MENGISI FORM 10

<div class="form-style-10"> <h1>Sign Up Now!<span>Sign up and tell us what you think of the site!</span></h1> <form> <div class="section"><span>1</span>First Name & Address</div> <div class="inner-wrap"> <label>Your Full Name <input type="text" name="field1" /></label> <label>Address <textarea name="field2"></textarea></label> </div> <div class="section"><span>2</span>Email & Phone</div> <div class="inner-wrap"> <label>Email Address <input type="email" name="field3" /></label> <label>Phone Number <input type="text" name="field4" /></label> </div> <div class="section"><span>3</span>Passwords</div> <div class="inner-wrap"> <label>Password <input type="password" name="field5" /></label> <label>Confirm Password <input type="password" name="field6" /></label> </div> <div class="button-section"> <input type="submit" name="Sign Up" /> <span class="privacy-policy"> <input type="checkbox" name="field7">You agree to our Terms and Policy. </span> </div> </form> </div>

Sign Up Now!Sign up and tell us what you think of the site!

1First Name & Address

Your Full Name
Address

2Email & Phone

Email Address
Phone Number

3Passwords

Password
Confirm Password

You agree to our Terms and Policy.