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<!DOCTYPE html>
<head>
<style>
ul {
    list-style-type: none;
    margin: 0;
    padding: 0;
    overflow: hidden;
    background-color: #292;
}

li {
    float: left;
}

li a {
    display: block;
    color: white;
    text-align: center;
    padding: 14px 16px;
    text-decoration: none;
}

li a:hover {
    background-color: #111;
}
</style>
<script src="sample-registration-form-validation.js"></script>

</head>


<ul>
  <li><a class="active" href="#home">Home</a></li>
  <li><a href="#news">News</a></li>
  <li><a href="#contact">Contact</a></li>
  <li><a href="#about">About</a></li>
  <li><a href="#legalstuff">Legal Info</a></li>
</ul>


<div style="color:#0000FF">


<img src="https://cdn.shopify.com/s/files/1/0651/1419/products/nicolas-cage-outside.png?v=1441094073" alt="woo"; height="500" width="500">
<script>
function myFunction() {
    alert("Nearly bankrupt.");
}
</script>
<h1>Order Form for Special Agent Oso Plushie</h1>
<h2>Information</h2>
<div style="color:#0000FF">
<button onclick="myFunction()">Current state of business.</button>
<body onload="document.registration.userid.focus();">
<button type="button"
onclick="document.getElementById('time').innerHTML = Date()">
Click me to display Date and Time.</button>

<button type="button" onclick="document.write('1-877-kars4kids')">Contact Number</button>
</script>


<div style="color:#9999FF">


<p id="time"></p>
<h2>Personal Information</h2>
<br>


<br><label for="username">Name:</label>
<br><input type="text" name="username" size="50" />
<br><label for="address">Address:</label></li>
<br><input type="text" name="address" size="50" />
<br><label for="country">Country:</label>
</div>
<br><select name="country">
<option selected="" value="Default">(Please select a country)</option>
<option value="AF">Australia</option>
<option value="AL">Canada</option>
<option value="DZ">India</option>
<option value="AS">Russia</option>
<option value="AD">USA</option>
</select>

<div style="color:#0222FF">
<br><label for="zip">ZIP Code:</label>
<br><input type="text" name="Zipcodezsssssewszsfxdd" size="50" />
<br><label for="state">State:</label></li>
<br><input type="text" name="email" size="50" />
<br><label for="Town:">Town:</label></li>
<br><input type="text" name="email" size="50" />
<br><label for="Customer ID:">Customer ID:</label>
<br><input type="text" name="email" size="50" /><br>
</div>
_________________________________________________________________________<br><br>
<div style="color:#0999FF">
<br><label for="desc">Thoughts:</label>
<br><textarea name="desc" id="desc"></textarea>
<br><input type="submit" name="startover" value="Start Over" />
<button onclick="window.location='http://customcreams.co.uk/ice-cream/';">Order For a Limitted Time</button>

</div>
</form>
<br><br><br><br><br><br><br><br><br>
</body>

</html>