<html>
<head>
<title>Feedback Form</title>
</head>
<body>
<h1 align="center">Feedback form</h1>
<form action="" method="get" name="f1">
<table style="font-family:TimesRoman;font-size="30", align="center">
<tr>
<td>Type:</td>
<td><select name="tp" id="tp">
<option value="1"> Request</option>
<option value="2"> Suggestion</option>
<option value="3"> Complaint </option>
</select>
</td>
</tr>
<tr>
<td>Name:</td>
<td><input type="text" name="na" id="na" />
</td>
</tr>
<tr>
<td>Phone no:</td>
<td><input type="text" name="po" id="po" />
</td>
</tr>
<tr>
<td>Email-Id:</td>
<td><input type="text" name="ei" id="ei" />
</td>
</tr>
<tr>
<td>Request question:</td>
<td><input type="text" name="rq" id="re" />
</td>
</tr>
<tr>
<td>Description:</td>
<td><input type="text" name="des" id="des" />
</td>
</tr>
<tr>
<td colspan="2" align ="center">
<input type="submit" name="submit" id="submit" value="submit"></td>
</tr>
</table>
</form>
</body>
</html>
<head>
<title>Feedback Form</title>
</head>
<body>
<h1 align="center">Feedback form</h1>
<form action="" method="get" name="f1">
<table style="font-family:TimesRoman;font-size="30", align="center">
<tr>
<td>Type:</td>
<td><select name="tp" id="tp">
<option value="1"> Request</option>
<option value="2"> Suggestion</option>
<option value="3"> Complaint </option>
</select>
</td>
</tr>
<tr>
<td>Name:</td>
<td><input type="text" name="na" id="na" />
</td>
</tr>
<tr>
<td>Phone no:</td>
<td><input type="text" name="po" id="po" />
</td>
</tr>
<tr>
<td>Email-Id:</td>
<td><input type="text" name="ei" id="ei" />
</td>
</tr>
<tr>
<td>Request question:</td>
<td><input type="text" name="rq" id="re" />
</td>
</tr>
<tr>
<td>Description:</td>
<td><input type="text" name="des" id="des" />
</td>
</tr>
<tr>
<td colspan="2" align ="center">
<input type="submit" name="submit" id="submit" value="submit"></td>
</tr>
</table>
</form>
</body>
</html>
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