topical media & game development
basic-web-html-05-registration.htm / htm
<?xml version="1.0" ?>
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN"
"http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml" lang="en" xml:lang="en">
<head>
<title>Registration</title>
</head>
<body>
<h2>User Registration</h2>
<p>Please complete the following form to register with our site:</p>
<form action="http://www.example.org/register.asp" method="post"
name="frmRegister">
<table>
<tr>
<td>User Name:</td>
<td><input type="text" name="txtUserName" size="20" /></td>
</tr>
<tr>
<td>Password:</td>
<td><input type="password" name="pwdPassword" size="20" /></td>
</tr>
<tr>
<td> </td>
<td> </td>
</tr>
<tr>
<td>Gender:</td>
<td><input type="radio" name="radSex" value="male" />Male</td>
</tr>
<tr>
<td></td>
<td><input type="radio" name="radSex" value="female" />Female</td>
</tr>
<tr><td> </td><td> </td></tr>
<tr>
<td>How did you hear about us?:</td>
<td>
<select name="selReferrer">
<option selected="selected" value="">Select answer</option>
<option value="website">Another website</option>
<option value="printAd">Magazine ad</option>
<option value="friend">From a friend</option>
<option value="other">Other</option>
</select>
</td>
</tr>
<tr>
<td> </td>
<td> </td>
</tr>
<tr>
<td>Please select this box if you wish<br /> to be added to our mailing list
<br /><small>We will not pass on your details to any third
party.</small></td>
<td><input type="checkbox" name="chkMailingList" /></td>
</tr>
<tr>
<td></td>
<td><input type="submit" value="Register now" /></td>
</tr>
</table>
</form>
</body>
</html>
(C) Æliens
20/2/2008
You may not copy or print any of this material without explicit permission of the author or the publisher.
In case of other copyright issues, contact the author.
