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registration.html
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registration.html
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<!DOCTYPE html>
<html lang="en">
<meta charset="UTF-8">
<head>
<title>Registration</title>
<link rel="stylesheet" href="css/foundation.css">
</head>
<body>
<table>
<div id="overall">
<h1>Registration Form</h1>
<fieldset>
<legend>Contact Form</legend>
<form id="formid" action=http://keepsafe.cmspace.org/registration.html>
<label for= "surname">Surname : </label>
<input type="text" id="Surname" name="surname" size="30" height="30" />
<div>
</div>
<label for= "firstname"> Firstname : </label>
<input type="text" id="Firstname" name="firstname" size="30" height="30" />
<div>
</div>
<label for= "address"> Address : </label>
<input type="text" id="Address" name="address" size="30" height="30" />
<div>
</div>
<label for= "postcode"> Postcode : </label>
<input type="text" id="Postcode" name="postcode" size="30" height="30" />
<div>
</div>
<label for= "telNo"> Tel No : </label>
<input type="text" id="Tel No" name="telNo" size="30" height="30" />
<div>
</div>
<label for= "email"> Email : </label>
<input type="text" id="Email" name="email" size="30" height="30" />
</div>
</form>
</fieldset>
</div>
</table>
If you wish to be contacted about other projects or oppertunities how would you like to be contacted?
<table>
<fieldset>
<form="formid" action=http://keepsafe.cmspace.org/registration.html>
<div align="left">
<input type="checkbox" name="option1" value="Email"> Email<br>
<input type="checkbox" name="option2" value="Text"> Text<br>
<input type="checkbox" name="option3" value="Phone"> Phone<br>
<input type="checkbox" name="option4" value="Post"> Post<br>
<input type="checkbox" name="option5" value="Other"> Other<br>
</div>
</form>
</fieldset>
</table>
How did you hear about Keep Safe Essex?
<table>
<fieldset>
<form="formid" action=http://keepsafe.cmspace.org/registration.html>
<div align="left">
<input type="checkbox" name="option1" value="Flyer"> Flyer<br>
<input type="checkbox" name="option2" value="Poster"> Poster<br>
<input type="checkbox" name="option3" value="Email"> Email<br>
<input type="checkbox" name="option4" value="Facebook"> Facebook<br>
<input type="checkbox" name="option5" value="Other"> Other<br>
</div>
</form>
</fieldset>
</table>
Equality Monitoring(Optional)
<table>
<fieldset>
<form="formid" action=http://keepsafe.cmspace.org/registration.html>
<div align="left">
<input type="checkbox" name="option1" value="Age"> Age<br>
</div>
</form>
</fieldset>
<fieldset>
<form="formid" action=http:keepsafe.cmspace.org/registration.html>
<div align="left">
<input type="checkbox" name="option1" value="Male"> Male<br>
<input type="checkbox" name="option2" value="Female"> Female<br>
<input type="checkbox" name="option5" value="Other"> Other<br>
</div>
</form>
</fieldset>
</table>
<table>
<fieldset>
<form id="formid" action=http:keepsafe.cmspace.org/registration.html>
<label for= "ethnicity"> Ethnicity (Please state in the box below) : </label>
<input type="text" id="ethnicity" name="Ethnicity" size="30" height="30" /><br>
<div>
</div>
<label for= "disability"> Disability, if any (please state in the box below) : </label>
<input type="text" id="disability" name="Disability" size="30" height="30" /><br>
</form>
</fieldset>
</table>
</body>
</html>