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application.html
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140 lines (123 loc) · 6.15 KB
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<!DOCTYPE html>
<html>
<head>
<title>Main page</title>
<!--Compiled and minified CSS-->
<link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/css/bootstrap.min.css">
<!--jQuery CDN-->
<script src="https://code.jquery.com/jquery-3.2.1.js"></script>
<!--Compiled and minified JavaScript-->
<script src="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/js/bootstrap.min.js"></script>
<link rel = "stylesheet" href = "css_R/style_R.css">
</head>
<body class = "row">
<div class = "container">
<header class = "row" >
<div class = "logo col-lg-12 col-md-8 col-sm-6 col-xs-12 ">
<h1 class ="name"><img src = "logo.jpg", alt="logo", width = "200" class = "image-responsive">Ridgeway Country Club</h1>
</div>
</header>
<nav class="row navbar navbar-default">
<div class = "navbar-header">
<button class="navbar-toggle" data-toggle="collapse" data-target="#menu">Menu
</button>
</div>
<div class = "collapse navbar-collapse" id="menu">
<ul class="nav navbar-nav">
<li><a href = "index.html">Home</a></li>
<li><a href = "application.html">Application</a></li>
<li><a href = "waitlist.html">Waitlist</a></li>
<li><a href = "invoice.html" class = "dropdown-toggle" data-toggle="dropdown">Invoice<span class="caret"></span></a>
<ul class="dropdown-menu">
<li><a href = "invoice_2.html">Invoice List</a></li>
</ul>
</li>
<li><a href = "team.html" class = "dropdown-toggle" data-toggle="dropdown">Team<span class="caret"></span></a>
<ul class="dropdown-menu">
<li><a href = "team_rgr.html">Register</a></li>
<li><a href = "captain.html">Captains</a></li>
</ul>
</li>
</ul>
</div>
</nav>
<main>
<H2>Membership Application</H2>
<H3>Please complete the form below to tell us about yourself and join Ridgeway Country Club!</H3>
<form>
<label for="firstname">First Name: </label><br><input type = "text" name="firstname" id="firstname" plaeholder="First Name"><br>
<label for ="lastname">Last Name: </label><input type = "text" name="lastname" id="lastname" plaeholder="Last Name"><br>
<label for="phone">Phone Number: </label><input type = "text" name="phone" id="phone" ><br>
<label for="st">Street Adress: </label><input type = "text" name="st" id="st" class="st"><br>
<label for ="state">State:</label><select name="state" id="state">
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
</select>
<label for ="zip">Zipcode:</label><input type="zipcode" name="zipcode" id="zip">
<label for ="country">Country:</label><select name="country" id="country">
<option value="Afghanistan">Afghanistan</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
</select>
<label for="username">Username: </label><input type = "text" name="username" id="username" ><br>
<label for="password">Password: </label><input type = "password" name="password" id="password" ><br>
Membership Type:
<input type = "radio" name="membership" id="regular" value="regular golf membership"><label for = "regular">Regular Golf Membership</label>
<input type = "radio" name="membership" id="social" value="social membership"><label for = "social">Social Membership</label><br>
Reason for Application:<br>
<input type = "checkbox" name="golf" id="golf"> <label for = "golf">Golf </label><br>
<input type = "checkbox" name="Tennis" id="Tennis"> <label for = "Tennis">Tennis </label><br>
<input type = "checkbox" name="Weddings" id="Weddings"><label for ="Weddings"> Weddings</label><br>
<input type = "checkbox" name="Meetings" id="Meetings"><label for ="Meetings"> Meetings</label><br>
<input type = "checkbox" name="Other reasons" id="Other reasons"><label for ="Other reasons"> Other reasons</label><br>
If you have other reasons, what is it? (*optional) <br>
<textarea></textarea><br>
<input type="radio" name = "V" id = "Married"><label for = "Married"> Married</label>
<input type="radio" name = "V" id = "Single"><label for = "Single"> Single</label>
<input type="radio" name = "V" id = "Prefer_not_to_share"><label for = "Prefer_not_to_share"> Prefer not to share </label><br>
<br>
<br>
<select name = "Dependents" id = "Dependents">
<option></option>
<option value =C1> 1 </option>
<option value =C2> 2 </option>
<option value =C3> 3 </option>
<option value =C4> 4 </option>
<option value =C5> 5</option>
</select>
<p>
<hr>
<b> Misdemeanor Offender</b>:<br>
<input type="radio" name = "M" id = "Yes"><label for = "Yes"> Yes</label>
<input type="radio" name = "M" id = "No"><label for = "No"> No</label><br>
<b> Felony Offender</b>:<br>
<input type="radio" name = "F" id = "Y"><label for = "Y"> Yes</label>
<input type="radio" name = "F" id = "N"><label for = "N"> No</label><br>
<b> Credit Card Information:</b><br>
<select name = "Card" id = "Card">
<option></option>
<option value =C1> Amex </option>
<option value =C2> Visa </option>
<option value =C3> Mastercard </option>
<option value =C4> Discover </option>
<option value =C5> Capital One</option><br>
<br>
</select>
</p>
<p>
<b> Credit Card Number:</b>
<br><input type ="text" maxlength="16" name = "Credit" id = "Credit"><label for = "Credit"></label>
</p>
<p>
<b> Credit Card Security Code:</b><br>
<input type ="text" maxlength="4" name = "Security" id = "Security"><label for = "Security"></label><br>
<a class="button" href="confirmed.html">Submit</a>
</form>
</main>
<footer id="footer_content>
<hr>
<p>Ridgeway Country Club | Phone: 800-555-1234 | 444 Four Circles Dr, Daytona, FL 32114</p>
</footer>
</body>
</html>