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<html>
<head>
<style type="text/css">
label {
float: left;
width: 300px;
}
input,p span {
display: inline-block;
margin-left: 50x;
}
</style>
</head>
<body>
<form>
<h1>Money Transfer</h1>
<fieldset>
<legend>Recipient</legend>
<p>
<label for="recipientName">Name or company</label>
<input
id="recipientName"
type="text"
name="recipientName"
required="true"
aria-required="true" />
</p>
<p>
<label for="recipientAccount">Account number</label>
<input
id="recipientAccount"
type="text"
name="recipientAccount"
aria-describedby="accountHint"
required="true"
aria-required="true" />
<span id="accountHint">Please enter digits only.</span>
</p>
<p>
<label for="recipientBankCode">Bank code</label>
<input
id="recipientBankCode"
type="text"
name="recipientBankCode"
aria-describedby="bankCodeHint"
required="true"
aria-required="true" />
<span id="bankCodeHint">Please enter digits only.</span>
</p>
<p>
<label>Bank name</label>
<span>will be inserted automatically.</span>
</p>
</fieldset>
<fieldset>
<legend>Transfer Details</legend>
<p>
<label for="amount">Amount</label>
<input
id="amount"
type="text"
name="amount"
aria-describedby="amountHint"
required="true"
aria-required="true" />
<span id="amountHint">Amount in Euro.</span>
</p>
<p>
<label for="reasonLine1">Reason line 1</label>
<input
id="reasonLine1"
type="text"
name="reasonLine1" />
</p>
<p>
<label for="reasonLine2">Reason line 2</label>
<input
id="reasonLine2"
type="text"
name="reasonLine2" />
</p>
<p>
<label for="reasonLine3">Reason line 3</label>
<input
id="reasonLine3"
type="text"
name="reasonLine3" />
</p>
<p>
<label for="reasonLine4">Reason line 4</label>
<input
id="reasonLine4"
type="text"
name="reasonLine4" />
</p>
</fieldset>
<p>
<label for="fulfillmentDate">Fulfillment date</label>
<input
id="fulfillmentDate"
type="text"
name="fulfillmentDate"
aria-describedby="dateHint" />
<span id="dateHint">Please enter date in the format
YYYY.MM.DD. Leave empty if you wish immediate fulfillment.</span>
</p>
<p>
<label for="transferorAccount">Transferor Account</label>
<select
id="transferorAccount"
name="transferorAccount"
required="true"
aria-required="true">
<option>Account 4711</option>
<option>Account 08/15</option>
</select>
</p>
<input
type="submit"
value="Submit" />
</form>
</body>
</html>