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customer_form.html
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="utf-8" />
<title>Customer Booking Form</title>
</head>
<body>
<form method="post" action="process_form.cgi">
<h1>Car Park Booking Form</h1>
First name: <input type="text" name="first_name" placeholder="e.g. John" /><br/>
Last name: <input type="text" name="last_name" placeholder="e.g. Bain" /><br/>
Street address: <input type="text" name="street" placeholder="e.g. 5 Ormond Way" /><br/>
Town: <input type="text" name="town" placeholder="e.g. Dunkeld" /><br/>
Post code: <input type="text" name="postcode" placeholder="e.g. PH15 6SJ" /><br/>
Telphone number: <input type="tel" name="phone" placeholder="e.g. (01123) 438672" /><br/>
Car registration: <input type="text" name="car" placeholder="e.g. SJ10SPL" /><br/>
<br />
Date in: <input type="date" name="date_in" placeholder="e.g. 2012-12-20" /><br/>
Date out: <input type="datetime" name="date_out" placeholder="e.g. 2012-12-28" /><br/>
<br/>
<input type="submit" name="submit" value="Submit Booking" />
</form>
</body>
</html>