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 6.9 - register.php -->
10. <div><p>Please complete this form to register:</p>
11.
12. <form action="handle_reg.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. <?php // Print out 31 days:
39. for ($d = 1; $d <= 31; $d++) {
40. print "<option value=\"$d\">$d</option>\n";
41. }
42. ?>
43. </select>
44. <input type="text" name="year" value="YYYY" size="4" /></p>
45.
46. <p>Favorite Color:
47. <select name="color">
48. <option value="">Pick One</option>
49. <option value="red">Red</option>
50. <option value="yellow">Yellow</option>
51. <option value="green">Green</option>
52. <option value="blue">Blue</option>
53. </select></p>
54.
55. <input type="submit" name="submit" value="Register" />
56.
57. </form>
58.
59. </div>
60. </body>
61. </html>