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Nov 22nd, 2018
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  1. <script type='text/javascript'>
  2. // the validate.js content goes here.
  3. </script>
  4.  
  5. <p>
  6. <button value='' onClick='testFormValidation()'>fill with test data</button>
  7. <br />
  8. <button value='' onClick='clearForm()'>Clear Form Data</button>
  9. </p>
  10.  
  11. <form method='POST' action='<?php echo $_SERVER['PHP_SELF']; ?>?menu_key=3' name='userDetails' id='userDetails'>
  12. <table cellpadding='10'>
  13. <tr>
  14. <td>First Name:</td>
  15. <td><input type='text' name='first_name' id='firstname' /></td>
  16. <td><span id='firstnameerrors'></span></td>
  17. </tr>
  18. <tr>
  19. <td>Middle Initial:</td>
  20. <td><input type='text' size='3' name='middle_name' id='middlename' /></td>
  21. <td><span id='middlenameerrors'></span></td>
  22. </tr>
  23. <tr>
  24. <td>Last Name:</td>
  25. <td><input type='text' name='last_name' id='lastname' /></td>
  26. <td><span id='lastnameerrors'></span></td>
  27. </tr>
  28. <tr>
  29. <td>Address Line 1:</td>
  30. <td><input type='text' name='addy_1' id='addy1' /></td>
  31. <td><span id='addy1errors'></span></td>
  32. </tr>
  33. <tr>
  34. <td>Address Line 2:</td>
  35. <td><input type='text' name='addy_2' id='addy2' /></td>
  36. <td><span id='addy2errors'></span></td>
  37. </tr>
  38. <tr>
  39. <td>City:</td>
  40. <td><input type='text' name='city' id='city' /></td>
  41. <td><span id='cityerrors'></span></td>
  42. </tr>
  43. <tr>
  44. <td>State:</td>
  45. <td><input type='text' size='3' name='state' id='state' /></td>
  46. <td><span id='stateerrors'></span></td>
  47. </tr>
  48. <tr>
  49. <td>Zip code:</td>
  50. <td><input type='text' name='zip' id='zip' /></td>
  51. <td><span id='ziperrors'></span></td>
  52. </tr>
  53. <tr>
  54. <td>Username:</td>
  55. <td><input type='text' name='username' id='username' /></td>
  56. <td><span id='usernameerrors'></span></td>
  57. </tr>
  58. <tr>
  59. <td>Password:</td>
  60. <td><input type='text' name='password1' id='password1' /></td>
  61. <td><span id='password1errors'></span></td>
  62. </tr>
  63. <tr>
  64. <td>Password again:</td>
  65. <td><input type='text' name='password2' id='password2' /></td>
  66. <td><span id='password2errors'></span></td>
  67. </tr>
  68. <tr>
  69. <td>Email:</td>
  70. <td><input type='text' name='email' id='email' /></td>
  71. <td><span id='emailerrors'></span></td>
  72. </tr>
  73. <tr>
  74. <td><input type='submit' value='submit'</td>
  75. <td>&nbsp;</td>
  76. <td><span style='color:red;' id='userDetailsErrors'></span></td>
  77. </tr>
  78. </table>
  79. </form>
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