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<meta charset=“utf-8”>
<link rel="stylesheet" type="text/css" href="css/formularz.css">
<link rel="stylesheet" type="text/css" href="css/style.css" />
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<body background="tlo.jpg">
<center>
<img src="baner.png" border="0" width="1000" height="200" alt="obrazek">
<div id="menubar">
<ul id="nav">
<li ><a href="index.html">Home</a></li>
<li><a href="galeria.html">Galeria</a></li>
<li class="current"><a href="formularz.html">Ankieta</a></li>
<li><a href="kontakt.html">Kontakt</a></li>
</ul>
</div>
</nav>
</center>
<center>
<form action="mailto:[email protected]" method=post">
<b>Podaj nick:</b>
<input name="adres" value="" size="30"><br><br>
<fieldset>
<legend align="left"><h1>Wiek:</h1></legend><br>
<label>18-35<input type="radio" name="opcje" maxlenght="1"><br>
</label>
<label>36-50<input type="radio" name="opcje" maxlenght="1"><br>
</label>
<label>51 i wiecej<input type="radio" name="opcje" maxlenght="1"><br>
</label>
</label><br>
</fieldset>
<br>
<fieldset>
<legend align="left"><h1>Płeć:</h1></legend><br>
<label>Kobieta<input type="radio" name="opcje" maxlenght="1"><br>
</label>
<label>Mężczyzna<input type="radio" name="opcje" maxlenght="1"><br>
</label>
</label><br>
</fieldset>
<br>
<fieldset>
<legend align="left"><h1>Wykształcenie:</h1></legend><br>
<label>Podstawowe<input type="radio" name="opcje" maxlenght="1"><br>
</label>
<label>Zawodowe<input type="radio" name="opcje" maxlenght="1"><br>
</label>
<label>Średnie<input type="radio" name="opcje" maxlenght="1"><br>
</label>
<label>Wyższe<input type="radio" name="opcje" maxlenght="1">
</label><br>
</fieldset>
<br>
<fieldset>
<legend align="left"><h1>Miejsce zamieszkania:</h1></legend><br>
<label>Wieś<input type="radio" name="opcje" maxlenght="1"><br>
</label>
<label>Miasto do 20 000 mieszkańców <input type="radio" name="opcje" maxlenght="1"><br>
</label>
<label>Miasto powyżej 20 0000 mieszkańców<input type="radio" name="opcje" maxlenght="1"><br>
</label><br>
</fieldset>
<br>
<fieldset>
<legend align="left"><h1>Ilość komputerów w gospodarstwie domowym:</h1></legend><br>
<label>Brak<input type="radio" name="opcje" maxlenght="1"><br>
</label>
<label>1<input type="radio" name="opcje" maxlenght="1"><br>
</label>
<label>2<input type="radio" name="opcje" maxlenght="1"><br>
</label>
<label>Więcej<input type="radio" name="opcje" maxlenght="1">
</label><br>
</fieldset>
<br>
<fieldset>
<legend align="left"><h1>Czy wyobrażasz sobie życie bez komputera:</h1></legend><br>
<label>Tak<input type="radio" name="opcje" maxlenght="1"><br>
</label>
<label>Nie<input type="radio" name="opcje" maxlenght="1"><br>
</label>
<br>
</fieldset>
</center>
<br>
</body>
</html>
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