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<!doctype html> <html> <head> <meta charset="utf-8"> <title>HTML Book Marks</title> </head> <body> <h1>Sri Hari Book Store</h1> <h2>Book Order Form</h2> <form method="POST" action="register.php"> <label>Name:</label><br> <input name="fname" type="text" placeholder="First Name"> <input name="lname" type="text" placeholder="Last Name"><br><br> <label>Address:</label><br> <input name="stadd1" type="text" placeholder="Street Address"><br><br> <input name="stadd2" type="text" placeholder="Street Addrees line2"><br><br> <input name="city" type="text" placeholder="City"> <input name="region" type="text" placeholder="Region"><br><br> <input name="pin" type="text" placeholder="Pincode"> <input name="country" type="text" placeholder="Country"><br><br> <input type="submit"value="Submit"> </form> </body> </html>
