- <HTML>
- <HEAD>
- <TITLE>My first Web Page with Forms</TITLE>
- </HEAD>
- <BODY>
- <H2>Mailing List Registration</H2>
- <FORM METHOD="POST"
ACTION="mailto:[email protected]">
- Name: <INPUT TYPE="TEXT" NAME="name"
SIZE="20" MAXLENGTH="20">
- e-mail: <INPUT TYPE="TEXT"
NAME="mail" SIZE="30" MAXLENGTH="30"><BR><BR>
- Select your favorite pastimes from the following
options:<BR>
- <INPUT TYPE="CHECKBOX"
NAME="choice_1"> Music
- <INPUT TYPE="CHECKBOX"
NAME="choice_2"> Sports
- <INPUT TYPE="CHECKBOX"
NAME="choice_3"> Reading
- <INPUT TYPE="CHECKBOX"
NAME="choice_4"> Computer Games
- <INPUT TYPE="CHECKBOX"
NAME="choice_5"> Surfing the Web
- <INPUT TYPE="CHECKBOX"
NAME="choice_6"> Sleeping<BR><BR>
- Enter your comment below:<BR>
- <TEXTAREA NAME="comment" ROWS="5"
COLS="50" WRAP="VIRTUAL">
- </TEXTAREA><BR><BR>
- How would you like to receive my news letter:<BR>
- <INPUT TYPE="RADIO"
NAME="receive" VALUE="1" CHECKED> Weekly<BR>
- <INPUT TYPE="RADIO"
NAME="receive" VALUE="2"> Monthly<BR>
- <INPUT TYPE="RADIO"
NAME="receive" VALUE="3"> Quarterly<BR><BR>
- Which news letter would you like to receive:
- <SELECT NAME="letter">
- <OPTION SELECTED VALUE="J">
Jokes
- <OPTION VALUE="B"> Business
- <OPTION VALUE="A"> Academic
- <OPTION VALUE="M"> Medical
- </SELECT><BR><BR>
- <INPUT TYPE="RESET"
VALUE="Reset the Form">
- </FORM>
- </BODY>
- </HTML>