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- <html>
- <head>
- <title>FORMULARZ</title>
- <meta http-equiv="ContentType" content="txt/html" charset="utf-8">
- </head>
- <script type="text/javascript" src="form_check.js">
- </script>
- <body>
- <form name="dane_osobowe">
- <table>
- <tr><td>Podaj imię</td> <td><input type="text" name="imie"></td></tr>
- <tr><td>Podaj nazwisko</td> <td><input type="text" name="nazwisko"></td></tr>
- <tr><td>Podaj płeć</td>
- <td>
- <input type="radio" value="k_p" name="plec" checked> Kobieta <br>
- <input type="radio" value="m_p" name="plec" checked> Mężczyzna </td></tr>
- <tr><td>N.panieńskie</td><td><input type="text" name="nazwisko_p"></td></tr>
- <tr><td>E-mail</td><td><input type="text" name="email"></td></tr>
- <tr><td>Kod pocztowy</td><td><input type="text" name="kod"></td></tr>
- <tr><td>Ulica/Osiedle</td><td><input type="text" name="ulica"></td></tr>
- <tr><td>Miasto</td><td><input type="text" name="miasto"></td></tr>
- <tr><td>Uwagi</td><td><textarea></textarea></td></tr>
- <tr><td>
- <input type="button" name="Prześlij" value="Prześlij" onClick="return validate(this.form)" ></td>
- <td><input type="reset" name="wyczysc" value="Wyczyść"></td></tr></table>
- </form>
- </body>
- </html>
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