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<!

DOCTYPE html>
<html>

</style>
<body bgcolor="CCFFFF ">
<table style="width:100%">
<table>
<tr>
<th colspan="4">
Meniu
</th>
</tr>
<tr>
<form>
<td> <label for="fname">Numele:</label></td>
<td><input type="text" id="fname" name="fname"><br></td>
</tr>
<tr>
<td><label for="lname">Prenumele:</label></td>
<td><input type="text" id="lname" name="lname"></td>
</tr>
<tr>
<td><label for="lname">Telefonul:</label></td>
<td><input type="text" id="name" name="lname"></td>
</tr>
<tr >
<td >Alegeti pizza:</td>
<form>
<td><input type="checkbox" >
<label for="var1"> cu ciuperci</label><br></td>
<td><input type="checkbox" >
<label for="var2"> mexicana</label><br></td>
<td><input type="checkbox" >
<label for="var3"> europeana</label></td>
</tr>

<tr>
<td> Alegeti plata</td>
<td rowspan="1" align="center" >

<input type="radio" name="fav_language" >


<label for="html">Cash</label><br>
<input type="radio" name="fav_language" >
<label for="css">Card</label><br>

</tr>

<tr>
<td>Comentarii:</td>
<td>

<textarea name="message" rows="5" cols="15">Inserati aici aprecierile


dumneavoastra</textarea>
<br><br>

</td>
</tr>
<tr>
<td>
<input type="reset" value="sterge">
</td>
<td>
<input type="submit" value="expediaza"></td>
</tr>
</form>
</table>
</body>
</html>

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