<!DOCTYPE html>
<html>
<head>
<meta charset="UTF-8">
<title></title>
</head>
<body>
<form action="http://www.google.com/" method="post">
<label for="firstname">First name:</label>
<input type="text" id="firstname"><br/>
<label for="lastname">Last name:</label>
<input type="text" id="lastname"><br/>
<label for="address">Address:</label>
<input type="text" id="address"><br/>
<label for="city">City:</label>
<input type="text" id="city"><br/>
<label for="state">State:</label>
<input type="text" id="state"><br/>
<label for="zip">Zip:</label>
<input type="text" id="zip"><br/>
<label for="phone">Phone:</label>
<input type="text" id="phone"><br/>
Area Code: <input type="text" id="areacode1">
Phone: <input type="text" id="phone1"><br/>
Phone:
<input type="text" maxlength="3" name="hphone1">
- <input type="text" maxlength="3" name="hphone2">
- <input type="text" maxlength="4" name="hphone3">
ext.: <input type="text" maxlength="5" name="hphone4"><br/>
Phone:
( <input type="text" maxlength="3" name="hphone1a"> )
<input type="text" maxlength="3" name="hphone2a">
- <input type="text" maxlength="4" name="hphone3a">
ext.: <input type="text" maxlength="5" name="hphone4a"><br/>
Phone:
<input type="text" maxlength="2" name="hphone1b">
<input type="text" maxlength="3" name="hphone1b">
- <input type="text" maxlength="3" name="hphone2b">
- <input type="text" maxlength="4" name="hphone3b">
ext.: <input type="text" maxlength="5" name="hphone4b"><br/>
Phone:
<input type="text" maxlength="2" name="hphone1c">
( <input type="text" maxlength="3" name="hphone1c"> )
<input type="text" maxlength="3" name="hphone2c">
- <input type="text" maxlength="4" name="hphone3c">
ext.: <input type="text" maxlength="5" name="hphone4c"><br/>
</form>
</body>
</html>
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