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Contact Form.html
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61 lines (51 loc) · 2.59 KB
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<!DOCTYPE html>
<html>
<head>
<title>Contact Form</title>
</head>
<body>
<main>
<h1>Contact Form</h1>
</main>
<section>
<label for="fname">First Name:</label>
<input type="text" id="fname" name="fname" maxlength="30"><br><br>
<label for="lname">Last Name:</label>
<input type="text" id="lname" name="lname" maxlength="30"><br><br>
<label for="tnumber">Contact Phone Number:</label>
<input type="text" id="tnumber" name="tnumber"><br><br>
<label>Phone Number Type:</label>
<label for="landline">Landline</label>
<input type="radio" id="landline" value="landline" name="phonetype">
<label for="mobile">Mobile</label>
<input type="radio" id="mobile" value="mobile" name="phonetype"><br><br>
<label for="email">Contact Email:</label>
<input type="text" id="email" name="email" maxlength="50"><br><br>
<label for="resource">How did you hear about us:</label>
<select id="resource" name="resource">
<option value="search_engine">Search Engine</option>
<option value="social_media">Social Media</option>
<option value="recruiter">Recruiter</option>
</select><br><br>
<label>Interest For Contact:</label><br>
<label for="r_and_p">Web Developement</label>
<input type="checkbox" id="r_and_p" value="r_and_p" name="r_and_p"><br>
<label for="fast_learner">Time Management</label>
<input type="checkbox" id="fast_learner" value="fast_learner" name="fast_learner"><br>
<label for="problem_solving">Interpersonal Skills</label>
<input type="checkbox" id="problem_solving" value="problem_solving" name="problem_solving"><br>
<label for="time_management">Leadership</label>
<input type="checkbox" id="time_management" value="time_management" name="time_management"><br>
<label for="communication">Transferable Skills</label>
<input type="checkbox" id="communication" value="communication" name="communication"><br>
<label for="team_player">TProblem Solving</label>
<input type="checkbox" id="team_player" value="team_player" name="team_player"><br>
<label for="active_lis">Critical Thinking</label>
<input type="checkbox" id="active_lis" value="active_lis" name="active_lis"><br>
<label for="active_lis">Flexibility</label>
<input type="checkbox" id="active_lis" value="active_lis" name="active_lis"><br><br>
<label for="comment">Message:</label><br>
<textarea for="comment" maxlength="250"></textarea><br><br>
</section>
</body>
</html>