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index.html
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80 lines (78 loc) · 2.96 KB
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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>Responsive Payment Gateway Form </title>
<link rel="stylesheet" href="style.css" />
<link rel="stylesheet" href="https://cdn.jsdelivr.net/npm/boxicons@2.1.4/css/boxicons.min.css" />
</head>
<body>
<div class="container">
<form action="">
<div class="row">
<div class="column">
<h3 class="title" >Billing Address </h3>
<div class="input-box">
<span>Full Name: </span>
<input type="text" placeholder="kenan Joseph">
</div>
<div class="input-box">
<span>Email: </span>
<input type="email" placeholder="kenan972@yahoo.com">
</div>
<div class="input-box">
<span>Address: </span>
<input type="text" placeholder="Room - Street- Locality ">
</div>
<div class="input-box">
<span>City: </span>
<input type="text" placeholder="Netherlands">
</div>
<div class="flex">
<div class="input-box">
<span>State: </span>
<input type="text" placeholder="Amsterdam">
</div>
<div class="input-box">
<span>Zip Code:</span>
<input type="number" placeholder="44972">
</div>
</div>
</div>
<div class="column">
<h3 class="title" >Payment</h3>
<div class="input-box">
<span>Card Accepted: </span>
<img src="imgcards.png" alt="">
</div>
<div class="input-box">
<span>Name on card: </span>
<input type="text" placeholder=" Mr Kenan Joseph">
</div>
<div class="input-box">
<span> Credit Card Number: </span>
<input type="number" placeholder="9999777722224444">
</div>
<div class="input-box">
<span>Exp.Month: </span>
<input type="text" placeholder="October">
</div>
<div class="flex">
<div class="input-box">
<span>Exp.Year: </span>
<input type="number" placeholder="2026">
</div>
<div class="input-box">
<span>CVV: </span>
<input type="number" placeholder="972">
</div>
</div>
</div>
<button type="submit" class="btn">Submit</button>
</div>
</form>
</div>
</body>
</html>