1. <!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" 2. "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> 3. <html xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en"> 4. <head> 5. <meta http-equiv="Content-Type" content="text/html; charset=utf-8"/> 6. <title>Registration Form</title> 7. </head> 8. <body> 9. <!-- Script 6.1 - register.html --> 10. <div><p>Please complete this form to register:</p> 11. 12. <form action="script_06_08.php" method="post"> 13. 14. <p>Email Address: <input type="text" name="email" size="30" /></p> 15. 16. <p>Password: <input type="password" name="password" size="20" /></p> 17. 18. <p>Confirm Password: <input type="password" name="confirm" size="20" /></p> 19. 20. <p>Date Of Birth: 21. <select name="month"> 22. <option value="">Month</option> 23. <option value="1">January</option> 24. <option value="2">February</option> 25. <option value="3">March</option> 26. <option value="4">April</option> 27. <option value="5">May</option> 28. <option value="6">June</option> 29. <option value="7">July</option> 30. <option value="8">August</option> 31. <option value="9">September</option> 32. <option value="10">October</option> 33. <option value="11">November</option> 34. <option value="12">December</option> 35. </select> 36. <select name="day"> 37. <option value="">Day</option> 38. <option value="1">1</option> 39. <option value="2">2</option> 40. <option value="3">3</option> 41. <option value="4">4</option> 42. <option value="5">5</option> 43. <option value="6">6</option> 44. <option value="7">7</option> 45. <option value="8">8</option> 46. <option value="9">9</option> 47. <option value="10">10</option> 48. <option value="11">11</option> 49. <option value="12">12</option> 50. <option value="13">13</option> 51. <option value="14">14</option> 52. <option value="15">15</option> 53. <option value="16">16</option> 54. <option value="17">17</option> 55. <option value="18">18</option> 56. <option value="19">19</option> 57. <option value="20">20</option> 58. <option value="21">21</option> 59. <option value="22">22</option> 60. <option value="23">23</option> 61. <option value="24">24</option> 62. <option value="25">25</option> 63. <option value="26">26</option> 64. <option value="27">27</option> 65. <option value="28">28</option> 66. <option value="29">29</option> 67. <option value="30">30</option> 68. <option value="31">31</option> 69. </select> 70. <input type="text" name="year" value="YYYY" size="4" /></p> 71. 72. <p>Favorite Color: 73. <select name="color"> 74. <option value="">Pick One</option> 75. <option value="red">Red</option> 76. <option value="yellow">Yellow</option> 77. <option value="green">Green</option> 78. <option value="blue">Blue</option> 79. </select></p> 80. 81. <input type="submit" name="submit" value="Register" /> 82. 83. </form> 84. 85. </div> 86. </body> 87. </html>