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membership.jsp
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<%@ page contentType="text/html; charset=iso-8859-1" language="java" import="java.sql.*" errorPage="" %>
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" />
<title>Untitled Document</title>
</head>
<body background="images/1.gif">
<p align="right"> <header>
<nav><a href="foodorder.jsp" target="link1">Home</a> </nav>
</header></p>
<table width="100%" height="257">
<tr valign="top">
<td width="23%" height="24" align="center" background="images/1.gif"><p><strong>
<marquee>
</marquee>
</strong><b>We Accept</b> </p>
<p><img src="images/blank/cards.gif" width="131" height="100" /> </p>
<p><img src="images/001.gif" width="82" height="30" /></p>
<p> </p>
<p> </p>
<p> </p>
<p> </p></td>
<td width="54%" valign="top" align="center"><p><font size="+4" color="#F00A0E"><b>Employee Resistration Form</b> </font></p>
<table width="375" height="774" background="images/2.jpg">
<tr>
<td width="104" align="right"><b>CustomerName</b></td>
<td width="259" align="left"><input type="text" name="cname" size="20" /></td>
</tr>
<tr>
<td width="104" align="right"><strong>Address:</strong></td>
<td width="259" align="left"><textarea name="adr" cols="35" rows="5"></textarea></td>
</tr>
<tr>
<td width="104" align="right"><b>Contact No:</b></td>
<td width="259" align="left"><input type="text" name="cname2" size="20" /></td>
</tr>
<tr>
<td width="104" align="right"><b>MailId:</b></td>
<td width="259" align="left"><input type="text" name="mail" size="20" /></td>
</tr>
<tr>
<td width="104" align="right"><b>Date Of Birth :</b></td>
<td width="259" align="left"> Date
<select name="da">
<%
for(int vl=1;vl<=31;vl++){%>
<option value="<%=vl%>"><%=vl%></option>
<%}%>
</select>
Month
<select name="mon">
<%
for(int vl=1;vl<=12;vl++){%>
<option value="<%=vl%>"><%=vl%></option>
<%}%>
</select>
Year
<select name="select2">
<%
for(int vl=1960;vl<=2021;vl++){%>
<option value="<%=vl%>"><%=vl%></option>
<%}%>
</select></td>
</tr>
<tr>
<td width="104" align="right"><strong>Occupation:</strong></td>
<td width="259" align="left"><strong>Service</strong><input type="radio" name="occ" /><strong>Bussiness</strong><input type="radio" name="occ" />
<strong>Other</strong>
<input type="radio" name="occ" /></td>
</tr>
<br />
<br />
<tr>
<td align="right"></td>
<hr color="#103CD6" />
<td align="left"><p><strong>Select Food Choice: </strong>
<hr color="##000000" />
<strong>Chinies</strong>
<input type="checkbox" name="chi">
<strong>Muglai</strong>
<input type="checkbox" name="mug"><br>
<hr color="#000000" />
<strong>South Indian</strong>
<input type="checkbox" name="si">
<strong>North Indian</strong>
<input type="checkbox" name="ni"><br>
<hr color="#000000" />
<strong>Continental</strong>
<input type="checkbox" name="con">
<strong>Punjabi</strong>
<input type="checkbox" name="chi2" /><br>
<hr color="#000000" />
<strong>Other</strong>
<input type="checkbox" name="ot" />
</p> </td>
</tr>
<tr>
<td width="104" align="right"></td>
<tr>
<td width="104" align="right"><b>In Month how many times you like to have food outside </b></td>
<td width="259" align="left"><input type="text" name="like" size="20" /></td>
</tr>
<tr>
<td width="104" height="27" align="right"><strong>Annual Income </strong></td>
<td width="259" align="left"><strong>less then 20000</strong><input type="radio" name="less" /><strong>20000 to 50000</strong><input type="radio" name="occ" />
<strong>More then 50000</strong>
<input type="radio" name="occ" /></td>
</tr>
<tr>
<td width="259" align="left"><input name="submit" type="submit" value="submit" /></td>
</tr>
<tr>
<td align="right"></td>
<td align="left"> </td>
</tr>
<tr>
<td align="right"></td>
<td align="left"> </td>
</tr>
<tr>
<td align="right"></td>
<td align="left"> </td>
</tr>
<tr>
<td align="right"></td>
<td align="left"> </td>
</tr> <tr>
<td align="right"></td>
<td align="left"> </td>
</tr>
</table></td>
<td width="23%" valign="top" background="">
<p align="center"><img src="images/special_top.gif" width="202" height="67" /></p>
<p align="center"><img src="images/special_1.gif" width="202" height="67" /></p>
<p align="center"><img src="images/special_2.gif" width="202" height="67" /></p>
<p align="center"><img src="images/special_3.gif" width="202" height="67" /></p>
<p align="center"><img src="images/topmenu_right.gif" width="202" height="40" /><br />
<img src="images/top_pic.gif" width="202" height="40" /></p></td>
</tr>
</table>
</body>
</html>