How should you develop the form?

DRAG DROP
You are developing a form that captures a user’s email address by using HTML5 and jQuery.
The form must capture the form elements as a string. You need to implement this functionality.
How should you develop the form? (To answer, drag the appropriate code segment to the correct target or targets in the answer area. Each code segment may be used once, more than once, or not at all. You may need to drag the split bar between panes or scroll to view content.)
Select and Place:

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