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form.html
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="utf-8"
<Title>Form Practice</Title>
</head>
<body>
<h1><b>Travel reservation form</b></h1>
<h3><b>* denotes mandatory</b></h3>
<form id="registration_form" method="POST">
<label>Full name*</label><br>
<input type="text" name="full_name" placeholder="FirstName Lastname" autofocus="autofocus" value=""><br>
<label>Email address*</label><br>
<input type="text" name="email_addr" value=""><br>
<label>Select Tour Package*</label><br>
<select name="package">
<option value="Goa" >Goa</option>
<option value="Kashmir" >Kashmir</option>
<option value="Rajasthan" >Rajasthan</option>
</select><br>
<label>Arrival date*</label><br>
<input type="text" name="arv_dt" placeholder="m/d/y" value=""><br>
<label>Number of persons*</label><br>
<input type="text" name="persons" value=""s><br>
<label>What would you want to avail?</label><br>
Boarding<input type="checkbox" name="facilities[]" value="boarding" ><br>
Fooding<input type="checkbox" name="facilities[]" value="fooding" ><br>
Sight seeing<input type="checkbox" name="facilities[]" value="sightseeing" ><br>
<label>Discount Coupon code:</label><br>
<input type="text" name="dis_code" value=""><br>
<label>Terms and conditions*</label><br>
<input type="radio" name="tnc" value="agree" checked>I agree
<input type="radio" name="tnc" value="disagree" >I disagree<br>
<button type="submit" class="btn btn-large btn-primary" name="submit">Complete reservation</button>
</form>
</body>
</html>