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- <html>
- <head>
- <title> Formularz</title>
- <meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
- </head>
- <body>
- <style type="text/css">
- body{
- background-attachment: fixed;
- margin: 50;
- background: #6d0000;
- }
- .content{
- width: 1280px;
- margin: auto;
- }
- .programs{
- background: #b70e0e;
- border: 1px solid #b70e0e;
- padding-left: 15px;
- padding-right: 15px;
- padding-bottom: 5px;
- color: #000000;
- font-family: 'Pacifico', cursive;
- }
- </style>
- <form class = "programs" action="localhost/skrypt_form.php" method="post">
- <b><font size="4"> <b> Formularz kontaktowy </font></b><br><br>
- Nazwisko:<br/>
- <input type="text" name="nazw" value=" " size="30"><br>
- Imie:<br/>
- <input type="text" name="im" value=" " size="30"><br>
- Zawód:<br/>
- <input type="text" name="zaw" value=" " size="30"><br>
- Adres email:<br/>
- <input type="text" name="adr" value=" " size="30"><br>
- Numer telefonu:<br/>
- <input type="text" name="tel" value=" " size="30"><br>
- <b>wykształcenie</b>
- <input type="radio" name="wykszt" value="podst" checked>Podstawowe<br>
- <input type="radio" name="wykszt" value="srednie" checked>Srednie<br>
- <input type="radio" name="wykszt" value="wyzsze" checked>Wyzsze<br>
- <input type="radio" name="wykszt" value="zaw" checked>Zawodowe<br>
- <input type="checkbox" name="opcja" maxlength="1">
- Zgadzam się na przetwarzanie moich danych osobowych<br><br>
- <input type="submit" name="Wyslij" value="Wyslij">
- <input type="reset" name="zeruj" value="wyczysc" >
- </form>
- </body>
- </html>
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