" required>
    <br>
    <br>
    <button type="submit">Buy Now!</button>
</form>
</body>
</html>