<html> <head></head> <body bgcolor="lightgrey"> <div align="center"> <h2>Add Contact</h2> <form action="process.php" method="POST"> <fieldset style="widtH:500px; border-color:black;"> <legend>Address Data</legend> <table cellpadding=4> <tr> <td align="right">Name:</td> <td><input type="text" name="name" style="width:250px;"></td> </tr> <tr> <td align="right">First Name:</td> <td><input type="text" name="fname" style="width:250px;"></td> </tr> <tr> <td align="right">Address:</td> <td><input type="text" name="address" style="width:250px;"></td> </tr> <tr> <td align="right">City:</td> <td><input type="text" name="city" style="width:250px;"></td> </tr> <tr> <td align="right">State:</td> <td><input type="text" name="state" style="width:250px;"></td> </tr> <tr> <td align="right">Postal Code:</td> <td><input type="text" name="plz" style="width:100px;"></td> </tr> <tr> <td align="right">Country:</td> <td><input type="text" name="country" style="width:250px;"></td> </tr> </table></fieldset> <br> <fieldset style="widtH:500px; border-color:black;"> <legend>Contact Data</legend> <table cellpadding=4> <tr> <td align="right">Phone:</td> <td><input type="text" name="phone" style="width:250px;"></td> </tr> <tr> <td align="right">Fax:</td> <td><input type="text" name="fax" style="width:250px;"></td> </tr> <tr> <td align="right">Mobile:</td> <td><input type="text" name="mobile" style="width:250px;"></td> </tr> <tr> <td align="right">Office Phone:</td> <td><input type="text" name="oficephone" style="width:250px;"></td> </tr> <tr> <td align="right">Email Address:</td> <td><input type="text" name="email" style="width:250px;"></td> </tr> <tr> <td align="right">Website:</td> <td><input type="text" name="website" style="width:250px;"></td> </tr> </table> </fieldset> <br> <fieldset style="widtH:500px; border-color:black;"> <legend>Annotations</legend> <textarea cols="55" rows="10" name="annotations"></textarea></fieldset> <br> <input type="submit" value=" Register Data"> <input type="reset" value="Reset"> </form> </body> </html> </table> </form>