<table width="100%">
	<tr>
		<td align="center">

<cfform name="ecaform" action="ecagenerator.cfm">
<table style="font-family: arial; font-size: 9pt">
	<tr><td height="30px" align="center" colspan="2" style="background-color: #020058; color: #FFFFFF; font-family: arial;">
			<b>ECA Newsletter Creation Form</b>
		</td>
	</tr>
	<tr><td height="20"></td></tr>
	<tr>
		<td>Earned from:</td>
		<td>
			<cfinput
					type="radio"
					name="earnedfrom"
					value="UC">
			UC
			<cfinput
					type="radio"
					name="earnedfrom"
					value="ECA">
			ECA
		</td>
	</tr>
	<tr>
		<td>First Name:</td>
		<td>
			<cfinput
					name="firstname">
		</td>
	</tr>
	<tr>
		<td>Last Name:</td>
		<td>
			<cfinput
					name="lastname">
		</td>
	</tr>
	<tr>
		<td>Instructor's Name:</td>
		<td>
			<cfinput
					name="instructorname">
		</td>
	</tr>
	<tr>
		<td>Date (MM/DD/YYYY):</td>
		<td>
			<cfinput
					name="date">
		</td>
	</tr>
	<tr>
		<td>Sex:</td>
		<td>
			<cfinput
					type="radio"
					name="sex"
					value="male">
			Male
			<cfinput
					type="radio"
					name="sex"
					value="female">
			Female
		</td>
	</tr>
	<tr>
		<td>Certificate Type:</td>
		<td>
			<cfinput
					type="radio"
					name="certtype"
					value="Private">
			Private
			<cfinput
					type="radio"
					name="certtype"
					value="Recreational">
			Recreational
			<cfinput
					type="radio"
					name="certtype"
					value="Commercial">
			Commercial
		</td>

	</tr>
</table>

<table style="font-family: arial; font-size: 9pt; margin-top: 20 px;">
	<tr>
		<td>
		Upload the photo:
		</td>
	</tr>

	<tr>
		<td>
			<cfif isDefined("form.fileUpload")>
			  <cffile action="upload"
			     fileField="fileUpload"
			     destination="\\webserver\webserverHD\Inetpub\wwwroot\eca2\images\"
			     accept="image/*">
			     <p>Your file has been uploaded.</p>
			</cfif>

		</td>
	</tr>
	<tr>
		<td>
			<form enctype="multipart/form-data"
				method="post">
			<input type="file"
				name="fileUpload" /><br /><br />
			<input type="submit"
				value="Submit"
				action="ecagenerator.cfm" />
			</form>
		</td>
	</tr>

</table>
<table style="margin-top: 20px;">
	<tr>
			<td>
				<cfinput
						type="submit"
						name="Submit"
						value="Submit">
			</td>
		</tr>
</table>

</cfform>
		</td>
	</tr>
</table>