| <!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01//EN"> |
| <html> |
| <head> |
| <title>Autofill Form</title> |
| </head> |
| <body> |
| <form id="testform" method="post"> |
| <!-- Profile --> |
| <label for="NAME_FIRST">First Name:</label> |
| <input type="text" id="NAME_FIRST" name="firstname"><br/> |
| <label for="NAME_MIDDLE">Middle Name:</label> |
| <input type="text" id="NAME_MIDDLE" name="middlename"><br/> |
| <label for="NAME_LAST">Last Name:</label> |
| <input type="text" id="NAME_LAST" name="lastname"><br/> |
| <label for="EMAIL_ADDRESS">Email:</label> |
| <input type="text" id="EMAIL_ADDRESS" name="email"><br/> |
| <label for="COMPANY_NAME">Company:</label> |
| <input type="text" id="COMPANY_NAME" name="company"><br/> |
| |
| <label for="ADDRESS_HOME_LINE1">Address:</label> |
| <input type="text" id="ADDRESS_HOME_LINE1" name="address"><br/> |
| <label for="ADDRESS_HOME_LINE2">Address 2:</label> |
| <input type="text" id="ADDRESS_HOME_LINE2" name="address2"><br/> |
| <label for="ADDRESS_HOME_CITY">City:</label> |
| <input type="text" id="ADDRESS_HOME_CITY" name="city"><br/> |
| <label for="ADDRESS_HOME_STATE">State:</label> |
| <input type="text" id="ADDRESS_HOME_STATE" name="state"><br/> |
| <label for="ADDRESS_HOME_ZIP">Zip:</label> |
| <input type="text" id="ADDRESS_HOME_ZIP" name="zipcode"><br/> |
| |
| <label for="ADDRESS_HOME_COUNTRY">Country:</label> |
| <input type="text" id="ADDRESS_HOME_COUNTRY" name="country"><br/> |
| <label for="PHONE_HOME_WHOLE_NUMBER">Phone:</label> |
| <input type="text" id="PHONE_HOME_WHOLE_NUMBER" name="phone"><br/> |
| <input type="submit" value="send"> <input type="reset"> |
| </form> |
| </body> |
| </html> |
