Untitled

<!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="UTF-8">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <title>MedTekon Registration Form</title>
    <style>
        body {
            font-family: Arial, sans-serif;
            background-color: #f4f4f4;
            margin: 0;
            padding: 0;
        }
        .container {
            max-width: 600px;
            margin: 50px auto;
            background: #fff;
            padding: 20px;
            border-radius: 8px;
            box-shadow: 0 4px 8px rgba(0, 0, 0, 0.2);
        }
        h1 {
            text-align: center;
            color: #333;
        }
        form {
            display: flex;
            flex-direction: column;
        }
        label {
            margin-top: 15px;
            font-weight: bold;
            color: #555;
        }
        input, select {
            margin-top: 5px;
            padding: 10px;
            font-size: 16px;
            border: 1px solid #ccc;
            border-radius: 4px;
        }
        .radio-group {
            display: flex;
            gap: 10px;
            align-items: center;
            margin-top: 5px;
        }
        button {
            margin-top: 20px;
            padding: 10px;
            font-size: 16px;
            color: #fff;
            background-color: #007BFF;
            border: none;
            border-radius: 4px;
            cursor: pointer;
        }
        button:hover {
            background-color: #0056b3;
        }
    </style>
</head>
<body>
    <div class="container">
        <h1>MedTekon Registration Form</h1>
        <form action="/submit" method="post">
            <label for="name">Name:</label>
            <input type="text" id="name" name="name" required>

            <label for="company-name">Company Name:</label>
            <input type="text" id="company-name" name="company-name" required>

            <label for="designation">Designation:</label>
            <input type="text" id="designation" name="designation" required>

            <label>Are you a Member of MTaI?</label>
            <div class="radio-group">
                <label><input type="radio" name="mtai-member" value="yes" required> Yes</label>
                <label><input type="radio" name="mtai-member" value="no"> No</label>
            </div>

            <label for="member-ticket">If yes, Direct to Member’s Event Ticket:</label>
            <input type="text" id="member-ticket" name="member-ticket">

            <label for="country">Country:</label>
            <input type="text" id="country" name="country" required>

            <label for="email">Official Email ID:</label>
            <input type="email" id="email" name="email" required>

            <label for="phone">Phone Number:</label>
            <input type="tel" id="phone" name="phone" required>

            <button type="submit">Submit</button>
        </form>
    </div>
</body>
</html>
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