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createaccount.html
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<html>
<head>
<title>Create Account</title>
<style type = "text/css">
body {
font-family:Arial, Helvetica, sans-serif;
font-size:14px;
}
label {
font-weight:bold;
width:100px;
font-size:14px;
}
.box {
border:#666666 solid 1px;
}
</style>
</head>
<body bgcolor = "#FFFFFF">
<div align = "center">
<div style = "width:300px; border: solid 1px #333333; " align = "left">
<div style = "background-color:#333333; color:#FFFFFF; padding:3px;"><b>Create Account</b></div>
<div style = "margin:30px">
<form action = "" method = "post">
<label for="username">Username: </label><input type = "text" name = "username"/><br />
<label for="password">Password: </label><input type = "password" name = "password"/><br/>
<label for="name">Name: </label><input type = "text" name = "name"/><br/>
<label for="gender">Gender: </label><br>
<input type="radio" name="gender" value="male"> Male<br>
<input type="radio" name="gender" value="female"> Female<br>
<input type="radio" name="gender" value="other"> Other <br>
<label for="age">Age: </label> <input type="number" name="age" min="1" max="99" value="0"><br>
<label for="religion">Religious Affiliation: </label><br>
<input type="radio" name="religion" value="Christian"> Christian<br>
<input type="radio" name="religion" value="Hindu"> Hindu<br>
<input type="radio" name="religion" value="Jewish"> Jewish<br>
<input type="radio" name="religion" value="Interfaith"> Interfaith<br>
<input type="radio" name="religion" value="Mormon"> Mormon<br>
<input type="radio" name="religion" value="Agonstic"> Agonstic<br>
<input type="radio" name="religion" value="Atheist"> Atheist<br>
<input type="radio" name="religion" value="other"> Other<br>
<label for="ethnicity">Ethnicity: </label><br>
<input type="radio" name="ethnicity" value="White"> White<br>
<input type="radio" name="ethnicity" value="Asian"> Asian<br>
<input type="radio" name="ethnicity" value="Hispanic"> Hispanic<br>
<input type="radio" name="ethnicity" value="African-American"> African-American<br>
<input type="radio" name="ethnicity" value="Native American"> Native American<br>
<input type="radio" name="ethnicity" value="other"> Other<br>
<label for="party">Political Party: </label><br>
<input type="radio" name="party" value="Democratic"> Democratic<br>
<input type="radio" name="party" value="Republican"> Republican<br>
<input type="radio" name="party" value="Libertrian"> Libertarian<br>
<input type="radio" name="party" value="None"> None<br>
<input type="radio" name="party" value="Other"> Other<br>
<label for="income">Yearly Income: </label> <input type="number" name="income" min="0" max="99999999"><br>
<label for="occupation">Occupation: </label><input type = "text" name = "occupation"/><br/><br />
<input type = "submit" value = " Create Account! "/><br />
</form>
<!-- <div style = "font-size:11px; color:#cc0000; margin-top:10px"><?php echo $error; ?></div>-->
<!--<div style = "font-size:11px; color:green; margin-top:10px"><?php echo $success; ?></div> -->
</div>
</div>
</div>
</body>
</html>