<!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>payment form</title>
</head>
<body>
<form action="">
<h1>payment form</h1>
<p>required Filed are followed by *</p>
<h2>contact infomation</h2>
<p>name: *<input type="text" name="name" required></p>
<fieldset>
<legend>gender *</legend>
<p>
male <input type="radio" name="gender"id="male" required>
female <input type="radio" name="gender"id="female" required>
</p>
</fieldset>
address:<textarea name="address" id="address" cols="100" rows="8"></textarea></p>
<p>Emails * <input type="email" name="email" id="email" required></p>
<p>Pincode * <input type="number" name="Pincode" required></p>
<h2>payment infomation</h2>
<p>card type: *
<select name="card_type" id="card_type">
<option value="">==select a card type==</option>
<option value="visa">visa</option>
<option value="rupay">rupay</option>
<option value="master card">master card</option>
<option value="paytm">paytm</option>
</select>
</p>
<p>
card number * <input type="number" name="card_number" id="card_nuber"required>
</p>
<p>
Expiration Date: * <input type="date" name="exp_date" id="exp_date"required>
</p>
<p>cvv *<input type="password" name="cvv " id="cvv" required></p>
<input type="submit" value="pay now">
</form>
</body>
</html>
