Registration

<html>
<head>
<title>Customer Registration Form</title>
<style>
h3{
  font-family: Times New Roman; 
  font-size: 30pt;         
  font-style: italic; 
  font-weight: bold; 
  color:deeppink;
  text-align: center; 
}

table{
  font-family: Times New Roman; 
  color:white; 
  font-size: 16pt; 
  font-style: normal;
  background-color: Black; 
  border-collapse: collapse; 
  border: 10px deeppink;
}
table.inner{
  border: 10px;
}
</style>
</head>
 
<body>
<h3><center>REGISTRATION FORM</h3>

 
<table align="center" cellpadding = "10">
 
<tr>
<td>First Name</td>
<td><input type="text" name="First_Name" maxlength="30"/>
(max 30 characters a-z and A-Z)
</td>
</tr>
 
<tr>
<td>Last Name</td>
<td><input type="text" name="Last_Name" maxlength="30"/>
(max 30 characters a-z and A-Z)
</td>
</tr>
 
<tr>
<td>Date of Birth</td>
 
<td>
<select name="Birthday_day" id="Birthday_Day">
<option value="-1">Day:</option>
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
 
<option value="4">4</option>
<option value="5">5</option>
<option value="6">6</option>
<option value="7">7</option>
<option value="8">8</option>
<option value="9">9</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
 
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
 
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
 
<option value="31">31</option>
</select>
 
<select id="Birthday_Month" name="Birthday_Month">
<option value="-1">Month:</option>
<option value="January">Jan</option>
<option value="February">Feb</option>
<option value="March">Mar</option>
<option value="April">Apr</option>
<option value="May">May</option>
<option value="June">Jun</option>
<option value="July">Jul</option>
<option value="August">Aug</option>
<option value="September">Sep</option>
<option value="October">Oct</option>
<option value="November">Nov</option>
<option value="December">Dec</option>
</select>
 
<select name="Birthday_Year" id="Birthday_Year">
 
<option value="-1">Year:</option>
<option value="2012">2012</option>
<option value="2011">2011</option>
<option value="2010">2010</option>
<option value="2009">2009</option>
<option value="2008">2008</option>
<option value="2007">2007</option>
<option value="2006">2006</option>
<option value="2005">2005</option>
<option value="2004">2004</option>
<option value="2003">2003</option>
<option value="2002">2002</option>
<option value="2001">2001</option>
<option value="2000">2000</option>
 
<option value="1999">1999</option>
<option value="1998">1998</option>
<option value="1997">1997</option>
<option value="1996">1996</option>
<option value="1995">1995</option>
<option value="1994">1994</option>
<option value="1993">1993</option>
<option value="1992">1992</option>
<option value="1991">1991</option>
<option value="1990">1990</option>
 
<option value="1989">1989</option>
<option value="1988">1988</option>
<option value="1987">1987</option>
<option value="1986">1986</option>
<option value="1985">1985</option>
<option value="1984">1984</option>
<option value="1983">1983</option>
<option value="1982">1982</option>
<option value="1981">1981</option>
<option value="1980">1980</option>
</select>
</td>
</tr>
 

<tr>
<td>Email Id</td>
<td><input type="text" name="Email_Id" maxlength="100" /></td>
</tr>
 
<tr>
<td>Password</td>
<td><input type="text" name="PASSWORD" maxlength="100" />
(max 8 characters a-z and A-Z)
</td>
</tr>
 

<tr>
<td>Mobile Number</td>
<td>
<input type="text" name="Mobile_Number" maxlength="10" />
(10 digit number)
</td>
</tr>
 
<tr>
<td>Gender</td>
<td>
<input type="radio" name="Gender" value="male" checked> Male<br>
  <input type="radio" name="Gender" value="female"> Female<br>
  <input type="radio" name="Gender" value="other"> Other  
</td>
</tr>
 
<tr>
<td>Address<br /><br /><br /></td>
<td><textarea name="Address" rows="4" cols="30"></textarea></td>
</tr>
 
<tr>
<td>City</td>
<td><input type="text" name="City" maxlength="30" />
(max 30 characters a-z and A-Z)
</td>
</tr>
 
<tr>
<td>Pincode</td>
<td><input type="text" name="Pin_Code" maxlength="6" />
(6 digit number)
</td>
</tr>
 
<tr>
<td>State</td>
<td><input type="text" name="State" maxlength="30" />
(max 30 characters a-z and A-Z)
</td>
</tr>
 
<tr>
<td>Country</td>
<td><input type="text" name="Country" value="India" readonly="readonly" /></td>
</tr>


</td>
</tr>
</table>
<br>
<tr>
<td><center><input Type = "Button" onclick = "redirect(this.form)" Value="Submit"></center></td>
</tr>
 
</form>
<script language="javascript">
function redirect(form)
{
	window.location = "loginform.html";
}
</script>
 
</body>
</html>