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basic-web-php-SupportingDocs-formsample.htm / htm



  <!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.1//EN"
     "http://www.w3.org/TR/xhtml11/DTD/xhtml11.dtd">
  <html>
    <head>
      <title>Sample Form</title>
    </head>
    <body>
      <form action="formdata.cgi" method="post">
      <table cellspacing="20">
      <tr><td>
  
        <!-- Text boxes -->
        <p>
        First Name: <input type="text" name="fname" id="fname" size="20" /><br />
        Last Name: <input type="text" name="lname" id="lname" size="20" />
        </p>
  
        <!-- Text area -->
        <p>
        Address:<br />
          <textarea name="addr" id="addr" cols="20" rows="4"></textarea>
        </p>
  
        <!-- Password -->
        <p>
        Password: <input type="password" name="pwd" id="pwd" size="20" />
        </p>
        </td><td>
  
        <!-- Select list -->
        <p>
        What product(s) are you<br />
        interested in? <br />
        <select name="prod[]" id="prod" multiple="multiple" size="4">
          <option id="MB">Motherboards</option>
          <option id="CPU">Processors</option>
          <option id="Case">Cases</option>
          <option id="Power">Power Supplies</option>
          <option id="Mem">Memory</option>
          <option id="HD">Hard Drives</option>
          <option id="Periph">Peripherals</option>
        </select>
        </p>
  
        <!-- Check boxes -->
        <p>
        How should we contact you?<br />
          <input type="checkbox" name="email" id="email" checked="checked" /> Email<br />
          <input type="checkbox" name="postal" id="postal" /> Postal Mail<br />
        </p>
  
        </td></tr>
        <tr><td>
  
        <!-- Radio buttons -->
        <p>
        How soon will you be buying hardware?<br />
        <input type="radio" name="buy" id="buyASAP" value="ASAP" />ASAP<br />
        <input type="radio" name="buy" id="buyDays" value="10" />Within 10 business days<br />
        <input type="radio" name="buy" id="buyMonth" value="30" />Within the month<br />
        <input type="radio" name="buy" id="buyNever" value="Never" />Never!
        </p>
        </td><td>
  
        <!-- Submit and Reset buttons -->
        <p>
        <input type="submit" name="submit" id="submit" value="Submit" />&nbsp;&nbsp;&nbsp;<input type="reset" name="reset" id="reset" />
  
        <!-- Hidden field -->
        <input type="hidden" name="referredby" id="referredby" value="Google" />
        </p>
  
      </td></tr>
      </table>
      </form>
    </body>
  </html>
  


(C) Æliens 20/2/2008

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