ownerInfo.html

<!doctype html>
<html>
<head>
    <title>Bayfield County - Address Application</title>
    <meta name="viewport" content="width=device-width, initial-scale=1">
    <link rel="stylesheet" href="http://code.jquery.com/mobile/1.2.0/jquery.mobile-1.2.0.min.css">
    <script src="http://code.jquery.com/jquery-1.8.2.min.js"></script>
    <script src="http://code.jquery.com/mobile/1.2.0/jquery.mobile-1.2.0.min.js"></script>
</head>
<body>
    <div data-role="page">
			
        <div data-role="header">
            <!--<h1>Bayfield County - Address Application</h1>-->
						<div align="center">
						<img src="images/BC_header.jpg" class="ui-btn-center" />
						</div>
        </div><!-- /header -->
				
				<div class="content-primary">

				<form action="#" method="get">

					<h2>Owner Contact Information</h2>

					<div data-role="fieldcontain">
							 <label for="name">Name:</label>
							 <input type="text" name="name" id="name" value=""  />
							 <br />
							 <br />
							 <label for="name">Mailing Address:</label>
							 <input type="text" name="mAddress" id="mAddress" value=""  />
							 <br />
							 <br />
							 <label for="name">City:</label>
							 <input type="text" name="city" id="city" value=""  />
							 <br />
							 <br />
							 <label for="name">State:</label>
							 <input type="text" name="state" id="state" value=""  />
							 <br />
							 <br />
							 <label for="name">Zip:</label>
							 <input type="text" name="zip" id="zip" value=""  />
							 <br />
							 <br />
							 <label for="name">Telephone:</label>
							 <input type="text" name="phone" id="phone" value=""  />
							 <br />
							 <br />
							 <label for="name">E-Mail:</label>
							 <input type="text" name="email" id="email" value=""  />
							 <br />
							 <br />
							 <label for="name">Tax ID No. (from tax statement):</label>
							 <input type="text" name="parcelPIN" id="parcelPIN" value=""  />
							 
					</div>

					<!--<div data-role="fieldcontain">
					<label for="textarea">Textarea:</label>
					<textarea cols="40" rows="8" name="textarea" id="textarea"></textarea>
					</div>

					<div data-role="fieldcontain">
							 <label for="search">Search Input:</label>
							 <input type="search" name="password" id="search" value=""  />
					</div>

					<div data-role="fieldcontain">
						<label for="slider2">Flip switch:</label>
						<select name="slider2" id="slider2" data-role="slider">
							<option value="off">Off</option>
							<option value="on">On</option>
						</select>
					</div>

					<div data-role="fieldcontain">
						<label for="slider">Slider:</label>
						<input type="range" name="slider" id="slider" value="50" min="0" max="100" data-highlight="true"  />
					</div>

					<div data-role="fieldcontain">
					<fieldset data-role="controlgroup">
						<legend>Choose as many snacks as you'd like:</legend>
						<input type="checkbox" name="checkbox-1a" id="checkbox-1a" class="custom" />
						<label for="checkbox-1a">Cheetos</label>

						<input type="checkbox" name="checkbox-2a" id="checkbox-2a" class="custom" />
						<label for="checkbox-2a">Doritos</label>

						<input type="checkbox" name="checkbox-3a" id="checkbox-3a" class="custom" />
						<label for="checkbox-3a">Fritos</label>

						<input type="checkbox" name="checkbox-4a" id="checkbox-4a" class="custom" />
						<label for="checkbox-4a">Sun Chips</label>
						</fieldset>
					</div>

					<div data-role="fieldcontain">
					<fieldset data-role="controlgroup" data-type="horizontal">
							<legend>Font styling:</legend>
							<input type="checkbox" name="checkbox-6" id="checkbox-6" class="custom" />
						<label for="checkbox-6">b</label>

						<input type="checkbox" name="checkbox-7" id="checkbox-7" class="custom" />
						<label for="checkbox-7"><em>i</em></label>

						<input type="checkbox" name="checkbox-8" id="checkbox-8" class="custom" />
						<label for="checkbox-8">u</label>
						</fieldset>
					</div>-->

					<!--<div data-role="fieldcontain">
							<fieldset data-role="controlgroup">
								<legend>Choose a pet:</legend>
										<input type="radio" name="radio-choice-1" id="radio-choice-1" value="choice-1" checked="checked" />
										<label for="radio-choice-1">Cat</label>

										<input type="radio" name="radio-choice-1" id="radio-choice-2" value="choice-2"  />
										<label for="radio-choice-2">Dog</label>

										<input type="radio" name="radio-choice-1" id="radio-choice-3" value="choice-3"  />
										<label for="radio-choice-3">Hamster</label>

										<input type="radio" name="radio-choice-1" id="radio-choice-4" value="choice-4"  />
										<label for="radio-choice-4">Lizard</label>
							</fieldset>
					</div>-->

