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1 <!DOCTYPE html> | |
2 <html> | |
3 <head> | |
4 <meta charset="UTF-8"> | |
5 <title></title> | |
6 </head> | |
7 <body> | |
8 <form action="http://www.google.com/" method="post"> | |
9 <label for="fn">Vorname:</label> <input type="text" id="fn"><br> | |
10 <label for="ln">Nachname:</label> <input type="text" id="ln"><br> | |
11 <label for="cm">Firmenname:</label> <input type="text" id="cm"><br> | |
12 <label for="a1">Straße und Hausnummer:</label> <input type="text" id="a1">
<br> | |
13 <label for="a2">Adresszusatz:</label> <input type="text" id="a2"><br> | |
14 <label for="ct">Stadt:</label> <input type="text" id="ct"><br> | |
15 <label for="zc">Postleitzahl:</label> <input type="text" id="zc"><br> | |
16 <label for="st">Land:</label> <input type="text" id="st"><br> | |
17 <label for="em">E-Mail-Adresse:</label> <input type="text" id="em"><br> | |
18 <label for="ph">Telefonnummer:</label> <input type="text" id="ph"><br> | |
19 <label for="fx">Fax-Nummer:</label> <input type="text" id="fx"><br> | |
20 <label for="c1">Karteninhaber:</label> <input type="text" id="c1"><br> | |
21 <label for="c2">Kartennummer:</label> <input type="text" id="c2"><br> | |
22 <label for="c3">gültig bis monat:</label> <input type="text" id="c3"><br> | |
23 <label for="c4">gültig bis jahr:</label> <input type="text" id="c4"><br> | |
24 </form> | |
25 </body> | |
26 </html> | |
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