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@chiragmongia
Created August 22, 2013 06:55
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<!DOCTYPE html>
<html>
<head>
<style>
#heading {
font-family: "Tahoma";
font-size: 18px;
color:#2c286d;
}
hr {
border: solid #db2927 1px;
}
p {
float: right;
font-family: "Tahoma";
font-size: 13px;
color:black;
padding-top: 2.8em;
}
p a {
text-decoration: none;
color: #045198;
}
#skype {
padding-left: 20px;
}
#vinsol {
color: #045198;
padding-right: 10px;
}
form {
margin:auto;
background-color: #ececec;
border: solid #bcbcbc 1px;
width: 500px;
padding: 20px 25px 20px 25px;
}
#submit {
background-color: #dc2927;
border:#a10200;
width: 130px;
height: 32px;
text-align: center;
font-family: "Tahoma";
font-size: 14px;
color:white;
margin-left: 120px;
}
.select_box {
margin-top: 9px;
margin-bottom: 11px;
color: #6f6f6f;
background-color: white;
width: 110px;
font-family: "Tahoma";
font-size: 13px;
}
#address {
background-color: white;
border: solid #b9b9b9 1px;
width: 360px;
height: 135px;
}
.input {
margin-top: 3px;
margin-bottom: 3px;
background-color: white;
border: solid #b9b9b9 1px;
width: 360px;
height: 25px;
}
/*
.label {
padding-right: 10px;
font-family: "Tahoma";
color: black;
font-size: 14px;
float: left;
text-align: right;
}*/
.label {
float:left;
margin-right:20px;
text-align:right;
width:100px;
font-family: "Tahoma";
color: black;
font-size: 14px;
margin-top: 10px;
}
.gender {
font-family: "Tahoma";
font-size: 13px;
color: #6f6f6f;
}
input[type=radio] {
margin-top: 10px;
}
#form_container {
margin: auto;
width: 552px;
}
.radio {
margin-left: 30px;
}
</style>
<body>
<img src="/home/chirag/Downloads/vinsol-logo.png">
<p>
Email us at: <a href="MAILTO:sales@vinsol.com">sales@vinsol.com</a>
<span id="skype">Skype</span>:<span id="vinsol">Vinsol</span>
</p>
<hr/><br/>
<div id="form_container">
<div id="heading">Please fill the form below</div>
<form action="default.htm" method="post">
<label for="firstname" class="label">First Name</label>
<input type="text" class="input" id="first_name" name="first_name"><br/>
<label for="lastname" class="label">Last Name</label>
<input type="text" class="input" id="last_name" name="last_name"><br/>
<label for="email" class="label">Email Address</label>
<input type="email" class="input" id="email" name="email"><br/>
<label for="Password" class="label">Password</label>
<input type="password" class="input" id="password" name="password"><br/>
<label for="gender" class="label">Gender</label>
<input type="radio" name="gender" id="male" value="male" checked>
<label for="male" class="gender">Male</label>
<input type="radio" class="radio" name="gender" id="female" value="female">
<label for="female" class="gender">Female</label><br/>
<label for="dob" class="label">Date of Birth</label>
<select class="select_box" id="date" name="date">
<option id="1" value="1">01</option>
<option id="2" value="2">02</option>
<option id="3" value="3">03</option>
<option id="4" value="4">04</option>
<option id="5" value="5">05</option>
<option id="6" value="6">06</option>
<option id="7" value="7">07</option>
<option id="8" value="8">08</option>
<option id="9" value="9">09</option>
<option id="10" value="10">10</option>
<option id="11" value="11">11</option>
<option id="12" value="12">12</option>
<option id="13" value="13">13</option>
<option id="14" value="14">14</option>
<option id="15" value="15">15</option>
<option id="16" value="16">16</option>
<option id="17" value="17">17</option>
<option id="18" value="18">18</option>
<option id="19" value="19">19</option>
<option id="20" value="20">20</option>
<option id="21" value="21">21</option>
<option id="22" value="22">22</option>
<option id="23" value="23">23</option>
<option id="24" value="24">24</option>
<option id="25" value="25">25</option>
<option id="26" value="26">26</option>
<option id="27" value="27">27</option>
<option id="28" value="28">28</option>
<option id="29" value="29">29</option>
<option id="30" value="30">30</option>
<option id="31" value="31">31</option>
</select>
<select class="select_box" id="month" name="month">
<option id="1" value="1">01</option>
<option id="2" value="2">02</option>
<option id="3" value="3">03</option>
<option id="4" value="4">04</option>
<option id="5" value="5">05</option>
<option id="6" value="6">06</option>
<option id="7" value="7">07</option>
<option id="8" value="8">08</option>
<option id="9" value="9">09</option>
<option id="10" value="10">10</option>
<option id="11" value="11">11</option>
<option id="12" value="12">12</option>
</select>
<select class="select_box" id="year" name="year">
<option id="83" value="83">83</option>
<option id="84" value="84">84</option>
<option id="85" value="85">85</option>
<option id="86" value="86">86</option>
<option id="87" value="87">87</option>
<option id="88" value="88">88</option>
<option id="89" value="89">89</option>
<option id="90" value="90">90</option>
<option id="91" value="91">91</option>
<option id="92" value="92">92</option>
<option id="93" value="93">93</option>
<option id="94" value="94">94</option>
<option id="95" value="95">95</option>
</select><br/>
<label for="address" class="label">Address</label>
<input type="text" id="address" name="address"></br></br>
<input type="submit" id="submit" value="Submit Details">
</form>
</div>
</body>
</head>
</html>
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