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donate page.html
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donate page.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>CSE Active | Donate</title>
<link rel="stylesheet" href="./Design/design3.css">
</head>
<body>
<a href="index.html"><img src="Pictures/homeicon.png" alt="" width="3%" class="homeicon"></a><br><br>
<div class="container">
<form action="">
<h1 class="main">Donate to CSE Active</h1>
<hr>
<h4>(*=Required)</h4>
<h2><strong>Contact Information</strong></h2>
<fieldset>
<p>
<b>Name*: </b><input type="text" name="name" required placeholder="Enter your name.">
</p>
</fieldset>
<fieldset>
<p>
<b>Gender: </b><br><br>
<input type="radio" name="gender" id="male"> Male <br>
<input type="radio" name="gender" id="female"> Female <br>
<input type="radio" name="gender" id="other"> Other <br>
</p>
</fieldset>
<fieldset>
<p>
<b>Address: </b><br><br>
<textarea name="address" id="address" cols="25" rows="5"
placeholder="Enter your address"></textarea>
</p>
</fieldset>
<fieldset>
<p>
<b>Email*: </b><input type="email" name="email" id="email" required placeholder="[email protected]">
</p>
</fieldset>
<fieldset>
<p>
<b>Phone Number: </b><input type="number" name="number" id="number">
</p>
</fieldset>
<hr>
<h2><strong>Payment Details</strong></h2>
<fieldset>
<p>
<b>Card Type*: </b>
<select name="card_type" id="card_type" required>
<option value="">---Select---</option>
<option value="visa">Visa</option>
<option value="mastercard">MasterCard</option>
<option value="rupay">RuPay</option>
</select>
</p>
</fieldset>
<fieldset>
<p>
<b>Card Number*: </b><input type="number" name="card_number" id="card_number" required
placeholder="1111-2222-3333-4444">
</p>
</fieldset>
<fieldset>
<p>
<b>Expiration Date*: </b><input type="date" name="exp_date" id="exp_date" required>
</p>
</fieldset>
<fieldset>
<p>
<b>CVV*: </b><input type="password" name="cvv" id="cvv" required placeholder="123">
</p>
</fieldset>
<fieldset>
<p>
<b>Amount*: </b><input type="number" name="amount" id="amount" required>
</p>
</fieldset>
<hr>
<input type="submit" value="Pay Now">
<input type="reset" value="Reset">
</form>
</div>
</body>
</html>