Difference between revisions of "Niraj"
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<html> | <html> | ||
| − | < | + | <fieldset> |
| + | <section class="container-narrow ccpa-form" id="part-5"> | ||
| + | <legend aria-describedby="ad"><b>Select the method you would like to receive the information</b></legend> | ||
| + | <p id="ad">Please select your preferred method of receiving responses and notices related to your request. If you are an accountholder, you will receive responses | ||
| + | and notices through your account. If you do not hold an account with Alliant, you may choose between electronic delivery to your e-mail address or | ||
| + | delivery by First Class Mail to your mailing address.</p> | ||
| + | <div class="d-flex"> | ||
| + | <input name="Delivery_Method" class="input-small" id="submit_type_2" type="radio" checked="" value="Email" data-parsley-multiple="Delivery_Method" data-parsley-id="85"> | ||
| + | <label for="submit_type_2">Email</label> | ||
| + | </div> | ||
| + | <div class="d-flex"> | ||
| + | <input name="Delivery_Method" class="input-small" id="submit_type_1" type="radio" value="Print_Mail" data-parsley-multiple="Delivery_Method"> | ||
| + | <label for="submit_type_1">Mail</label> | ||
| + | </div> | ||
| + | <div class="col-lg-12 form-group"> | ||
| + | <button class="btn btn-primary ladda-button" id="submitbtn" type="submit" data-style="zoom-in" data-spinner-color="#fff"><span class="ladda-label">Submit your request</span><span class="ladda-spinner"></span></button> | ||
| + | </div> | ||
| + | </section> | ||
| + | <fieldset> | ||
</html> | </html> | ||
Revision as of 18:19, 28 January 2020
