sign_up.html

<!DOCTYPE html>
<html lang="en">
<head>
	<title>Alchemy Rod | Sign Up</title>
	<meta charset="utf-8" />
	<link rel="icon" type="image/png" href="assets/img/favicon.png">
</head>
<body background="assets/img/bg1.jpg" width="100%" topmargin="0" leftmargin="0" rightmargin="0" bottommargin="0">
<font face="Roboto">

	<!-- Navigation Bar -->
	<table height="auto" width="100%" cellpadding="0" cellspacing="0">	
		<tr height="50px" bgcolor="#2F2F2F">
			<!-- Logo and Company Name -->
			<td width="60%">
				<img src="assets/img/logo.png" alt="Alchemy Rod Logo" height="54" width="auto" hspace="20" vspace="10"/>
			</td>
			<!-- Navigation Links -->
			<td width="40%" background="assets/img/right-nav.png">
				<table height="auto" width="100%" cellpadding="15">
					<tr>
						<td width="19%">
							<a href="index.html">
								<font color="#F8F8F8" size="4">HOME</font>
							</a>
						<td width="24%">
							<a href="product.html">
								<font color="#F8F8F8" size="4">PRODUCT</font>
							</a>
						</td>
						<td width="20%">
							<font color="#F1C677" size="4">SIGN UP</font>
						</td>
						<td width="35%">
							<a href="contact.html">
								<font color="#F8F8F8" size="4">CONTACT US</font>
							</a>
						</td>
					</tr>
				</table>
			</td>
		</tr>
	</table>
	<!-- END Navigation Bar -->
	<br><br><br><br>

	<!-- form -->
	<table height="auto" width="45%" cellpadding="0" cellspacing="0" bgcolor="#404040" align="center">
		<!-- Form Title -->
		<tr>
			<td>
				<br><br>
				<h1 align="center"><font color="#F1C677">Sign Up</font></h1>
			</td>
		</tr>
		<!-- END Form Title -->

		<!-- Form Contents -->
		<tr>
			<td>
			<form method="post" action="home.html">
			<font color="#F1C677" size="4">
			<pre>
		
	  	First Name : <input name="fname" type="text" required/>

	  	Last Name  : <input name="lname" type="text" required/>

	  	Screen Name: <input name="sname" type="text" required/>

	  	Birthdate  : <select name="month" required>
					<option value="Jan">Jan</option>
					<option value="Feb">Feb</option>
					<option value="March">March</option>
					<option value="April">April</option>
					<option value="May">May</option>
					<option value="June">June</option>
					<option value="July">July</option>
					<option value="Aug">Aug</option>
					<option value="Sept">Sept</option>
					<option value="Oct">Oct</option>
					<option value="Nov">Nov</option>
					<option value="Dec">Dec</option>
				</select> <select name="day" required>
					<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 name="year" required>
					<option value="1990">1990</option>
					<option value="1991">1991</option>
					<option value="1992">1992</option>
					<option value="1993">1993</option>
					<option value="1994">1994</option>
					<option value="1995">1995</option>
					<option value="1996">1996</option>
					<option value="1997">1997</option>
					<option value="1998">1998</option>
					<option value="1999">1999</option>
					<option value="2000">2000</option>
					<option value="2001">2001</option>
					<option value="2002">2002</option>
					<option value="2003">2003</option>
					<option value="2004">2004</option>
					<option value="2005">2005</option>
					<option value="2006">2006</option>
					<option value="2007">2007</option>
					<option value="2008">2008</option>
					<option value="2009">2009</option>
					<option value="2010">2010</option>
					<option value="2011">2011</option>
				</select>
		
	  	Gender     : <input name="gender" value="male" type="radio"/> Male <input name="gender" value="female" type="radio"/> Female
			
		About Me   : <textarea name="about"></textarea>

	  	Email      : <input name="email" type="email" required/>

	  	Password   : <input name="password" type="password" required/>

	  	Retype Pass: <input name="repassword" type="password" required/>


	  	<input name="terms" type="checkbox" required/> I agree to the terms of use
			
		<input type="submit" value = "SIGN UP"> <input type="reset" value = "CLEAR FORM">
			</pre>
			</font>
			</form>
			</td>
		</tr>
		<!-- END Form Contents -->
	</table>
	<!-- END form -->
	<br><br><br>
</font>
</body>
</html>