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80 changes: 80 additions & 0 deletions contact.html
Original file line number Diff line number Diff line change
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<!DOCTYPE html>
<html>
<body>

<h1>CONTACT</h1>


<label for="fname">First name:</label>
<input type="text" id="fname" name="fname"><br><br>

<label for="lname">Last name:</label>
<input type="text" id="fname" name="lname"><br><br>

<label for="lname">Contact phone number:</label>
<input type="text" id="contactpn" name="contactpn"><br><br>
<input type="submit" value="Submit">

<p>Please select yout phone type:</p>

<input type="radio" id="landline" name="phone" value="landline">
<label for="landline">Landline</label><br>

<input type="radio" id="mobile" name="phone" value="mobile">
<label for="mobile">Mobile</label><br>

<br></br>

<label for="contactemail">Contact Email:</label>
<input type="text" id="contactemail" name="contactemail"><br><br>





<label for="contact">How did you hear about us ?</label>
<select id="contact" name="contact">
<option value="Search Engine">Search Engine</option>
<option value="Social Media">Social Media</option>
<option value="Recruiter" selected>Recruiter</option>
</select>
<br></br>
<input type="submit">

<br></br>

<h1>Interest of contacting</h1>
<input type="checkbox" id="skills" name="vehicle1" value="skills">
<label for="skills">Perform data entry</label><br>

<input type="checkbox" id="skills" name="vehicle1" value="skills">
<label for="skills">Measure and record vital signs</label><br>

<input type="checkbox" id="skills" name="vehicle1" value="skills">
<label for="skills">Attention to detail</label><br>

<input type="checkbox" id="skills" name="vehicle1" value="skills">
<label for="skills">Time Management</label><br>

<input type="checkbox" id="skills" name="vehicle1" value="skills">
<label for="skills">Following protocols</label><br>


<h1>Message</h1>


<label for="message">Message:</label>
<textarea id="message" name="message" rows="4" cols="50">
250 character limit
</textarea>
<br><br>
<input type="submit" value="Submit">


<a href="resume.html</a>


</form>

</body>
</html>
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