					<!--<div data-role="fieldcontain">
							<fieldset data-role="controlgroup" data-type="horizontal">
								<legend>Layout view:</legend>
										<input type="radio" name="radio-choice-b" id="radio-choice-c" value="on" checked="checked" />
										<label for="radio-choice-c">List</label>
										<input type="radio" name="radio-choice-b" id="radio-choice-d" value="off" />
										<label for="radio-choice-d">Grid</label>
										<input type="radio" name="radio-choice-b" id="radio-choice-e" value="other" />
										<label for="radio-choice-e">Gallery</label>
							</fieldset>
					</div>

					<div data-role="fieldcontain">
						<label for="select-choice-1" class="select">Choose shipping method:</label>
						<select name="select-choice-1" id="select-choice-1">
							<option value="standard">Standard: 7 day</option>
							<option value="rush">Rush: 3 days</option>
							<option value="express">Express: next day</option>
							<option value="overnight">Overnight</option>
						</select>
					</div>-->

					<!--<div data-role="fieldcontain">
						<label for="select-choice-3" class="select">Your state:</label>
						<select name="select-choice-3" id="select-choice-3">
							<option value="AL">Alabama</option>
							<option value="AK">Alaska</option>
							<option value="AZ">Arizona</option>
							<option value="AR">Arkansas</option>
							<option value="CA">California</option>
							<option value="CO">Colorado</option>
							<option value="CT">Connecticut</option>
							<option value="DE">Delaware</option>
							<option value="FL">Florida</option>
							<option value="GA">Georgia</option>
							<option value="HI">Hawaii</option>
							<option value="ID">Idaho</option>
							<option value="IL">Illinois</option>
							<option value="IN">Indiana</option>
							<option value="IA">Iowa</option>
							<option value="KS">Kansas</option>
							<option value="KY">Kentucky</option>
							<option value="LA">Louisiana</option>
							<option value="ME">Maine</option>
							<option value="MD">Maryland</option>
							<option value="MA">Massachusetts</option>
							<option value="MI">Michigan</option>
							<option value="MN">Minnesota</option>
							<option value="MS">Mississippi</option>
							<option value="MO">Missouri</option>
							<option value="MT">Montana</option>
							<option value="NE">Nebraska</option>
							<option value="NV">Nevada</option>
							<option value="NH">New Hampshire</option>
							<option value="NJ">New Jersey</option>
							<option value="NM">New Mexico</option>
							<option value="NY">New York</option>
							<option value="NC">North Carolina</option>
							<option value="ND">North Dakota</option>
							<option value="OH">Ohio</option>
							<option value="OK">Oklahoma</option>
							<option value="OR">Oregon</option>
							<option value="PA">Pennsylvania</option>
							<option value="RI">Rhode Island</option>
							<option value="SC">South Carolina</option>
							<option value="SD">South Dakota</option>
							<option value="TN">Tennessee</option>
							<option value="TX">Texas</option>
							<option value="UT">Utah</option>
							<option value="VT">Vermont</option>
							<option value="VA">Virginia</option>
							<option value="WA">Washington</option>
							<option value="WV">West Virginia</option>
							<option value="WI">Wisconsin</option>
							<option value="WY">Wyoming</option>
						</select>
					</div>-->

					<!--<div data-role="fieldcontain">
						<label for="select-choice-a" class="select">Choose shipping method:</label>
						<select name="select-choice-a" id="select-choice-a" data-native-menu="false">
							<option>Custom menu example</option>
							<option value="standard">Standard: 7 day</option>
							<option value="rush">Rush: 3 days</option>
							<option value="express">Express: next day</option>
							<option value="overnight">Overnight</option>
						</select>
					</div>-->

				<div class="ui-body ui-body-b" style="padding-left:20px">
				<!--<fieldset class="ui-grid-a"></fieldset>-->
						<!--<div class="ui-block-a"><button type="submit" data-theme="d">Cancel</button></div>
						<div class="ui-block-b"><center><button type="submit" data-theme="a">Submit</button></center>-->
						<a href="index.html" data-role="button" data-transition="slidefade" data-inline="true">Back</a>	
						<a href="buildingLoc.html" data-role="button" data-transition="slidefade" data-inline="true">Next</a>						
						<div style="padding-right:20px;float:right"><!--float="left" -->
						Step 2 of 5
						</div>
				</div> <!-- ui-body -->
					
				</div>
			</form>
			</div><!--/content-primary -->
				
				<!--<div style="width:90%;text-align: center;">
 
					<div data-role="fieldcontain">
						 <label for="name">Name:</label>
						 <input type="text" name="name" id="name" value=""  />
					</div>
	 
					<center><fieldset class="ui-grid-a">
						<div class="ui-block-b"><button type="submit" data-theme="a">Submit</button></div>
					</fieldset></center>
				</div>-->

    </div><!-- /page -->
</body>
</html>