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- <!doctype html>
- <html>
- <head>
- <meta charset="utf-8"/>
- <title></title>
- </head>
- <body>
- <p>
- <label for="first_name" id="name1_label">first name: </label>
- <input type="text" name="name1" id="name1"><br/>
- <label for="last_name" id="name2_label">last name: </label>
- <input type="text" name="name2" id="name2"><br/>
- <label for="initial" id="initial_label">middle initial: </label>
- <input type="text" name="initial" id="initial"><br/>
- <label for="address" id="address_label">home address: </label>
- <input type="text" name="address" id="address"><br/>
- <label for="city" id="city_label">city: </label>
- <input type="text" name="city" id="city"><br/>
- <label for="state" id="state_label">state: </label>
- <input type="text" name="state" id="state"><br/>
- <label for="zip_code" id="ZIPcode_label">ZIP code: </label>
- <input type="text" name="ZIPcode" id="ZIPcode"><br/>
- <label for="username" id="username_label">username: </label>
- <input type="text" name="username" id="username"><br/>
- <label for="password" id="password_label">password: </label>
- <input type="text" name="password" id="password"><br/>
- <label for="password_confirm" id="password2_label">confirm password: </label>
- <input type="text" name="password2" id="password2"><br/>
- <label for="user_agreement" id="agreement_label">user agreement: </label>
- <input type="radio" name="agreement" id="agreement"><br/>
- </p>
- <p>
- <input type="submit" value="Submit">
- </p>
- <script type="text/javascript" charset="utf-8">
- </script>
- </body>
- </html>
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