Jaybe
36 lines
1.5 KiB
PHP
36 lines
1.5 KiB
PHP
<!DOCTYPE html>
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<html lang="en">
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<head>
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<meta charset="UTF-8">
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<meta name="viewport" content="width=device-width, initial-scale=1.0">
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<title>테스트</title>
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</head>
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<body>
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<h1>제니스 테스트</h1>
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<form id="jsonForm" action="./zenith_test.php" method="POST">
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<label for="no">*이벤트 번호:</label>
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<input type="text" id="no" name="no" value="" required><br>
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<label for="name">*이름:</label>
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<input type="text" id="name" name="name" value="" required><br>
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<label for="phone">*전화번호:</label>
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<input type="text" id="phone" name="phone" value="" required><br>
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<label for="age">나이:</label>
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<input type="text" id="age" name="age" value=""><br>
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<label for="branch">지점:</label>
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<input type="text" id="branch" name="branch" value=""><br>
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<label for="add1">add1:</label>
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<input type="text" id="add1" name="add1" value=""><br>
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<label for="add2">add2:</label>
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<input type="text" id="add2" name="add2" value=""><br>
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<label for="add3">add3:</label>
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<input type="text" id="add3" name="add3" value=""><br>
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<label for="add4">add4:</label>
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<input type="text" id="add4" name="add4" value=""><br>
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<label for="add5">add5:</label>
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<input type="text" id="add5" name="add5" value=""><br>
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<label for="add6">add6:</label>
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<input type="text" id="add6" name="add6" value=""><br>
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<input type="submit" value="테스트 전송">
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</form>
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</body>
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</html> |