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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">Nome:</label> <input type="text" id="fn"><br> | |
10 <label for="ln">Sobrenome:</label> <input type="text" id="ln"><br> | |
11 <label for="cm">Empresa:</label> <input type="text" id="cm"><br> | |
12 <label for="a1">Endereço:</label> <input type="text" id="a1"><br> | |
13 <label for="a2">Complemento:</label> <input type="text" id="a2"><br> | |
14 <label for="ct">Cidade:</label> <input type="text" id="ct"><br> | |
15 <label for="zc">CEP:</label> <input type="text" id="zc"><br> | |
16 <label for="st">Estado:</label> <input type="text" id="st"><br> | |
17 <label for="em">email:</label> <input type="text" id="em"><br> | |
18 <label for="ph">Telefone:</label> <input type="text" id="ph"><br> | |
19 <label for="fx">Fax Number:</label> <input type="text" id="fx"><br> | |
20 <label for="c1">Nome do cartão:</label> <input type="text" id="c1"><br> | |
21 <label for="c2">Número do cartão:</label> <input type="text" id="c2"><br> | |
22 <label for="c3">Data de validade:</label> <input type="text" id="c3"><br> | |
23 <label for="c4">Data de validade:</label> <input type="text" id="c4"><br> | |
24 </form> | |
25 </body> | |
26 </html> | |
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