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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Vendor Registration</title>
<style>
body {
font-family: Arial, sans-serif;
background-color: #F5F5F5;
color: #333333;
margin: 0;
padding: 0;
display: flex;
justify-content: center;
align-items: center;
height: 100vh;
}
.container {
background-color: #FFFFFF;
padding: 20px;
border-radius: 8px;
box-shadow: 0 0 10px rgba(0, 0, 0, 0.1);
width: 100%;
max-width: 600px;
}
h2 {
color: #1E90FF;
text-align: center;
}
form {
display: flex;
flex-direction: column;
}
label {
margin-top: 10px;
font-weight: bold;
}
input, textarea {
padding: 10px;
margin-top: 5px;
border: 1px solid #CCCCCC;
border-radius: 4px;
font-size: 16px;
}
input:focus, textarea:focus {
border-color: #1E90FF;
outline: none;
}
button {
background-color: #1E90FF;
color: #FFFFFF;
padding: 10px;
margin-top: 20px;
border: none;
border-radius: 4px;
font-size: 18px;
cursor: pointer;
}
button:hover {
background-color: #1C86EE;
}
.agreement {
margin-top: 20px;
font-size: 14px;
}
.agreement a {
color: #1E90FF;
text-decoration: none;
}
.agreement a:hover {
text-decoration: underline;
}
</style>
</head>
<body>
<div class="container">
<h2>Vendor Registration Form</h2>
<form action="register_vendor.php" method="POST">
<label for="name">Full Name:</label>
<input type="text" id="name" name="name" required>
<label for="email">Email Address:</label>
<input type="email" id="email" name="email" required>
<label for="phone">Phone Number:</label>
<input type="tel" id="phone" name="phone" required>
<label for="address">Address:</label>
<input type="text" id="address" name="address" placeholder="Street Address" required>
<label for="city">City:</label>
<input type="text" id="city" name="city" required>
<label for="state">State:</label>
<input type="text" id="state" name="state" required>
<label for="zip">Zip Code:</label>
<input type="text" id="zip" name="zip" required>
<label for="website">Website (if any):</label>
<input type="url" id="website" name="website">
<label for="description">Description of What You Sell:</label>
<textarea id="description" name="description" rows="4" placeholder="Describe your products or services" required></textarea>
<div class="agreement">
By registering, you agree to our <a href="hold_harmless_agreement.html" target="_blank">Hold Harmless Agreement</a>.
</div>
<button type="submit">Register</button>
</form>
</div>
</body>
</html>