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index.html
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<html>
<head>
<title>VMG POC</title>
<link rel="stylesheet" type="text/css" href="scripts/style.css"></script>
<script type="text/javascript" src="scripts/newscript.js"></script>
</head>
<body>
<div class = "wrapper">
<p><strong>Sign up now!</strong><p>
<form action = "../classes/submit.php" method = "post">
<div class='form' id='personal'>
<p><strong>Personal details</strong><p>
<br><label class='formlabel' for="title">Title: </label><select name="title" class='forminput'>
<option value="Miss">Miss</option>
<option value="Ms">Ms</option>
<option value="Mrs">Mrs</option>
<option value="Mr">Mr</option>
</select>
</br>
<br><label class='formlabel' for = "forename">First name: </label><input type="text" name="forename" class='forminput' id='forename'></br>
<br><label class='formlabel' for = "surname">Last name: </label><input type="text" name="surname" class='forminput' id='surname' onchange="MakeRequest()"></br>
<br><label class ='formlabel' for = "dateOfBirth">DOB: </label>
<select name="day" class='forminput' id='formdob'>
<option value="01">1</option>
<option value="02">2</option>
<option value="03">3</option>
<option value="04">4</option>
<option value="05">5</option>
<option value="06">6</option>
<option value="07">7</option>
<option value="08">8</option>
<option value="09">9</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select>
<select name="month" class='forminput' id='formdob'>
<option value="01">Jan</option>
<option value="02">Feb</option>
<option value="03">Mar</option>
<option value="04">Apr</option>
<option value="05">May</option>
<option value="06">Jun</option>
<option value="07">Jul</option>
<option value="08">Aug</option>
<option value="09">Sep</option>
<option value="10">Oct</option>
<option value="11">Nov</option>
<option value="12">Dec</option>
</select>
<select name="year" class='forminput' id='formdob'>
<option value="1975">1975</option>
<option value="1976">1976</option>
<option value="1977">1977</option>
<option value="1978">1978</option>
<option value="1979">1979</option>
<option value="1980">1980</option>
<option value="1981">1981</option>
<option value="1982">1982</option>
<option value="1983">1983</option>
<option value="1984">1984</option>
<option value="1985">1985</option>
<option value="1986">1986</option>
</select>
<br>
</div>
<div class = 'form' id='personal'>
<p><strong>Contact details</strong><p>
<br><label class='formlabel' for = "preferredTelephone">Telephone: </label><input type="text" name="preferredTelephone" class='forminput'></br>
<br><label class='formlabel' for = "emailAddress">Email address: </label><input type="text" name="emailAddress" class='forminput'></br>
<br><p><strong>Address</strong></p>
<br><label class='formlabel' for = "addressLine1">Address line 1: </label><input type="text" name="addressLine1" class='forminput'></br>
<br><label class='formlabel' for = "addressLine2">Address line 2: </label><input type="text" name="addressLine2" class='forminput'></br>
<br><label class='formlabel' for = "townCity">Town/city: </label><input type="text" name="townCity" class='forminput'></br>
<br><label class='formlabel' for = "countryState">Country: </label><input type="text" name="countyState" class='forminput'></br>
<br><label class='formlabel' for = "postcode">Postcode: </label><input type="text" name="postcode" class='forminput'></br>
<br><label class='formlabel' for = "countryCode">Country code: </label><input type="text" name="countryCode" value="GB" class='forminput'></br>
<br><button>Check address</button></br>
<input type="hidden" name="termsAndConditionsAccepted" value="Y">
<input type="hidden" name="charityMarketingIndicator" value="N">
<input type="hidden" name="allCharityMarketingIndicator" value="N">
<input type="hidden" name="virginMarketingIndicator" value="N">
<input type="hidden" name="vmgMarketingIndicator" value="N"></br>
</div>
<div class='form' id='personal'>
<p><strong>Create your fundraising page</strong><p>
<br><label class='formlabel' for = "peronsalUrl">Your URL</label><input type="text" name="personalUrl" class='forminput' id='personalUrl'></br>
</div>
<input type="submit">
</form>
</div>
</body>
</html>