Untitled

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    border: 1px solid #000;
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<font color="black">
<h1 align="left"><i>Chocolate</h1></i>

<br />

<img src="jji8o.jpg" height="150" width="300"/>
<form>
<table>
 <tr>
    <td>Chocolate Bars</td>
    <td>Boxes of Chocolate</td>
    <td>Chocolate Baskets</td>
  </tr>
  <tr>
    <td><input type="radio" name="color" value="Red"/>
    Kit Kat</td>
    <td><input type="radio" name="amount" value="8oz"/>
    8 oz.</td>
    <td><input type="radio" name="type" value="HappyBirthday"/>
    Happy Birthday</td>
  </tr>
  <tr>
    <td><input type="radio" name="color" value="White"/>
    Hershey's</td>
    <td><input type="radio" name="amount" value="16oz"/>
    16 oz.</td>
    <td><input type="radio" name="type" value="Congratulations"/>
    Congratulations</td>
  </tr>
  <tr>
    <td><input type="radio" name="color" value="Purple"/>
    Snickers</td>
    <td><input type="radio" name="amount" value="32oz"/>
    32 oz.</td>
    <td><input type="radio" name="type" value="BestWishes"/>
    Best Wishes</td>
  </tr>
  <tr>
    <td>Quantity:
    <select name="Quantity">
<option>1 Bar</option>
<option>2 Bars</option>
<option>3 Bars</option>
</select></td>
    <td>Quantity:
    <select name="Quantity">
<option>8 oz.</option>
<option>16 oz.</option>
<option>32 oz.</option>
</select></td>
    <td><input type="radio" name="type" value="HappyAnniversary"/>
    Happy Anniversary</td>
  </tr>
  <tr>
    <td></td>
    <td></td>
    <td><input type="radio" name="type" value="GetWellSoon"/>
    Get Well Soon</td>
  </tr>
  <tr>
    <td></td>
    <td></td>
    <td><input type="radio" name="type" value="GetWellSoon"/>
    Get Well Soon</td>
  </tr>
</font>

</table>
<font color="#000000">

<input type="radio" name="cardtype" value="Visa"/>
Visa<br />

<input type="radio" name="cardtype" value="American Express"/>
American Express<br />

<input type="radio" name="cardtype" value="MasterCard"/>
MasterCard<br />


<input type="radio" name="cardtype" value="Chase"/>
Chase<br /><br>

Credit Card No.:<input type="password" name="cardnum" id="cardnum"/>
<br />
<br />
<br />


<fieldset align="left"><legend>Personal Information:</legend>

First Name:<input type="text" size="15" name="first"/><br />
Last Name:<input type="text" size="15" name="last" /><br />
Address:<input type="text" size="25" name="address" /><br />
City:<input type="text" size="15" name="city" /><br>
E-Mail Address:<input type="text" size="25" name="Mail"/><br />
Phone with area code:<input type="text" name="state"/>
<br />
<select name="state">
<option>Alaska</option>
<option>Arkansas</option>
<option>Colorado</option>
</select>
</fieldset>


<hr />
<p>Customize Your Chocolate Below:</p>
<textarea rows="4" cols="65"></textarea><br />


<button type="submit" value="ContinueOrder" />Continue Order</button><br />

<button type="reset" value="Cancel" >Cancel</button>


<br />
<br />
<br />


</font>
</form>


<center>
<footer>
<font color="black">
Deliver the best surprise of all with these chocolate gift boxes from Chocolate. They’re filled with the delicious gourmet chocolates that elicit gasps of surprise when presented with a flourish. Our ballotin boxes come already wrapped with beautiful bows, so all you need to do when handing them out to loved ones is to perfect the “flourish.”
</font>
</footer>
</center>


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