/
form_reminder.html
55 lines (45 loc) · 1.37 KB
/
form_reminder.html
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<h1>Form reminder (needs edit)</h1>
<form id="form1"
method="post" target = "_"
action="form_submitted.html">
<input type="hidden" name="form" value="form_reminder"/>
<table border="1" cellspacing="0" cellpadding="5" width="95%">
<tbody>
<tr>
<td valign="top" align="right"><b>Reminder:</b></td>
<td>
<b>Number of times</b>
<input type="text" name="times" style="width:50px"/>
<br>
<b>First time</b> <input name="first_date" type="date"/>
</td>
</tr>
<tr>
<td valign="top" align="right"><b>Repeat:</b></td>
<td>
<input type="radio" name="repeat" value="never" checked="checked"/>
<b>Never</b>
<input type="radio" name="repeat" value="daily" />
<b>Dayly</b>
<input type="radio" name="repeat" value="weekly"/>
<b>Weekly</b>
<input type="radio" name="repeat" value="monthly"/>
<b>Monthly</b>
<input type="radio" name="repeat" value="yearly"/>
<b>Yearly</b>
</td>
</tr>
<tr>
<td align="right" valign="top"><b>Text:</b></td>
<td align="left">
<textarea name="text" cols="50" rows="10">
</textarea>
</td>
</tr>
</tbody>
</table>
<input type="button" onclick="send_form_and_hide_modal('form1', 'myform1');"
value="Send" />
<input type="reset" value="Reset"/>
<input type="button" onclick="hide_modal('modal1');" value="Cancel" />
</form>