<html>
<head>
<title>3ο Παράδειγμα</title>
<meta http-equiv="Content-Type" content="text/html; charset=windows-1253">
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<body bgcolor="#FFFFCC">
<p align="left"><font face="Tahoma"><strong>Φόρμα συμπλήρωσης προσωπικών στοιχείων πελάτη </strong></font></p>
<form name="form1" method="post" action="servlet/DataReceiverServlet">
<p> </p>
<table width="50%" border="0">
<tr>
<td width="24%"><div align="right"><strong><font face="Tahoma">Όνομα:</font></strong></div></td>
<td colspan="2"><div align="left">
<input name="nameField" type="text" id="nameField">
<strong><font color="#FF0000" face="Tahoma">*</font></strong></div></td>
</tr>
<tr>
<td><div align="right"><strong><font face="Tahoma">Επώνυμο:</font></strong></div></td>
<td colspan="2"><div align="left">
<input name="surnameField" type="text" id="surnameField">
<strong><font color="#FF0000" face="Tahoma">*</font></strong></div></td>
</tr>
<tr>
<td><div align="right"><strong><font face="Tahoma">username:</font></strong></div></td>
<td colspan="2"><div align="left">
<input name="usernameField" type="text" id="usernameField">
<strong><font color="#FF0000" face="Tahoma">*</font></strong></div></td>
</tr>
<tr>
<td><div align="right"><strong><font face="Tahoma">password:</font></strong></div></td>
<td colspan="2"><input name="passwordField" type="password" id="passwordField">
<strong><font color="#FF0000" face="Tahoma">*</font></strong></td>
</tr>
<tr>
<td><div align="right"><strong><font face="Tahoma">Ενδιαφέροντα:</font></strong></div></td>
<td colspan="2"><div align="left">
<select name="preferencesField" id="preferences">
<option value="0">---------</option>
<option value="Αθλητισμός">Αθλητισμός</option>
<option value="Μουσική">Μουσική</option>
<option value="Η/Υ">Η/Υ</option>
<option value="άλλο">άλλο...</option>
</select>
<strong><font color="#FF0000" face="Tahoma">*</font></strong></div></td>
</tr>
<tr>
<td height="39"><div align="right"><strong><font face="Tahoma">φύλο:</font></strong></div></td>
<td colspan="2"> <label>
<input type="radio" name="genderField" value="Ανδρας">
Aνδρας </label> <label>
<input type="radio" name="genderField" value="Γυναίκα">
Γυναίκα <strong><font color="#FF0000" face="Tahoma">*</font></strong></label>
</td>
</tr>
<tr>
<td><div align="right"><strong><font face="Tahoma">Είμαι άνω των 18</font></strong></div></td>
<td colspan="2"><input name="ageField" type="checkbox" id="age" value="yes">
<strong>
<label> <strong><font color="#FF0000" face="Tahoma">*</font></strong></label>
</strong></td>
</tr>
<tr>
<td> </td>
<td width="15%"><div align="left">
<input type="submit" name="Submit" value="Επόμενο">
</div></td>
<td width="61%"><div align="left">
<input type="reset" name="Submit2" value="Καθαρισμός Πεδίων">
</div></td>
</tr>
<tr>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr>
<td colspan="3">
<div align="center"><strong><font color="#FF0000" face="Tahoma">*</font></strong>
<font color="#000000" face="Tahoma"><strong>Υποχρεωτικά πεδία</strong></font>
</div>
</td>
</tr>
</table>
</form>
</body>
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