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Sep 6th, 2023
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  1. <!DOCTYPE html>
  2. <html>
  3. <head>
  4. <meta charset="utf-8">
  5. <meta name="description" content="This is where your description goes">
  6. <meta name="keywords" content="one, two, three">
  7.  
  8. <title>TV Repair Form</title>
  9.  
  10. <!-- external CSS link -->
  11. <link rel="stylesheet" href="css/normalize.css">
  12. <link rel="stylesheet" href="css/style.css">
  13. </head>
  14. <body>
  15. <div>
  16. <form id="myForm" action="/submit" method="POST"> <!-- Update the action attribute to /submit -->
  17. <h2>New Customer</h2>
  18.  
  19. <label for="cusName">Name of Customer:</label>
  20. <input type="text" id="cusName" name="cusName" required> <!-- Update the name attribute -->
  21.  
  22. <label for="dropoffDate">Date:</label>
  23. <input type="date" id="dropoffDate" name="dropoffDate" required> <!-- Update the name attribute -->
  24.  
  25. <label for="phoneNumber">Phone Number:</label>
  26. <input type="text" id="phoneNumber" name="phoneNumber" required> <!-- Update the name attribute -->
  27.  
  28. <label for="makeModel">Model Number of TV:</label>
  29. <input type="text" id="makeModel" name="makeModel" required> <!-- Update the name attribute -->
  30.  
  31. <label for="serialNumber">Serial Number of TV:</label>
  32. <input type="text" id="serialNumber" name="serialNumber" required> <!-- Update the name attribute -->
  33.  
  34. <label for="description">Description of Problem:</label>
  35. <textarea id="description" name="description" required></textarea>
  36.  
  37. <label for="items">Items Included in Drop-off:</label>
  38. <input type="text" id="items" name="items">
  39.  
  40. <button type="submit" id="newsubmit">Submit</button>
  41. </form>
  42. </div>
  43.  
  44. <div>
  45. <a href="index.html">Home</a>
  46. </div>
  47.  
  48. </body>
  49. </html>
  50.  
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