| <!DOCTYPE html> |
| <!-- Copyright 2016 The Chromium Authors. All rights reserved. |
| Use of this source code is governed by a BSD-style license that can be |
| found in the LICENSE file. --> |
| <h3>Profile form</h3> |
| <form name="profile_form" id="profile_form" action="destination.html" method="post"> |
| Name: <input type="text" name="name" id="name" /><br /> |
| Address: <input type="text" name="address" id="address" /><br /> |
| City: <input type="text" name="city" id="city" /><br /> |
| State: <select name="state" id="state"> |
| <option value="CA">CA</option> |
| <option value="MA">MA</option> |
| <option value="NY">NY</option> |
| <option value="MD">MD</option> |
| <option value="OR">OR</option> |
| <option value="OH">OH</option> |
| <option value="IL">IL</option> |
| <option value="DC">DC</option> |
| </select> <br /> |
| Zip: <input name="zip" id="zip"> <br /> |
| <input id="submit_profile" type="submit" value="Submit Profile" /> |
| </form> |