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  1. <html>
  2. <head>
  3. <meta charset="utf-8">
  4. <meta name="viewport" content="width=device-width, initial-scale=1.0">
  5. <title>Daisy's Dairy Order Form</title>
  6. <style>
  7. body
  8. {
  9. font-family: verdana, arial, helvetica, sans-serif;
  10. font-size: 12px;
  11. box-sizing: border-box;
  12. }
  13. label
  14. {
  15. padding: 10px;
  16. }
  17. .formFrame
  18. {
  19. width: 200px;
  20. padding: 10px;
  21. }
  22. .firstColumn
  23. {
  24. float: left;
  25. width: 50px;
  26. padding: 10px;
  27. }
  28. .column
  29. {
  30.  
  31. width: 80px;
  32. padding: 10px;
  33. }
  34. </style>
  35. </head>
  36.  
  37. <body>
  38. <div class="formFrame">
  39. <form method="POST" action="order.php">
  40. <fieldset>
  41. <legend>Customer Details</legend>
  42. <label>First name:<br>
  43. <input type="text" name="FirstName">
  44. </label><br>
  45. <label>Last name:<br>
  46. <input type="text" name="LastName">
  47. </label><br>
  48. <label>Email:<br>
  49. <input type="text" name="Email">
  50. </label><br>
  51. <label>Phone:<br>
  52. <input type="text" name="Phone">
  53. </label><br>
  54. <fieldset>
  55. <legend>Address</legend>
  56. <label>Street number<br>
  57. <input type="text" name="StreetNum">
  58. </label>
  59. <label>Street name<br>
  60. <input type="text" name="StreetName">
  61. </label>
  62. <label>Town or suburb<br>
  63. <input type="text" name="Suburb">
  64. </label>
  65. <label>Postcode<br>
  66. <input type="text" name="Postcode">
  67. </label>
  68. </fieldset>
  69. </fieldset>
  70. <fieldset>
  71. <legend>Order Details</legend>
  72. <label><div class="firstColumn">Milk:</div>
  73. <div class="column">
  74. <select name="Milk">
  75. <option value="1">1 litre</option>
  76. <option value="2">2 litre</option>
  77. <option value="3">3 litre</option>
  78. <option value="4">4 litre</option>
  79. </select>
  80. </div>
  81. </label>
  82. <br>
  83. <label><div class="firstColumn">Bread:</div>
  84. <div class="column">
  85. <select name="Bread">
  86. <option value="1">1 loaf</option>
  87. <option value="2">2 loaves</option>
  88. <option value="3">3 loaves</option>
  89. <option value="4">4 loaves</option>
  90. </select>
  91. </div>
  92. </label>
  93. <br>
  94. <label><div class="firstColumn">Butter:</div>
  95. <div class="column">
  96. <select name="Butter">
  97. <option value="250">250 g</option>
  98. <option value="500">500 g</option>
  99. </select>
  100. </div>
  101. </label>
  102. <br>
  103. <label><div class="firstColumn">Cheese:</div>
  104. <div class="column">
  105. <select name="Cheese">
  106. <option value="250">250 g</option>
  107. <option value="500">500g</option>
  108. <option value="1000">1 kg</option>
  109. </select>
  110. </div>
  111. </label>
  112. <br>
  113. <label><div class="firstColumn">Eggs:</div>
  114. <div class="column">
  115. <select name="Eggs">
  116. <option value="6">Half a dozen</option>
  117. <option value="12">A dozen</option>
  118. </select>
  119. </div>
  120. </label>
  121. <br>
  122. <input type="submit" value="Submit Order">
  123. </fieldset>
  124. </form>
  125. </div>
  126. </body>
  127. </html>
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