Create single page to demonstrates an xhtml form, Programming Languages

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Create a single page that demonstrates an XHTML form.
The form should include all the fields you feel are necessary for submitting an order of books and must include at least one of the following input types:

text input field
select field
radio or checkbox input fields
textarea field

The form does not need to do anything when submitted, although, CSS should be used to make it visually appealing. All style should be embedded (added into the head section of the document).

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