Advertisement
Guest User

adam- your ict

a guest
Jan 22nd, 2018
329
0
Never
Not a member of Pastebin yet? Sign Up, it unlocks many cool features!
text 1.18 KB | None | 0 0
  1. <form class="subscribeForm" name="Subscription Form" method="post" action="mailto:info@deucelawntennisclub.co.uk" enctype="text/plain">
  2.  
  3. <input id="title" type="text" placeholder="Title*" Name="Title" required>
  4. <br>
  5. <br>
  6. <input id="fname" type="text" placeholder="Foreame*" Name="ForeName" required>
  7. <br>
  8. <br>
  9. <input id="Sname" type="text" placeholder="Surname*" name="Surname" required>
  10. <br>
  11. <br>
  12. <input id="telno" type="tel" placeholder="Contact Number*" name="telno" size="20" minlength="11" maxlength="11" - required>
  13. <br>
  14. <br>
  15. <input id="email" type="email" placeholder="Email Address*" name="Email Address" pattern=[a-zA-Z0-9.-_]{1,}@[a-zA-Z0-9.-]{1,}[.]{1}[a-zA-Z0-9]{2,} – required>
  16. <br>
  17. <br>
  18. <select name="Ability Level">
  19. <option value="Beginner">Beginner</option>
  20. <option value="Intermediate">Intermediate</option>
  21. <option value="Advanced">Advanced</option>
  22. </select>
  23. <br>
  24. <br>
  25. <input type="submit" id="submit" onClick="MM_openBrWindow('file:"W:\Computing\KS5_ICT_OCR\Secure controlled assessment 2017_18\Baker Ryan\G062\Form Complete Page.html"','','width=300,height=320')" value="Send">
Advertisement
Add Comment
Please, Sign In to add comment
Advertisement