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index.html
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<!doctype html>
<!-- **********************************************************************
BANKING FORM
********************************************************************** -->
<html lang="en">
<head>
<meta charset="utf-8">
<title>Music History</title>
<link rel="stylesheet" href="validation.css">
</head>
<nav>
<h1>Jim Wright Savings & Loan Bank</h1>
</nav>
<!-- ********************** APPLICANT INFORMATION ********************** -->
<form action="form.html" method="POST">
<fieldset>
<legend>Applicant Information</legend>
<label for="first-name" >Your first name</label>
<input type="text" name="first-name" autofocus>
<br/>
<label for="middle-initial">Your middle initial</label>
<input type="text" name="middle-initial">
<br/>
<label for="last-name">Your last name</label>
<input type="text" name="last-name">
<br/>
<label for="address1">Address 1</label>
<input type="address1" name="address1">
<br/>
<label for="address2">Address 2</label>
<input type="address2" name="address2">
<br/>
<label for="state">State</label>
<select>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">District Of Columbia</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisiana</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="WV">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select>
<br/>
<label for="occupation">Occupation</label>
<input type="occupation" name="occupation" placeholder="Congressman">
<br/>
<label for="employer">Employer Name</label>
<input type="employer" name="employer">
<br/>
<label for="employer-address">Employer Address</label>
<input type="employer-address" name="employer-address">
<br/>
</fieldset>
<!-- ********************** TYPE OF LOAN ********************** -->
<fieldset>
<legend>Type of Loan Requesting</legend>
<select>
<option>Commercial</option>
<option>Real Estate</option>
<option>Personal</option>
<option>Mortgage</option>
</select>
</fieldset>
<!-- ********************** AMOUNT OF LOAN ********************** -->
<fieldset>
<legend>Amount Requesting</legend>
<div class="loan-row">
<span>$</span>
<input type="number" value="10000" min="0" step="0.01" data-number-to-fixed="2" data-number-stepfactor="100" class="currency"/>
</div>
</fieldset>
<!-- ********************** TERM OF LOAN ********************** -->
<fieldset>
<legend>Length of Term</legend>
<label for="1"><input id="1" type="radio" name="loan-type" value="5years">5 years</label>
<label for="2"><input id="2" type="radio" name="loan-type" value="15years">15 years</label>
<label for="3"><input id="3" type="radio" name="loan-type" value="30years">30 years</label>
</fieldset>
<!-- ********************** SPECIAL CONDITIONS ********************** -->
<fieldset>
<legend>Special Conditions</legend>
<input type="checkbox" name="student" value="student"> I have a down payment
<input type="checkbox" name="advanced" value="advanced"> Out-of-state resident
<input type="checkbox" name="groundhog" value="whistlepig"> Married
<input type="checkbox" name="groundhog" value="whistlepig"> Loan will be co-signed
</fieldset>
<!-- ********************** COMMENTS ********************** -->
<fieldset>
<legend>Comments</legend>
<textarea id="comments" name="comments"></textarea>
</fieldset>
<!-- ********************** ADDITIONAL ********************** -->
<form action="form.html" method="POST">
<fieldset>
<legend>Additional Information</legend>
<label for="emailRequired">Enter your email address</label>
<input class="email" type="email" placeholder="~you@somewhere.com">
<br/>
<label for="telephone">Enter your mobile number</label>
<input type="tel" name="telephone" placeholder="888-867-5309">
<br/>
<label for="favorite-url">Enter your LinkedIn profile address</label>
<input type="url" name="favorite-url" placeholder="www.facebook.com">
</fieldset>