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https://conquistesuavida.com.br/forms/post

html conquistesuavida.com.br collected 2026-10-02 11:24:55 UTC 1,397 bytes, 29 lines download raw bytes

1<!DOCTYPE html>
2<html>
3  <head>
4  </head>
5  <body>
6  <!-- Example form from HTML5 spec http://www.w3.org/TR/html5/forms.html#writing-a-form's-user-interface -->
7  <form method="post" action="/post">
8   <p><label>Customer name: <input name="custname"></label></p>
9   <p><label>Telephone: <input type=tel name="custtel"></label></p>
10   <p><label>E-mail address: <input type=email name="custemail"></label></p>
11   <fieldset>
12    <legend> Pizza Size </legend>
13    <p><label> <input type=radio name=size value="small"> Small </label></p>
14    <p><label> <input type=radio name=size value="medium"> Medium </label></p>
15    <p><label> <input type=radio name=size value="large"> Large </label></p>
16   </fieldset>
17   <fieldset>
18    <legend> Pizza Toppings </legend>
19    <p><label> <input type=checkbox name="topping" value="bacon"> Bacon </label></p>
20    <p><label> <input type=checkbox name="topping" value="cheese"> Extra Cheese </label></p>
21    <p><label> <input type=checkbox name="topping" value="onion"> Onion </label></p>
22    <p><label> <input type=checkbox name="topping" value="mushroom"> Mushroom </label></p>
23   </fieldset>
24   <p><label>Preferred delivery time: <input type=time min="11:00" max="21:00" step="900" name="delivery"></label></p>
25   <p><label>Delivery instructions: <textarea name="comments"></textarea></label></p>
26   <p><button>Submit order</button></p>
27  </form>
28  </body>
29</html>

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