Anonymous

<form method="post" action="/intranet/?q=node/14">
<p>Status:</p>
  <input type="text" name="status">
<p>Type:</p>
  <select name="type">
    <option value="Internet">Internet</option>
    <option value="Network">Network</option>
    <option value="E-mail">E-mail</option>
    <option value="Hosting">Hosting</option>
    <option value="Phones">Phones</option>
  </select>
<p>Location:</p>
<select name="loc">
    <option value="Spirella">Spirella</option>
    <option value="Nexus">Nexus</option>
    <option value="Spirella/Nexus">Spirella/Nexus</option>
  </select>
<p>Issue:</p>
<textarea name="issue"></textarea>
<p>Posted:</p>
<input name="posted" type="text" value="?php script?">
<br>
<input type="submit" name="Submit" value="Submit">
</form>
<p>&nbsp;</p>
</body>
</html>