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1 <!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01//EN"> | |
2 <html> | |
3 <head> | |
4 <title>Autofill Form</title> | |
5 </head> | |
6 <body> | |
7 <form id="testform" method="post"> | |
8 <!-- Profile --> | |
9 <label for="NAME_FIRST">First Name:</label> | |
10 <input type="text" id="NAME_FIRST" name="firstname"><br/> | |
11 <label for="NAME_MIDDLE">Middle Name:</label> | |
12 <input type="text" id="NAME_MIDDLE" name="middlename"><br/> | |
13 <label for="NAME_LAST">Last Name:</label> | |
14 <input type="text" id="NAME_LAST" name="lastname"><br/> | |
15 <label for="EMAIL_ADDRESS">Email:</label> | |
16 <input type="text" id="EMAIL_ADDRESS" name="email"><br/> | |
17 <label for="COMPANY_NAME">Company:</label> | |
18 <input type="text" id="COMPANY_NAME" name="company"><br/> | |
19 | |
20 <label for="ADDRESS_HOME_LINE1">Address:</label> | |
21 <input type="text" id="ADDRESS_HOME_LINE1" name="address"><br/> | |
22 <label for="ADDRESS_HOME_LINE2">Address 2:</label> | |
23 <input type="text" id="ADDRESS_HOME_LINE2" name="address2"><br/> | |
24 <label for="ADDRESS_HOME_CITY">City:</label> | |
25 <input type="text" id="ADDRESS_HOME_CITY" name="city"><br/> | |
26 <label for="ADDRESS_HOME_STATE">State:</label> | |
27 <input type="text" id="ADDRESS_HOME_STATE" name="state"><br/> | |
28 <label for="ADDRESS_HOME_ZIP">Zip:</label> | |
29 <input type="text" id="ADDRESS_HOME_ZIP" name="zipcode"><br/> | |
30 | |
31 <label for="ADDRESS_HOME_COUNTRY">Country:</label> | |
32 <input type="text" id="ADDRESS_HOME_COUNTRY" name="country"><br/> | |
33 <label for="PHONE_HOME_WHOLE_NUMBER">Phone:</label> | |
34 <input type="text" id="PHONE_HOME_WHOLE_NUMBER" name="phone"><br/> | |
35 <input type="submit" value="send"> <input type="reset"> | |
36 </form> | |
37 </body> | |
38 </html> | |
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