Test for Manuel Lemos' PHP form class
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Form class test
E
-mail address
:
[Verify]
Credit card
n
umber
:
[Optional]
Credit card t
y
pe
:
Pick a credit card type
Unknown
Master Card
Visa
American Express
Diners Club
Carte Blanche
Discover
enRoute
JCB
[Verify]
P
ersonal name
:
[Verify]
A
ge
:
[Verify]
W
eight
:
[Verify]
H
o
me page
:
[Verify]
Acce
s
s name
:
[Verify]
Passwor
d
:
[Verify]
C
onfirm password
:
Password
r
eminder
:
[Verify]
I
nterests
:
Arts
Business
Computers
Education
Entertainment
Health
News
Politics
Sports
Science
Other
[Verify]
When approved, receive notification by:
E-
m
ail
:
[Verify]
P
h
one
:
Subscription type:
Adm
i
nistrator
:
[Verify]
U
ser
:
G
uest
:
Toggle
b
utton
:
Agree with the
t
erms
:
[Verify]
Submit button with
c
ontent