Credit Card:＜BR＞
    ＜INPUT TYPE="RADIO" NAME="cardType"
                     VALUE="Visa"＞Visa＜BR＞
    ＜INPUT TYPE="RADIO" NAME="cardType"
                     VALUE="Master Card"＞Master Card＜BR＞
    ＜INPUT TYPE="RADIO" NAME="cardType"
                     VALUE="Amex"＞American Express＜BR＞
    ＜INPUT TYPE="RADIO" NAME="cardType"
                     VALUE="Discover"＞Discover＜BR＞
    ＜INPUT TYPE="RADIO" NAME="cardType"
                     VALUE="Java SmartCard"＞Java SmartCard＜BR＞
  Credit Card Number:
  ＜INPUT TYPE="PASSWORD" NAME="cardNum"＞＜BR＞
  Repeat Credit Card Number:
  ＜INPUT TYPE="PASSWORD" NAME="cardNum"＞＜BR＞＜BR＞
  ＜CENTER＞
    ＜INPUT TYPE="SUBMIT" VALUE="Submit Order"＞
  ＜/CENTER＞
＜/FORM＞

＜/BODY＞
＜/HTML＞

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