enter_information.php

   1 <?PHP
   2 include_once('header.php');
   3
   4 // if found send to is_the_information_correct.php
   5
   6 // if not found send to warning_not_found.php
   7
   8 // if missing data send to warning_incomplete.php
   9
  10 ?>
  11
  12 <form method='POST'>
  13
  14   <div class='col-sm-12' style='height:100px; text-align:center;'><h3>Please enter your Name and ZIP Code as it appears on your Maryland Voter Registration</h3></div>
  15
  16   <div class='col-sm-6' style='height:50px; text-align:center;'><h3>First Name</h3></div>
  17
  18   <div class='col-sm-6' style='height:50px; text-align:center;'><h3>Last Name</h3></div>
  19
  20   <div class='col-sm-6' style='height:50px; text-align:center;'><input> </div>
  21
  22   <div class='col-sm-6' style='height:50px; text-align:center;'><input> </div>
  23
  24   <div class='col-sm-6' style='height:50px; text-align:center;'><h3>House Number</h3></div>
  25
  26   <div class='col-sm-6' style='height:50px; text-align:center;'><h3>ZIP Code</h3></div>
  27
  28   <div class='col-sm-6' style='height:50px; text-align:center;'><input> </div>
  29
  30   <div class='col-sm-6' style='height:50px; text-align:center;'><input> </div>
  31
  32   <div class='col-sm-12' style='height:50px; text-align:center;'><button type="button" class="btn btn-success">Next</button></div>
  33
  34 </form>
  35
  36 <?PHP include_once('footer.php');