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Customer.html
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36 lines (30 loc) · 1.02 KB
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<!DOCTYPE html>
<html >
<head>
<title>Customer Store</title>
</head>
<body>
<h2>Customer Information Form</h2>
<form action="#" method="POST">
Name:<br>
<input type="text" name="name" required><br>
Contact Phone No:<br>
<input type="tel" name="phone" pattern="[0-9]{10}" required><br>
Preferred Days of Purchasing:<br>
<input type="text" id="days" name="days"><br>
Favourite Item:<br>
<select id="item" name="item">
<option>Select</option>
<option value="clothing">Clothing</option>
<option value="groceries">Groceries</option>
<option value="electronics">Electronics</option>
<option value="household">Household Items</option>
</select><br>
Suggestions:<br>
<textarea id="suggestions" name="suggestions" rows="4" cols="50"></textarea><br>
<input type="submit" value="Submit">
<br><br>
<input type="reset" value="Reset">
</form>
</body>
</html>