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index.html
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<!DOCTYPE html>
<html>
<head>
<meta charset="UTF-8">
<title>Address Selector - Philippines</title>
<!--Bootstrap-->
<link rel="stylesheet" href="https://stackpath.bootstrapcdn.com/bootstrap/4.3.1/css/bootstrap.min.css" integrity="sha384-ggOyR0iXCbMQv3Xipma34MD+dH/1fQ784/j6cY/iJTQUOhcWr7x9JvoRxT2MZw1T" crossorigin="anonymous">
<!--JQuery-->
<script src="https://ajax.googleapis.com/ajax/libs/jquery/3.5.1/jquery.min.js"></script>
</head>
<body class="p-5">
</form method="POST" action="">
<div class="col-sm-6">
<h3>Address Selector - Philippines</h3>
</div>
<hr>
<div class="col-sm-6 mb-3">
<label class="form-label">Region *</label>
<select name="region" class="form-control form-control-md" id="region"></select>
<input type="hidden" class="form-control form-control-md" name="region_text" id="region-text" required>
</div>
<div class="col-sm-6 mb-3">
<label class="form-label">Province *</label>
<select name="province" class="form-control form-control-md" id="province"></select>
<input type="hidden" class="form-control form-control-md" name="province_text" id="province-text" required>
</div>
<div class="col-sm-6 mb-3">
<label class="form-label">City / Municipality *</label>
<select name="city" class="form-control form-control-md" id="city"></select>
<input type="hidden" class="form-control form-control-md" name="city_text" id="city-text" required>
</div>
<div class="col-sm-6 mb-3">
<label class="form-label">Barangay *</label>
<select name="barangay" class="form-control form-control-md" id="barangay"></select>
<input type="hidden" class="form-control form-control-md" name="barangay_text" id="barangay-text" required>
</div>
<div class="col-md-6 mb-3">
<label for="street-text" class="form-label">Street (Optional)</label>
<input type="text" class="form-control form-control-md" name="street_text" id="street-text">
</div>
<div class="col-md-6">
<input type="submit" class="btn btn-success" name="submit">
</div>
</form>
</body>
</html>
<script src="ph-address-selector.js"></script>