YA: submission.php WOC

<?php

/*    submission.php    */
?>
<html>
    <head>
        <title>New User Registration</title>
    </head>
<body>
    <form method="post" action="process.php">
        First Name: <input type="text" name="first_name">
        <br>
        Last Name: <input type="text" name="last_name">
        <br>
        Address: <input type="text" name="address">
        <br>
        City: <input type="text" name="city">
        <br>
        Zip Code: <input type="text" name="zip_code">
        <br>
        Create Username: <input type="text" name="create_username">
        <br>
        Create Password: <input type="password" name="create_password">
        <br>
        <input type="submit" name="submit_btn" value="Submit">
    </form>
</body>
</html>