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Dec 10th, 2011
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  1. <html>
  2. <body>
  3.  
  4. <p>Required fields are <b>bold</b></p>
  5.  
  6. <form action="contact.php" method="post">
  7. <p><b>Your Name:</b> <input type="text" name="yourname" /><br />
  8. <b>Subject:</b> <input type="text" name="subject" /><br />
  9. <b>E-mail:</b> <input type="text" name="email" /><br />
  10. Website: <input type="text" name="website"></p>
  11.  
  12. <p>Do you like this website?
  13. <input type="radio" name="likeit" value="Yes" checked="checked" /> Yes
  14. <input type="radio" name="likeit" value="No" /> No
  15. <input type="radio" name="likeit" value="Not sure" /> Not sure</p>
  16.  
  17. <p>How did you find us?
  18. <select name="how">
  19. <option value=""> -- Please select -- </option>
  20. <option>Google</option>
  21. <option>Yahoo</option>
  22. <option>Link from a website</option>
  23. <option>Word of mouth</option>
  24. <option>Other</option>
  25. </select>
  26.  
  27. <p><b>Your comments:</b><br />
  28. <textarea name="comments" rows="10" cols="40"></textarea></p>
  29.  
  30. <p><input type="submit" value="Send it!"></p>
  31.  
  32. <p> </p>
  33.  
  34.  
  35. </form>
  36.  
  37. </body>
  38. </html>
  39.  
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