croix-rouge_donation/options.html

70 lines
1.9 KiB
HTML

<!DOCTYPE html>
<html>
<head>
<meta charset="utf-8">
</head>
<body>
<p>storage.managed colour: <b id="managed-colour">no value found</b></p>
<form>
<h2>Infos personelles</h2>
<div class="input-line">
<label for="firstname"> Prénom: </label>
<input type="text" id="firstname" placeholder="Henri">
</div>
<div class="input-line">
<label for="lastname"> Nom: </label>
<input type="text" id="lastname" placeholder="De Bourbon">
</div>
<div class="input-line">
<label for="email"> Email: </label>
<input type="text" id="email" placeholder="henri@couronne.fr">
</div>
<div class="input-line">
<label for="birthdate"> Date de naissance: </label>
<input type="date" id="birthdate" placeholder="">
</div>
<h2>Adresse</h2>
<div class="input-line">
<label for="address"> Adresse: </label>
<input type="text" id="address" placeholder="1 rue du château">
</div>
<div class="input-line">
<label for="firstname"> Code postal: </label>
<input type="text" id="postcode" placeholder="64000">
</div>
<div class="input-line">
<label for="email"> Ville: </label>
<input type="text" id="city" placeholder="Pau">
</div>
<div class="input-line">
<label for="birthdate"> Téléphone: </label>
<input type="text" id="telephone" placeholder="06...">
</div>
<h2>Moyens de payement</h2>
<div class="input-line">
<label for="firstname"> numero de carte bancaire: </label>
<input type="number" id="cardnumber" placeholder="5314....">
</div>
<button type="submit">Save</button>
</form>
<script src="options.js"></script>
<style>
.input-line
{
margin-bottom: 0.5em;
}
label
{
min-width: 200px;
display: inline-block;
}
</style>
</body>
</html>