Commit | Line | Data |
---|---|---|
674cdd66 TB |
1 | <div> |
2 | <h1>Dialer</h1> | |
3 | ||
4 | <form id="appform" method="post" name="appform"> | |
5 | <div id="city_div"> | |
d4b9a41a | 6 | City: <input type="text" name="city"/> |
674cdd66 TB |
7 | </div> |
8 | ||
9 | <div id="state_div"> | |
d4b9a41a | 10 | State: <input type="text" name="state"/> |
674cdd66 TB |
11 | </div> |
12 | ||
13 | <div id="company_div"> | |
d4b9a41a | 14 | Company: <input type="text" name="company"/> |
674cdd66 TB |
15 | </div> |
16 | ||
17 | <div id="data_source_div"> | |
d4b9a41a MG |
18 | Data Source: <input type="text" name="data_source"/> |
19 | </div><input type="submit" value="locate records"/> | |
674cdd66 TB |
20 | </form> |
21 | </div> |