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- <!doctype html>
- <html>
- <head>
- <title></title>
- </head>
- <body style="background-color: gray;">
- <fieldset style="Display: inline-block; background-color: yellow;">
- <legend style="background-color: red;">Personalia</legend>
- <form method="post" action="mailto:10086776edu.regiocollege.nl?subject=BevestigingsFormulier">
- <table>
- <tr>
- <td>Naam</td>
- <td><input type="text" placeholder="Voornaam achternaam" required></td>
- </tr>
- <tr>
- <td>E-mail</td>
- <td><input type="text" required></td>
- </tr>
- <tr>
- <td>URL</td>
- <td><input type="text" required></td>
- </td>
- </tr>
- <tr>
- <td>Land</td>
- <td><input type="text" required></td>
- </td>
- </tr>
- <tr>
- <td>Telnummer</td>
- <td><input type="tel"></td>
- </tr>
- <tr>
- <td>Wachtwoord</td>
- <td><input type="password"></td>
- </tr>
- <tr>
- <td><a>opmerkingen:</a></td>
- <td><textarea style="width:97%; height:100px" placeholder="opmerking"></textarea></td>
- </tr>
- </table>
- <input type="submit">
- </form><br>
- </fieldset>
- <form method="post"action="mailto:10086776edu.regiocollege.nl?subject=BevestigingsFormulier">
- <fieldset style="background-color:yellow; display:inline-block;">
- <legend style="background-color:red;">Prive vragen</legend>
- <table>
- <tr>
- <td>Leeftijd</td>
- <td><input type="number" value="18" name="leeftijd" min="18" max="120"></td>
- </tr>
- <tr>
- <td>Gewicht:</td>
- <td>50kg<input type="range" value="gewicht" name="gewicht" min="30" max="250" />100kg</td>
- </tr>
- <tr>
- <td>Geboortedatum</td>
- <td><input type="date"></td>
- </tr>
- <tr>
- <td>Lievelingskleur</td>
- <td><input type="color"></td>
- </tr>
- </table>
- <input type="submit" >
- </form>
- </body>
- </html>
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