Sign up for our newsletter. You can opt out at any time.<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>VIP Lounge Membership Sign-up</title>
<style>
body {
font-family: Arial, sans-serif;
background: #f4f4f4;
padding: 20px;
}
.container {
max-width: 500px;
margin: auto;
background: #fff;
padding: 20px;
border-radius: 8px;
box-shadow: 0 2px 6px rgba(0,0,0,0.1);
}
h2 {
text-align: center;
color: #333;
}
label {
display: block;
margin: 12px 0 6px;
font-weight: bold;
}
input, select, textarea, button {
width: 100%;
padding: 10px;
margin-bottom: 12px;
border: 1px solid #ccc;
border-radius: 4px;
}
button {
background: #4CAF50;
color: white;
font-size: 16px;
cursor: pointer;
}
button:hover {
background: #45a049;
}
.small {
font-size: 12px;
color: #777;
text-align: center;
}
</style>
</head>
<body>
<div class="container">
<h2>VIP Lounge Membership</h2>
<form action="/submit-membership" 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" placeholder="+44 0000 000000" required>
<label for="address">Address</label>
<textarea id="address" name="address" rows="3" required></textarea>
<label for="payment">Payment Method</label>
<select id="payment" name="payment" required>
<option value="">--Please choose--</option>
<option value="card">Credit/Debit Card</option>
<option value="paypal">PayPal</option>
<option value="bank">Bank Transfer</option>
</select>
<label>
<input type="checkbox" name="terms" required>
I agree to the <a href="#">Terms & Conditions</a>
</label>
<button type="submit">Join for £99 / Year</button>
<p class="small">Your membership fee is fully refundable against purchases.</p>
</form>
</div>
</body>
</html>
