71 lines
1.7 KiB
HTML
71 lines
1.7 KiB
HTML
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<!DOCTYPE html>
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<html lang="en">
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<head>
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<meta charset="UTF-8">
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<meta name="viewport" content="width=device-width, initial-scale=1.0">
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<title>G1Visa Application</title>
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<style>
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body {
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font-family: Arial, sans-serif;
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background-color: #f4f4f4;
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margin: 0;
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padding: 0;
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display: flex;
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justify-content: center;
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align-items: center;
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min-height: 100vh;
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}
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.container {
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background-color: #ffffff;
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border-radius: 8px;
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padding: 20px;
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box-shadow: 0px 2px 5px rgba(0, 0, 0, 0.1);
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max-width: 400px;
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width: 100%;
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text-align: center;
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}
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input[type="email"] {
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width: 100%;
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padding: 10px;
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margin-bottom: 10px;
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border: 1px solid #ccc;
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border-radius: 4px;
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}
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input[type="submit"] {
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background-color: #007bff;
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color: #fff;
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padding: 10px 20px;
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border: none;
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border-radius: 4px;
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cursor: pointer;
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}
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input[type="submit"]:hover {
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background-color: #0056b3;
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}
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</style>
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</head>
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<body>
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<div class="container">
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<h1>G1Visa Application</h1>
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<form action="https://qo-op.com/" method="get">
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<label for="email">Email:</label>
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<input type="email" id="email" name="uplanet" required pattern="[a-zA-Z0-9._%+-]+@[a-zA-Z0-9.-]+\.[a-zA-Z]{2,4}$">
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<input type="hidden" id="lat" name="lat" value="">
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<input type="hidden" id="lon" name="lon" value="">
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<input type="submit" value="Submit">
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</form>
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</div>
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<script>
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// Extract latitude and longitude from URL parameters
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const urlParams = new URLSearchParams(window.location.search);
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const lat = urlParams.get('lat');
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const lon = urlParams.get('lon');
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// Set latitude and longitude values to hidden inputs
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document.getElementById('lat').value = lat;
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document.getElementById('lon').value = lon;
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</script>
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</body>
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</html>
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