-
Notifications
You must be signed in to change notification settings - Fork 0
Expand file tree
/
Copy pathcontact.html
More file actions
54 lines (48 loc) · 1.45 KB
/
Copy pathcontact.html
File metadata and controls
54 lines (48 loc) · 1.45 KB
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
<!DOCTYPE html>
<head>
<meta charset="UTF-8" />
<meta name="viewport" content="width=device-width", initial-scale=1.0">
<title>Contact Form</title>
</head>
<body>
<h2><u>Contact Form</u></h2>
<form>
Name:<br>
<input type="text" name="Firstname" /><br><br>
Email:<br>
<input type="text" name="mail" /> <br><br>
Gender:<br>
<input type = "radio" name = "Gender" value = "m" checked> Male
<input type = "radio" name = "Gender" value = "f"> Female
<br><br>
DOB: <br>
<input type="date" name="bday" min="2000-01-02">
<br><br>
Country:<br>
<select name="country">
<option value="1">Australia</option>
<option value="2">Africa</option>
<option value="3">India</option>
<option value="4">Pakistan</option>
<option value="5">Bangladesh</option>
<option value="6">China</option>s
</select>
<br><br>
How would you like us to contact you:<br>
<input type="checkbox" name="mail" value="1">E-mail<br>
<input type="checkbox" name="phone number" value="2">Call<br>
<input type="checkbox" name="msg" value="3">SMS<br>
<input type="checkbox" name="post on address" value="4">Post on address
<br><br>
Upload your scanned photo(Select a file): <input type="file" name="myFile" />
<br>
<input type="button" value="Click here to upload" onclick="alert('File uploaded')" />
<br><br>
Any relevant query:<br>
<textarea name="query" rows="5 cols="20">
</textarea>
<br><br>
<input type="submit" value="Submit" />
</form>
</body>
</html>