40 lines
1.2 KiB
HTML

<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
<title>Credit Card</title>
<link rel="stylesheet" href="creditcard.css">
</head>
<body>
<h1>Credit Card</h1>
<form action="confirm.html" method="post">
<label for="name">Name:</label>
<input type="text" name="name" id="name" required autofocus>
<span></span>
<br>
<label for="ccnumber">Card Number:</label>
<input type="text" name="ccnumber" id="ccnumber" pattern="[0-9]{16}" required>
<span></span>
<br>
<label for="expdate">Expiration Date (MM/YY):</label>
<input type="text" name="expdate" id="expdate" pattern="[0-9]{2}\/[0-9]{2}" required>
<span></span>
<br>
<label for="securitycode">Security Code:</label>
<input type="text" name="securitycode" id="securitycode">
<span></span>
<br>
<label></label>
<input type="submit" id="save" value="Save">
</form>
<p id="message"></p>
<script src="creditcard.js"></script>
</body>
</html>