-
Notifications
You must be signed in to change notification settings - Fork 0
/
Copy pathindex.html
115 lines (93 loc) · 3.31 KB
/
index.html
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
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
<!DOCTYPE html>
<html lang="EN">
<head>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Form</title>
<link rel="stylesheet" href="style.css">
<link href="https://fonts.googleapis.com/css?family=Merriweather:400,700" rel="stylesheet">
</head>
<body>
<div class="title">
<h1>The code review </h1>
</div>
<h2># for our newsletter </h2>
<h3>Get the latest news on how your code is doing right in your inbox </h3>
<form action="index.html" method="post">
<hr id="main_hr">
<hr id="main_hr2">
<fieldset class="contact">
<legend>Contact information </legend>
<div class="user_info">
<label for="name">Full Name</label>
<input required type="text" id="name" name="full_name" placeholder="Required"><br>
</div>
<div class="user_info">
<label for="email">Email Address</label>
<input required type="email" id="email" name="email_adress" placeholder="Required"><br>
</div>
<div class="user_info">
<label for="phone">Phone Number</label>
<input type="tel" id="phone" name="phone_number"><br>
</div>
<div class="user_info">
<label for="adress">Street Address</label>
<input type="text" id="adress" name="street_adress"><br>
</div>
<div class="user_info">
<label for="city">City</label>
<input type="text" id="city" name="user_city"><br>
</div>
<div class="user_info">
<label for="state">State</label>
<select id="state" name="user_state">
<option value="0">Choose State:</option>
<option value="Alabama">Alabama</option>
<option value="arizona">Arizona</option>
<option value="california">California</option>
<option value="oregon">Oregon</option>
<option value="Nebraska">Nebraska</option>
<option value="new mexico">New Mexico</option>
<option value="texas">Texas</option>
<option value="washington">Washington</option>
<option value="Wisconsin">Wisconsin</option>
</select>
</div>
<div class="user_info zip_code" >
<label for="zip">Zip Code</label>
<input type="text" id="zip" name="zip_code">
</div>
</fieldset>
<hr>
<fieldset>
<legend>Newsletter</legend>
<p>Select the newsletter you would like to receive</p>
<div class="newsletter">
<div class="newsletter_choice">
<input type="checkbox" id="html_news" value="html_news" name="newsletter_topic"><label for="html_news">HTML News</label>
</div>
<div class="newsletter_choice">
<input type="checkbox" id="css_news" value="css_news" name="newsletter_topic"><label for="css_news">CSS News</label>
</div>
<div class="newsletter_choice">
<input type="checkbox" id="javascript_news" value="javascript_news" name="newsletter_topic"><label for="javascript_news">Javascript News</label>
</div>
</div>
<p>Newsletter format </p>
<div class="newsletter_choice">
<input type="radio" id="html" value="html" name="newsletter_format"><label for="html">HTML</label>
</div>
<div class="newsletter_choice">
<input type="radio" id="plain_text" value="plain_text" name="newsletter_format"><label for="plain_text">Plain Text</label>
</div>
<div class="newsletter_choice">
<label>Other topics you'd like to hear about</label>
<textarea id="topic" name="user_topic" placeholder="Optional"></textarea>
</div>
</fieldset>
<br>
<button type="submit">#</button>
</form>
<p id="copyright">© The Code Review </p>
</body>
</html>