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form2.html
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52 lines (47 loc) · 1.48 KB
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<!DOCTYPE html>
<html>
<head>
<title> </title>
</head>
<body>
<form action="">
<p>
Additional Comments:
</p>
<textarea name="comments" rows="5" cols="40">
</textarea>
<table>
<tr>
<td rowspan="2"> Upload your profile picture: </td>
<td> <input type="file" name="profile-picture"/> </td>
</tr>
<tr>
<td> <input type="submit" value="Upload"/> </td>
</tr>
</table> <br/>
<input type="submit" value="Send Your Order"/>
<br/> <br/> <br/>
<table>
<tr>
<td> Email Address: </td>
<td colspan="2"> <input type="text" name="email"/> </td>
</tr>
<tr>
<td> Subscription: </td>
<td>
<input type="radio" name="subscription" checked/>
1 Year
</td>
<td>
<input type="radio" name="subscription"/>
2 Years
</td>
</tr>
</table>
<input type="checkbox" name=""/>
Yes! Put me on the list!
<br/> <br/> <br/>
<input type="image" src="Subscribe buttons.gif" width="150"/>
</form>
</body>
</html>