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82 lines (78 loc) · 2.31 KB
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Registration Form</title>
<style>
body {
font-family: Arial, sans-serif;
background-color: #f5f5f5;
margin: 0;
padding: 0;
box-sizing: border-box;
}
.container {
max-width: 500px;
margin: 50px auto;
padding: 20px;
background-color: #fff;
border-radius: 8px;
box-shadow: 0 0 10px rgba(0, 0, 0, 0.1);
}
h1, h2 {
text-align: center;
color: #333;
}
label {
font-weight: bold;
color: #666;
}
input[type="text"],
input[type="email"],
input[type="tel"],
input[type="submit"] {
width: 100%;
padding: 10px;
margin-bottom: 20px;
border: 1px solid #ccc;
border-radius: 5px;
box-sizing: border-box;
font-size: 16px;
background-color: #f9f9f9;
color: #333;
}
input[type="text"]:focus,
input[type="email"]:focus,
input[type="tel"]:focus {
outline: none;
border-color: #7c4dff;
}
input[type="submit"] {
background-color: #7c4dff;
color: #fff;
cursor: pointer;
}
input[type="submit"]:hover {
background-color: #6a1b9a;
}
</style>
</head>
<body>
<div class="container">
<h1>Blood Donation Camp</h1>
<h2>Registration Form</h2>
<form action="connect.php" method="POST">
<label for="name">Name</label><br>
<input type="text" name="name" id="name" required><br>
<label for="email">Email</label><br>
<input type="email" name="email" id="email" required><br>
<label for="phone">Phone</label><br>
<input type="tel" name="phone" id="phone" required><br>
<label for="bgroup">Blood Group</label><br>
<input type="text" name="bgroup" id="bgroup" required><br>
<input type="submit" name="submit" id="submit" value="Submit">
</form>
</div>
</body>
</html>