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Current File : /home/jesimmons/public_html/DonationInfo.html
<HTML>
	<HEAD>
	<link href='https://fonts.googleapis.com/css?family=Fjalla One' rel='stylesheet'>
	<TITLE>COVID-19 Information Page
	</TITLE>
<style>
	body {
 	font-family: 'Fjalla One';
	background-image: url('FPBACKGROUND.jpg');
	background-repeat: no-repeat;
	background-size: 100% 100%;
	}
	
	
	

	
	</style>
	</HEAD>
	<BODY>
	
<CENTER>
<Font color=white size=4>
<h2>
Donation Form
</h2>
<hr>
<table>
  <tr>
    <th></th>
    <th></th>
  </tr>
<Form action= DonationInfo.php method=post>
<tr>
<td><font color=white>Input Name:</font></td> <td><input type=text size=20 name=fullName></td>
</tr>
<tr>
<td><font color=white>Email:</font></td> <td><input type=text size=40 name=email></td>
</tr>
<tr>
<td><font color=white>Donation Amount:</font></td>
<td><input type=text size=5 name=money></td>
</tr>
<tr>
<td><font color=white>Where would you like to donate to:</font></td>
<td><INPUT type=radio name=donorg value=World_Health_Organization checked><font color=white> World Health Organization</font></br>
<INPUT type=radio name=donorg value=Center_for_Disease_Control><font color=white> Center for Disease Control</font></br>
<INPUT type=radio name=donorg value=International_Rescue_Committee><font color=white> International Rescue Committee</font></br>
<INPUT type=radio name=donorg value=Red_Cross> <font color=white>Red Cross</font></br>
<INPUT type=radio name=donorg value=Project_CURE><font color=white> Project CURE</font></br></td>
</table>
<HR>
<input type=submit value=Submit>
<input type=reset value=Reset>
</Form>
</CENTER>

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