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form.html
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form.html
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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>Document</title>
</head>
<body>
<form action="">
<p>name: <input type="text"></p>
<p>Telephone: <input type="tel" name="" id=""></p>
<p>Email: <input pattern="a" type="email" name="" id=""></p>
<fieldset>
<legend>Select your pitha</legend>
<p><label for="Chitoi"><input type="radio" name="pitha" id="Chitoi">Chitoi</label></p>
<p><label for="Bhapa"><input type="radio" name="pitha" id="Bhapa">Bhapa</label></p>
<p><label for="Patishapta"><input type="radio" name="pitha" id="Patishapta">Patishapta</label></p>
</fieldset>
<fieldset>
<legend>Select your bhorta</legend>
<p><label for="Khirsa"><input type="checkbox" name="" id="Khirsa">Khirsa</label></p>
<p><label for="Sorisha"><input type="checkbox" name="" id="Sorisha">Sorisha</label></p>
<p><label for="Dhoniya"><input type="checkbox" name="" id="Dhoniya">Dhoniya</label></p>
</fieldset>
<p><label for=""><textarea name="" id="" cols="30" rows="10"></textarea></label></p>
<button type="submit">submit your order</button>
</form>
</body>
</html>