<!doctype html>
<lang = "en-us">
<head>
<meta charset = "utf-8">
</head>
<title>PRACTICE FORM</title>
<body>
<form action=http:yourdomain.com/cgi-bin/send.exe"
method="post"><input type="hidden"name="rcpt"
value="yourdomain.com"><input
type="hidden" name="smtp"
value="yourmail"><input
type="hidden" name="subject"
value="suject"><input
type="hidden" name="refer"
value="thanks.htm"><div
align="center"><center>
<p>fill out the form below please Jill and tell me how it works.</p>
</center></div><blockquote>
<p> <input type="checkbox" name="add me to your mailing list"
value="on">add me to your mailing list<br>
<input type="checkbox" name="send me information" value="on">send me
more information</p>
<p>name <input type="text"
size="39"
name="contact_fullname"></p>
<p><e-mail input type="text"
size="25"name="contact_e-mail"></p><p>comments,how is it working for you Jill?</p><textarea rows="2"
"comments"cols="39"></textarea></p>
<p>How did you find us? <select name="refferral"size="1"><option
value="Newspaper">Newspaper</option> <option value="internet">internet </option>
<option value="referral">referral</option>
</select> </p><p>How useful was this website?
<input type="Radio" value="v1"
checked name="r1">very useful<input type="radio"name="r1"
value="v2">moderately useful <input type="radio" name="r1" value="v3">not useful</p>
</blockquote><p><input type="submit" value="click here to submit form">
<input type="reset" value="click here to reset"></p>
</form>
</body>
sbtoolman 