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| 1 <!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01//EN"> |
| 2 <html> |
| 3 <head> |
| 4 <title>AutoFill Form</title> |
| 5 </head> |
| 6 <body> |
| 7 <form id="merge_dup" method="post"> |
| 8 <!-- Profile --> |
| 9 <label for="NAME_FIRST">First Name:</label> |
| 10 <input type="text" id="NAME_FIRST" name="firstname"><br/> |
| 11 <label for="NAME_MIDDLE">Middle Name:</label> |
| 12 <input type="text" id="NAME_MIDDLE" name="middlename"><br/> |
| 13 <label for="NAME_LAST">Last Name:</label> |
| 14 <input type="text" id="NAME_LAST" name="lastname"><br/> |
| 15 <label for="EMAIL_ADDRESS">Email:</label> |
| 16 <input type="text" id="EMAIL_ADDRESS" name="email"><br/> |
| 17 <label for="COMPANY_NAME">Company:</label> |
| 18 <input type="text" id="COMPANY_NAME" name="company"><br/> |
| 19 |
| 20 <label for="ADDRESS_HOME_LINE1">Address:</label> |
| 21 <input type="text" id="ADDRESS_HOME_LINE1" name="address"><br/> |
| 22 <label for="ADDRESS_HOME_LINE2">Address 2:</label> |
| 23 <input type="text" id="ADDRESS_HOME_LINE2" name="address2"><br/> |
| 24 <label for="ADDRESS_HOME_CITY">City:</label> |
| 25 <input type="text" id="ADDRESS_HOME_CITY" name="city"><br/> |
| 26 <label for="ADDRESS_HOME_STATE">State:</label> |
| 27 <input type="text" id="ADDRESS_HOME_STATE" name="state"><br/> |
| 28 <label for="ADDRESS_HOME_ZIP">Zip:</label> |
| 29 <input type="text" id="ADDRESS_HOME_ZIP" name="zipcode"><br/> |
| 30 |
| 31 <label for="ADDRESS_HOME_COUNTRY">Country:</label> |
| 32 <input type="text" id="ADDRESS_HOME_COUNTRY" name="country"><br/> |
| 33 <label for="PHONE_HOME_WHOLE_NUMBER">Phone:</label> |
| 34 <input type="text" id="PHONE_HOME_WHOLE_NUMBER" name="phone"><br/> |
| 35 <label for="PHONE_FAX_WHOLE_NUMBER">Fax:</label> |
| 36 <input type="text" id="PHONE_FAX_WHOLE_NUMBER" name="fax"><br/> |
| 37 <input type="submit" value="send"> <input type="reset"> |
| 38 </form> |
| 39 </body> |
| 40 </html> |
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