Commit ce7356d8 authored by Nunna Satya Surya Venkat's avatar Nunna Satya Surya Venkat
Browse files

Update signup.html

parent c89c2999
......@@ -46,8 +46,19 @@
<input type="text" name="city" class="form-control pb_height-50 reverse" placeholder="City" required>
</div>
<div class="form-group">
<input type="number" name="ago" class="form-control pb_height-50 reverse" placeholder="Last Donated Blood(months)" required>
<select name="ago" class="form-control pb_height-50 reverse" required>
<option value="" selected>Last Donated Blood(Months)</option>
<option value="Less Than 1">Less Than 1</option>
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="More Than 3">More Than 3</option>
</select>
</div>
<div class="form-group">
<input type="number" name="age" class="form-control pb_height-50 reverse" placeholder="Age" required>
</div>
......
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