<html>
<head>
<title>
</title>
</head>
<body>
<form><font color=pink><b><i>credit card details : -</i></b></color><br><br><br><br>
credit card type
<input type=drop down list>
<selected=select type>
<select option=master>
<select option=visa><br><br><br><br>
credit card no:-
<input type=no maxlength=16><br><br><br><br>
expiration date:-
<input type=date><br><br><br><br>
card verification no.
<input type=no><br><br><br><br>
</form>
</body>
</html>
