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  1. <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN"
  2. "http://w...content-available-to-author-only...3.org/TR/html4/loose.dtd">
  3.  
  4. <html>
  5.  
  6. <head>
  7. <link rel="stylesheet" type="text/css" href="temp.css" />
  8. </head>
  9.  
  10. <body>
  11. <button type="button">Home</button>
  12. <button type="button">Provider</button>
  13. <button type="button">Requester</button>
  14. <button type="button">Contact Us</button>
  15. <h3><p align="center"><b>Atlanta Services</b></p></h3>
  16. <p align="left">You have indicated you need a service. Please complete
  17. the form below and submit. We will search our database and display for you
  18. possible providers. If no provider can be located at this time
  19. we will keep your request until it expires or a provider contacts you by
  20. phone.</p>
  21.  
  22. <form id="check" method="post" action="" onsubmit="return check_value(this);">
  23. <p>Type of Service: <input type="text" name="Type of Service"
  24. size="60"></p>
  25. <p>Email: <input type="text" name="Email" size ="60"></p>
  26. <p>Name: <input type="text" name="Name" size ="60"></p>
  27. <p>Phone: <input type="text" name="Phone" size ="60"></p>
  28. <p>Date: <input type="text" name="Date" size ="60"></p>
  29. <p>Start Time: <input type="text" name="Start Time" size ="60"></p>
  30. <p>End Time: <input type="text" name="End Time" size ="60"></p>
  31. <p><input type=submit value="Submit"><input type=reset
  32. value="Reset"></p>
  33.  
  34. </body>
  35.  
  36. </html>
  37.  
Runtime error #stdin #stdout 0.26s 213248KB
stdin
Standard input is empty
stdout
Standard output is empty