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| 1 <!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01//EN"> |
| 2 <html> |
| 3 <head> |
| 4 <title></title> |
| 5 </head> |
| 6 <body> |
| 7 <form action="http://www.google.com/" method="post"> |
| 8 <label for="firstname">First name:</label> <input type="text" id="firstnam
e"><br> |
| 9 <label for="lastname">Last name:</label> <input type="text" id="lastname">
<br> |
| 10 <label for="company">Company Name:</label> <input type="text" id="company"
><br> |
| 11 <label for="address1">Address line 1:</label> <input type="text" id="addre
ss1"><br> |
| 12 <label for="address2">Address line 2:</label> <input type="text" id="addre
ss2"><br> |
| 13 <label for="city">City:</label> <input type="text" id="city"><br> |
| 14 <label for="zip">Zip Code:</label> <input type="text" id="zip"><br> |
| 15 <label for="state">State:</label> <input type="text" id="state"><br> |
| 16 <label for="email">Email:</label> <input type="text" id="email"><br> |
| 17 <label for="phone">Phone Number:</label> <input type="text" id="phone"><br
> |
| 18 <label for="fax">Fax Number:</label> <input type="text" id="fax"><br> |
| 19 </form> |
| 20 </body> |
| 21 </html> |
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