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registration.php
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registration.php
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<!DOCTYPE html>
<html>
<head>
<title>Red Stream</title>
<link rel="stylesheet" href="style.css">
<link rel="preconnect" href="https://fonts.googleapis.com">
<link rel="preconnect" href="https://fonts.gstatic.com" crossorigin>
<link href="https://fonts.googleapis.com/css2?family=Poppins:wght@200;300;400;600;700&display=swap"
rel="stylesheet">
<link rel="shortcut icon" href="resources/logo.png">
</head>
<body>
<section class="header1">
<nav>
<a href="index.html"><img src="resources/logo.png" alt="hi"></a>
<div class="nav-links1">
<ul>
<li><a href="index.html">HOME</a></li>
<li><a href="registration.php">REGISTER</a></li>
<li><a href="index.html#findonor">FIND DONOR</a></li>
<li><a href="whydonateblood.html">WHY DONATE BLOOD</a></li>
<li><a href="canyoudonate.html">CAN YOU DONATE</a></li>
<li><a href="aboutus.html">REFER A FRIEND</a></li>
<li><a href="contact.html">CONTACT US</a></li>
<li><a href="emergency.html">It's an emergency!</a></li>
</ul>
</div>
</nav>
</section>
<form class="registerform" name="registerform" action="process.php" method="post"> <!--Form begins here=============================================-->
<section class="info">
<div class="loinfo">
<h3>Login Information</h3>
<form1>
<label for="name">FULL NAME</label>
<input type="text" id="name" name="regsitername" placeholder="YOUR NAME">
<label for="number">MOBILE NUMBER</label>
<input type="tel" id="number" name="registernumber" placeholder="YOUR NUMBER">
</form1>
<form2>
<label for="name">EMAIL</label>
<input type="email" id="name" name="registeremail" placeholder="YOUR EMAIL">
<label for="number">PASSWORD</label>
<input type="password" id="number" name="registerpassword" placeholder="YOUR PASSWORD">
</form2>
</div>
<div class="doninfo">
<h3>Donor Information</h3>
<form1>
<label for="name">BLOOD GROUP</label>
<select id="name" name="registerbloodgroup">
<option value="0">SELECT GROUP</option>
<option value="A+">A+</option>
<option value="A-">A-</option>
<option value="B+">B+</option>
<option value="B-">B-</option>
<option value="O+">O+</option>
<option value="O-">O-</option>
<option value="AB+">AB+</option>
<option value="AB-">AB-</option>>
</select>
<label for="name">BIRTH DATE</label>
<input type="date" id="name" name="registerbirthdate" placeholder="YOUR NUMBER">(Must between 18-65)
</form1>
<form2>
<label for="name">GENDER</label>
<select id="name" name="registergender">
<option value="0">SELECT GENDER</option>
<option value="MALE">MALE</option>
<option value="FEMALE">FEMALE</option>
<option value="OTHER">OTHER</option>
</select>
<label for="name">WEIGHT</label>
<select id="name" name="registerweight">
<option value="0">SELECT WEIGHT (Minimum 45kg)</option>
<option value="45-50">45KG-50KG</option>
<option value="50-60">50KG-60KG</option>
<option value="60-70">60KG-70KG</option>
<option value="70-80">70KG-80KG</option>
<option value="80-90">80KG-90KG</option>
<option value="90-100">90KG-100KG</option>
<option value="100-110">100KG-110KG</option>
<option value="110-120">110KG-120KG</option>
<option value="120-130">120KG-130KG</option>
<option value="130-140">130KG-140KG</option>
<option value="140-150">140KG-150KG</option>
<option value="150-160">150KG-160KG</option>
<option value="160+">Above 160</option>
</select>
</form2>
</div>
<div class="coinfo">
<h3>Contact Information</h3>
<form1>
<label for="name">SHOW MOBILE</label>
<select id="name" name="registershowmobile">
<option value="YES">YES</option>
<option value="NO">NO</option>
</select>
<label for="number">STATE</label>
<select id="name" name="registerstate">
<option value="">SELECT STATE</option>
<option value="Kerala">Kerala</option>
</select>
</form1>
<form2>
<label for="name">SMS ALERT</label>
<select id="name" name="registersmsalert">
<option value="YES">YES</option>
<option value="NO">NO</option>
</select>
<label for="number">DISTRICT</label>
<select id="name" name="registerdistrict">
<option value="0">SELECT DISTRICT</option>
<option value="Kasargod">Kasargod</option>
<option value="Kannur">Kannur</option>
<option value="Wayanad">Wayanad</option>
<option value="Kozhikode">Kozhikode</option>
<option value="Malappuram">Malappuram</option>
<option value="Thrissur">Thrissur</option>
<option value="Palakkad">Palakkad</option>
<option value="Eranakulam">Eranakulam</option>
<option value="Idukki">Idukki</option>
<option value="Kottayam">Kottayam</option>
<option value="Alappuzha">Alappuzha</option>
<option value="Pathanamthitta">Pathanamthitta</option>
<option value="Kollam">Kollam</option>
<option value="Thiruvananthapuram">Thiruvananthapuram</option>
</select>
</form2>
<form3>
<label for="name">ZIP CODE</label>
<input type="text" id="name" name="registerzipcode" placeholder="YOUR ZIP CODE">
<label for="number">AREA</label>
<input type="text" id="number" name="registerarea" placeholder="YOUR AREA">
</form3>
<form4>
<label for="name">NEARBY LANDMARKS</label>
<input type="text" id="name" name="registerlandmarks" placeholder="NEARBY LANDMARKS">
</form4>
<button name="submit">
SUBMIT
</button>
</div>
<h1 style="padding-left: 5cm;">Already Registered ? Login <a style="color:#11ABB0" href="index.html">Here</a></h1>
<br><br>
</section>
</form> <!--Form ends here==================================================================-->
<section class="bottom">
<div class="footer">
<div class="col-1">
<h3>USEFUL LINKS</h3>
<a href="index.html">HOME</a>
<a href="registration.html">REGISTRATION</a>
<a href="whydonateblood.html">WHY DONATE BLOOD</a>
<a href="canyoudonate.html">CAN YOU DONATE</a>
<a href="contact.html">CONTACT US</a>
</div>
<div class="col-2">
<h3> NEWSLETTER</h3>
<form action="newsletter.php" method="post">
<!--Footer email form============================================-->
<input type="email" name="footeremail" placeholder="Your Email Address" required>
<br>
<button type="submit">SUBSCRIBE NOW</button>
</form><!--Form ends====================================================-->
</div>
<div class="col-3">
<h3> CONTACT</h3>
<br>
<p>231, vaikom Road, Near Thalook hospital<br>Kottayam, Kerala, IN<br>Contact: +91 7558 9513 51</p>
</div>
</div>
</section>
</body>
</html>