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Committing/new.html

Created November 6, 2017 21:06
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new.html
<!DOCTYPE html>
<html>
<head>
<title>Richard's Form</title>
<link rel="stylesheet" href="format.css" />
</head>
<body>
<h1>Please enter some details of your issue below</h1>
<table border="1" width="100%">
<form action="new.php" target="_blank" method="get">
<tr>
<td><p>Callers Name</p></td>
<td><input type="text" name="empname" placeholder="Enter Caller Name"></td>
</tr>
<tr>
<td>Employee ID Number</td>
<td><input type="text" name="empid" placeholder="Employee ID Here"> </td>
</tr>
<tr>
<td><p>Issue Description</p></td>
<td><input type="text" name="problem" placeholder="Describe The Issue"></td>
</tr>
<tr>
<td><p>Item Description</p></td>
<td><input type="text" name="item" placeholder="What Item Does The Issue Relate To"></td>
</tr>
<tr>
<td><p>Serial Number</p></td>
<td><input type="text" name="serial" placeholder="Product Serial Number"></td>
</tr>
<tr>
<td><p>Helpdesk Employee ID</p></td>
<td><input type="text" name="helpid" placeholder="Enter Your ID HERE"></td>
</tr>
<tr>
<td><P>Severity of Issue</P></td>
<td><div class="dropdown">
<select name="severe">
<option value="low">Low</option>
<option value="mid">Medium</option>
<option value="high">High</option>
</select>
</div>
</td>
</tr>
<tr>
<td colspan="2">
<input type="submit" value="Submit" />
</td>
</tr>
</form>
</table>
</body>
</html>
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