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payment_page
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payment_page
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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">
<title>Payment page</title>
</head>
<body>
<form action="">
<h1>Payment Form</h1>
<p>required field are followed by *</p>
<h2>Contact Details</h2>
<p>Name: * <input type="text" name="name" id="name" required></p>
<fieldset>
<legend>Gender *</legend>
<p>
Male <input type="radio" name="gender" id="Male" required> Female <input type="radio" name="gender" id="Female" required>
</p>
</fieldset>
<p>Address: <textarea name="address" id="address" cols="30" rows="10"></textarea></p>
<p>Email: * <input type="email" name="email" id="email" required></p>
<p>Pincode: * <input type="number" name="pincode" id="pincode" required></p>
<hr>
<h2>Payment Information</h2>
<p>
card type: *
<select name="card_type" id="card_type" required>
<option value="">--select card type--</option>
<option value="Visa">Visa</option>
<option value="mastercard">MasterCard</option>
<option value="Rupey">Rupey</option>
</select>
</p>
<p>Card number: * <input type="number" name="Card_number" id="Card_number" required></p>
<p>Expiry Date: * <input type="date" name="date" id="date" required></p>
<p>CVV: * <input type="password" name="cvv" id="cvv" required></p>
<input type="submit" value="Pay Now">
</form>
</body>
</html>