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donate_in_cash.html
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32 lines (26 loc) · 965 Bytes
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<!DOCTYPE html>
<html>
<head>
<meta charset='utf-8'>
<title>Disaster App</title>
<meta name='viewport' content='width=device-width, initial-scale=1'>
<link rel='stylesheet' type='text/css' media='screen' href='donate_in_cash.css'>
</head>
<body>
<div class="container">
<div class="box">
<form action="/paynow" method="post">
<h5>Name:</h5>
<input type="text" name="name" placeholder="Name" required/><br/>
<h5>Email Address:</h5>
<input type="email" name="email" placeholder="Email address" required/><br/>
<h5>Contact Number:</h5>
<input type="tel" name="phone" placeholder="Contact Number" required/><br/>
<h5>Donation Amount:</h5>
<input type="number" name="amount" placeholder="Enter Amount" required/><br/>
<button type = "submit">Pay</button>
</form>
</div>
</div>
</body>
</html>