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<body>
    <h1>Forma e Rezervimit</h1>
    <form>
        
        <label for="emri">Emri:</label>
        <input type="text" id="emri" name="emri" required><br><br>

        <label for="mbiemri">Mbiemri:</label>
        <input type="text" id="mbiemri" name="mbiemri" required><br><br>

        
        <label for="email">Adresa e Email-it:</label>
        <input type="email" id="email" name="email" required><br><br>

        
        <label for="celular">Numri i Celularit:</label>
        <input type="tel" id="celular" name="celular" pattern="[0-9]{10}" required><br><br>

        
        <label for="data e ardhjes">Data e Ardhjes:</label>
        <input type="date" id="data e ardhjes" name="data e ardhjes" required><br><br>

       
        <label for="data e largimit">Data e Largimit:</label>
        <input type="date" id="data e largimit" name="data e largimit" required><br><br>

        
        <label for="tipi i dhomes">Tipi i Dhomes:</label>
        <select id="tipi i dhomes" name="tipi i dhomes" required>
            <option value="teke">Dhome teke</option>
            <option value="cift">Dhome cift</option>
            <option value="suite">Suite</option>
        </select><br><br>

        
        <label for="kerkesa te vecanta">Kerkesa te Vecanta:</label><br>
        <textarea id="kerkesa te vecanta" name="kerkesa te vecanta" rows="4" cols="50" placeholder="shkruani kerkesat ketu..."></textarea><br><br>

      
        <button type="submit">Rezervo Tani</button>
    </form>
</body>
</html>
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