<fieldset>
<legend>Registration</legend>
<ol>
<li>Name [text text-440]</li>
<li>Address [text text-668]</li>
<li>City [text text-535]</li>
<li>State / Province / Region [text text-534]</li>
<li>Phone Number [tel tel-328]</li>
<li>Email [email email-464]</li>
<li>Message [textarea textarea-512]</li>
<li>Preferred Contact Method [radio radio-945 default:1 "Email" "Phone"]</li>
<li>Drop-down menu [select select-877 "Option 1" "Option 2" "Option 3"]</li>
<li>Checkboxes [checkbox checkbox-141 "Option 1" "Option 2" "Option 3"]</li>
</ol>
[submit "Submit"]
</fieldset>
<p>
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</p>