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Index

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Submitted By artemis119
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<div class="row"> <div class="reg"> <div class="col-md-12"> <br> <form class="form-horizontal" action="displayinfo.php" method="post"> <div class="form-group"> <label class="col-sm-2 control-label">Pick-up Date</label> <div class="col-sm-5"> <select required="required" class="form-control" name="pickdate"> <?php date_default_timezone_set('Singapore'); $Today=date('y:m:d'); $NewDate=Date('M d, o', strtotime("+0 days")); echo "<option value=\"$NewDate\">$NewDate</option>"; $NewDate=Date('M d, o', strtotime("+1 days")); echo "<option value=\"$NewDate\">$NewDate</option>"; $NewDate=Date('M d, o', strtotime("+2 days")); echo "<option value=\"$NewDate\">$NewDate</option>";

?> </select> </div> </div>

<div class="form-group"> <label class="col-sm-2 control-label">Pick-up Time</label> <div class="col-sm-5"> <select required="required" class="form-control" name="picktime"> <option value="" selected="selected">Select a Time for Pick-Up</option> <option value="8:30-9:30am">8:30-9:30am</option> <option value="9:30-10:30am">9:30-10:30am</option> <option value="10:30-11:30pm">10:30-11:30am</option> </select> </div> </div> <div class="form-group"> <label class="col-sm-2 control-label">Drop-off Time</label> <div class="col-sm-5"> <select required="required" class="form-control" name="droptime"> <option value="" selected="selected">Select a Time for Drop-Off</option> <option value="8:30-9:30am">8:30-9:30am</option> <option value="9:30-10:30am">9:30-10:30am</option> <option value="10:30-11:30am">10:30-11:30am</option> </select> </div> </div> <div class="form-group"> <label class="col-sm-2 control-label">Address</label> <div class="col-sm-5"> <select required="required" class="form-control" name="address"> <option value="" selected="selected">Select your preferred Address</option> <option value="Home">Home</option> <option value="Work">Work</option> </select> </div> </div> <div class="form-group"> <label class="col-sm-2 control-label">No. of Clothes</label> <div class="col-sm-4"> <input name="noOfCothes" type="text" class="form-control" placeholder="No. of Clothes..." required="required"> </div> </div> <div class="form-group"> <label class="col-sm-2 control-label">Special Instructions</label> <div class="col-sm-4"> <input name="specialins" required="required" type="text" class="form-control" placeholder="Special Instructions (ex: shirts on a hanger)"> </div> </div>

<div class="form-group" id="frm"> <div class="btnsub"> <button type="submit" class="btn btn-primary btn-large" name="wash">&nbsp;&nbsp;&nbsp;Wash&nbsp;&nbsp;&nbsp;</button> <button type="reset" class="btn btn-default btn-large">&nbsp;&nbsp;&nbsp;Cancel&nbsp;&nbsp;&nbsp;</button> </div> </div> </form> </div> </div> </div> </div><!--end of container--> <footer> <div class="container"> <div class="wor"> <div class="col-sm-2"> <h6>Copyright &copy; WashSuki</h6> </div> <div class="you"> <div class="col-sm-4"> <p><span class="glyphicon glyphicon-heart"></span> Designed and built with all the love in the world by Elna. Maintained by the core team with the help of our contributors.</p> </div> <div class="col-sm-2"> <h6>follow us</h6> <ul class="unstyled"> <li><a href="#">Facebook</a></li> <li><a href="#">Twitter</a></li> <li><a href="#">Instagram</a></li> </ul> </div> <div class="col-sm-4"> <h6>Code licensed under ACT, documentation under CC BY 3.0.</h6> </div> </div> </div> </div> </footer>

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