Warranty Form

<!DOCTYPE html>
<html>
<head>
<title>Warranty Registration Form</title>
</head>
<body>
<h1>Warranty Registration Form</h1>
<form>
<label for="name">Name:</label>
<input type="text" id="name" name="name" required><br><br>

<label for="email">Email:</label>
<input type="email" id="email" name="email" required><br><br>

<label for="product">Product:</label>
<input type="text" id="product" name="product" required><br><br>

<label for="serial">Serial Number:</label>
<input type="text" id="serial" name="serial" required><br><br>

<label for="purchase">Purchase Date:</label>
<input type="date" id="purchase" name="purchase" required><br><br>

<label for="retailer">Retailer:</label>
<input type="text" id="retailer" name="retailer" required><br><br>

<label for="address">Address:</label>
<input type="text" id="address" name="address" required><br><br>

<label for="phone">Phone:</label>
<input type="tel" id="phone" name="phone" required><br><br>

<input type="submit" value="Submit">
</form>
</body>
</html>