Created
August 22, 2013 06:55
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<!DOCTYPE html> | |
<html> | |
<head> | |
<style> | |
#heading { | |
font-family: "Tahoma"; | |
font-size: 18px; | |
color:#2c286d; | |
} | |
hr { | |
border: solid #db2927 1px; | |
} | |
p { | |
float: right; | |
font-family: "Tahoma"; | |
font-size: 13px; | |
color:black; | |
padding-top: 2.8em; | |
} | |
p a { | |
text-decoration: none; | |
color: #045198; | |
} | |
#skype { | |
padding-left: 20px; | |
} | |
#vinsol { | |
color: #045198; | |
padding-right: 10px; | |
} | |
form { | |
margin:auto; | |
background-color: #ececec; | |
border: solid #bcbcbc 1px; | |
width: 500px; | |
padding: 20px 25px 20px 25px; | |
} | |
#submit { | |
background-color: #dc2927; | |
border:#a10200; | |
width: 130px; | |
height: 32px; | |
text-align: center; | |
font-family: "Tahoma"; | |
font-size: 14px; | |
color:white; | |
margin-left: 120px; | |
} | |
.select_box { | |
margin-top: 9px; | |
margin-bottom: 11px; | |
color: #6f6f6f; | |
background-color: white; | |
width: 110px; | |
font-family: "Tahoma"; | |
font-size: 13px; | |
} | |
#address { | |
background-color: white; | |
border: solid #b9b9b9 1px; | |
width: 360px; | |
height: 135px; | |
} | |
.input { | |
margin-top: 3px; | |
margin-bottom: 3px; | |
background-color: white; | |
border: solid #b9b9b9 1px; | |
width: 360px; | |
height: 25px; | |
} | |
/* | |
.label { | |
padding-right: 10px; | |
font-family: "Tahoma"; | |
color: black; | |
font-size: 14px; | |
float: left; | |
text-align: right; | |
}*/ | |
.label { | |
float:left; | |
margin-right:20px; | |
text-align:right; | |
width:100px; | |
font-family: "Tahoma"; | |
color: black; | |
font-size: 14px; | |
margin-top: 10px; | |
} | |
.gender { | |
font-family: "Tahoma"; | |
font-size: 13px; | |
color: #6f6f6f; | |
} | |
input[type=radio] { | |
margin-top: 10px; | |
} | |
#form_container { | |
margin: auto; | |
width: 552px; | |
} | |
.radio { | |
margin-left: 30px; | |
} | |
</style> | |
<body> | |
<img src="/home/chirag/Downloads/vinsol-logo.png"> | |
<p> | |
Email us at: <a href="MAILTO:[email protected]">[email protected]</a> | |
<span id="skype">Skype</span>:<span id="vinsol">Vinsol</span> | |
</p> | |
<hr/><br/> | |
<div id="form_container"> | |
<div id="heading">Please fill the form below</div> | |
<form action="default.htm" method="post"> | |
<label for="firstname" class="label">First Name</label> | |
<input type="text" class="input" id="first_name" name="first_name"><br/> | |
<label for="lastname" class="label">Last Name</label> | |
<input type="text" class="input" id="last_name" name="last_name"><br/> | |
<label for="email" class="label">Email Address</label> | |
<input type="email" class="input" id="email" name="email"><br/> | |
<label for="Password" class="label">Password</label> | |
<input type="password" class="input" id="password" name="password"><br/> | |
<label for="gender" class="label">Gender</label> | |
<input type="radio" name="gender" id="male" value="male" checked> | |
<label for="male" class="gender">Male</label> | |
<input type="radio" class="radio" name="gender" id="female" value="female"> | |
<label for="female" class="gender">Female</label><br/> | |
<label for="dob" class="label">Date of Birth</label> | |
<select class="select_box" id="date" name="date"> | |
<option id="1" value="1">01</option> | |
<option id="2" value="2">02</option> | |
<option id="3" value="3">03</option> | |
<option id="4" value="4">04</option> | |
<option id="5" value="5">05</option> | |
<option id="6" value="6">06</option> | |
<option id="7" value="7">07</option> | |
<option id="8" value="8">08</option> | |
<option id="9" value="9">09</option> | |
<option id="10" value="10">10</option> | |
<option id="11" value="11">11</option> | |
<option id="12" value="12">12</option> | |
<option id="13" value="13">13</option> | |
<option id="14" value="14">14</option> | |
<option id="15" value="15">15</option> | |
<option id="16" value="16">16</option> | |
<option id="17" value="17">17</option> | |
<option id="18" value="18">18</option> | |
<option id="19" value="19">19</option> | |
<option id="20" value="20">20</option> | |
<option id="21" value="21">21</option> | |
<option id="22" value="22">22</option> | |
<option id="23" value="23">23</option> | |
<option id="24" value="24">24</option> | |
<option id="25" value="25">25</option> | |
<option id="26" value="26">26</option> | |
<option id="27" value="27">27</option> | |
<option id="28" value="28">28</option> | |
<option id="29" value="29">29</option> | |
<option id="30" value="30">30</option> | |
<option id="31" value="31">31</option> | |
</select> | |
<select class="select_box" id="month" name="month"> | |
<option id="1" value="1">01</option> | |
<option id="2" value="2">02</option> | |
<option id="3" value="3">03</option> | |
<option id="4" value="4">04</option> | |
<option id="5" value="5">05</option> | |
<option id="6" value="6">06</option> | |
<option id="7" value="7">07</option> | |
<option id="8" value="8">08</option> | |
<option id="9" value="9">09</option> | |
<option id="10" value="10">10</option> | |
<option id="11" value="11">11</option> | |
<option id="12" value="12">12</option> | |
</select> | |
<select class="select_box" id="year" name="year"> | |
<option id="83" value="83">83</option> | |
<option id="84" value="84">84</option> | |
<option id="85" value="85">85</option> | |
<option id="86" value="86">86</option> | |
<option id="87" value="87">87</option> | |
<option id="88" value="88">88</option> | |
<option id="89" value="89">89</option> | |
<option id="90" value="90">90</option> | |
<option id="91" value="91">91</option> | |
<option id="92" value="92">92</option> | |
<option id="93" value="93">93</option> | |
<option id="94" value="94">94</option> | |
<option id="95" value="95">95</option> | |
</select><br/> | |
<label for="address" class="label">Address</label> | |
<input type="text" id="address" name="address"></br></br> | |
<input type="submit" id="submit" value="Submit Details"> | |
</form> | |
</div> | |
</body> | |
</head> | |
</html> |
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