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sauntimo/gist:5568298

Last active December 17, 2015 06:49
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gistfile1.html
<!DOCTYPE html>
<html>
<head>
<title>Web Form</title>
<link rel='stylesheet' type='text/css' href='stylesheet.css'/>
<link href='http://fonts.googleapis.com/css?family=Lobster' rel='stylesheet' type='text/css'>
</head>
<body>
<div id="header"><h1>Contact Us!</h1></div>
<div id="wrapper">
<div id="inputs">
<form name="input" action="https://docs.google.com/forms/d/1zUOMr-zRYvmNdYK2C60S1FosYExjMBHdTWgRpDPxfrM/formResponse" method="post">
First name: <input type="text" name="firstname" value="first name" id="entry_362053743"><br/>
Last name: <input type="text" name="lastname" value="last name" id="entry_1053960223"><br/>
E-mail: <input type="email" name="email" value="e-mail address" id="entry_1926572311><br/><br/>
</form>
</div>
<div>
<form id="options">
Message: <br/><textarea name="msg" id="entry_1148057269"></textarea><br/>
<p>Sex:</p>
<input type="radio" name="sex" value="male" id="group_606399934_1">Male
<input type="radio" name="sex" value="female" id="group_606399934_2">Female<br/><br/>
<input type="checkbox" name="notify" value="updates" id="group_2142398412_1" checked>I'd like to receive notices when this website updates.<br/>
<input type="checkbox" name="notify" value="services" id="group_2142398412_2">I'd like to receive notices pertaining to related websites and their services.<br/><br/>
<input type="submit" value="Submit">
</form>
</div>
</div>
</body>
</html>
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