/*--- Avanquest WebEasy Custom Script ---*/

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" 
"http://www.w3.org/TR/html4/loose.dtd"> 
<html> 
<head> 
<title>Simple form</title> 
<link rel="stylesheet" type="text/css" href="http://www2.ups.edu/css/phpformmail.css"> 
</head> 
<body> 
<h1>Simple form</h1> 
<form action="http://www2.ups.edu/php/formmail.php" method="post" name="simpleform" id="simpleform"> 
<table border="0" cellspacing="4" cellpadding="4" width="640" summary="table for layout only"> 
<tr><td align="right" width="250">Your name:</td> 
<td><input type="text" name="realname"></td></tr> 
<tr> 
<td align="right" width="250">Email address: (required)</td> 
<td><input type="text" name="email" size="35"> 
<p>Please enter like this: <strong>someone@ups.edu</strong></p> 
</td> 
</tr> 
<tr> 
<td align="right" width="250">Please enter your brief thoughts (required): 
</td> 
<td> 
<input type="text" name="my_thoughts" size="60"> 
</td> 
</tr> 
<tr> 
<td align="right" width="250" valign="top">I prefer to: 
</td> 
<td> 
<input type="radio" name="prefer" value="work_a_lot">work as many hours as possible<br> 
<input type="radio" name="prefer" value="law_and_order">watch <strong>Law &amp; Order</strong> reruns on TNT<br> 
<input type="radio" name="prefer" value="mariners_games">Go to Mariners games<br> 
<input type="radio" name="prefer" value="mariners_games_boo_hoo">Go to Mariners games and cry 
</td> 
</tr> 
<tr> 
<td align="right" width="250" valign="top">I like to listen to: 
</td> 
<td> 
<input type="checkbox" name="radiostations[]" value="kuow"> KUOW<br> 
<input type="checkbox" name="radiostations[]" value="bbc_world_service"> BBC World Service<br> 
<input type="checkbox" name="radiostations[]" value="kplu"> KPLU<br> 
<input type="checkbox" name="radiostations[]" value="xm_radio"> XMRadio 
</td> 
</tr> 
<tr> 
<td align="right" width="250" valign="top">My happiness quotient: 
</td> 
<td> 
<select name="happiness_quotient[]"> 
	<option value="100%">100%</option> 
	<option value="75%">75%</option> 
	<option value="50%">50%</option> 
	<option value="25%">25%</option> 
</select> 
<input type="hidden" name="recipient" value="huskamp@ups.edu"> 
<input type="hidden" name="subject" value="Simple form"> 
<input type="hidden" name="required" value="email,my_thoughts"> 
<input type="hidden" name="email_regex" value="^[A-Z0-9._%-]+@[A-Z0-9._%-]+\.[A-Z]{2,4}$"> 
<input type="hidden" name="return_link_url" value="http://www2.ups.edu/web/content/phpformmail.shtml"> 
<input type="hidden" name="return_link_title" value="Back to form article"> 
<input type="hidden" name="title" value="Simple form results"> 
<input type="hidden" name="css" value="http://www2.ups.edu/css/phpformmail.css"> 
<p><input type="submit" value="Submit Form" alt="submit form"></p> 
</td> 
</tr> 
</table> 
</form> 
</body> 
</html> 


/*--- EndOfFile ---*/

