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- <!--Shavit Borisov-->
- <!--30.10.14-->
- <!--http://pastebin.com/SekZGN9n-->
- <!DOCTYPE html>
- <html style="direction: rtl">
- <head>
- <meta charset="UTF-8">
- <style type="text/css">
- td {text-align: right}
- label {background-color: steelblue; font-size: 20px; font-weight: bold}
- #age {width: 3em}
- .buttons {width: 120px}
- </style>
- <title>Form</title>
- </head>
- <body>
- <h1 style="color: darkblue">טופס רישום</h1>
- <form action="mailto:shavitborisov@gmail.com" method="post" name="form1">
- <table>
- <tr>
- <td><label for="fname">שם פרטי:</label></td>
- <td><input type="text" name="fname" id="fname"></td>
- <td><label for="nname">שם כינוי:</label></td>
- <td><input type="text" name="nname" id="nname"></td>
- </tr>
- <tr>
- <td><label for="lname">שם משפחה:</label></td>
- <td><input type="text" name="lname" id="lname"></td>
- <td><label for="pass">קוד גישה:</label></td>
- <td><input type="password" name="pass" id="pass"></td>
- </tr>
- <tr>
- <td><label for="ID">תעודת זהות:</label></td>
- <td><input type="text" name="ID" id="ID"></td>
- <td><label for="passconfirm">קוד גישה פעם נוספת:</label></td>
- <td><input type="password" name="passconfirm" id="passconfirm"></td>
- </tr>
- <tr>
- <td><label for="age">גיל:</label></td>
- <td><input type="number" min="0" max="120" name="age" id="age"></td>
- <td><label for="class">כיתה:</label></td>
- <td><select name="class" id="class">
- <option value="10" selected="selected">כיתה י'</option>
- <option value="11">כיתה י"א</option>
- <option value="12">כיתה י"ב</option>
- </select></td>
- </tr>
- <tr>
- <td><label>מין:</label></td>
- <td>
- <label for="male">זכר:</label><input type="radio" value="male" name="sex" id="male"/>
- <label for="female">נקבה:</label><input type="radio" value="female" name="sex" id="female"/>
- </td>
- <td><label for="notes">הערות:</label></td>
- <td><textarea rows="4" cols="25" name="notes" id="notes"></textarea></td>
- </tr>
- <tr>
- <td><label for="email">אימייל:</label></td>
- <td>
- <input type="email" size="30" name="email" id="email">
- </td>
- </tr>
- <tr>
- <td></td>
- <td>
- <input class="buttons" type="submit" name="submit" value="שלח">
- <input class="buttons" type="reset" name="clear" value="נקה">
- </td>
- </tr>
- </table>
- </form>
- </body>
- </html>
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