All pastes #523024 Raw Edit

Html Form

public text v1 · immutable
#523024 ·published 2007-05-30 17:08 UTC
rendered paste body
<p><p><table width="460" align="left"><tr><td width="454">
<p style="margin-left: 20; margin-top: 0; margin-bottom: 0">
<font size="1" face="Century Gothic" color="#AECF18"><b>&nbsp;Name:</b></font></p>
<p style="margin-left: 20; margin-top: 0; margin-bottom: 0">
<font size="1" face="Century Gothic" color="#AECF18"><b>&nbsp;<INPUT NAME="Name:" TYPE="text" SIZE=18 MAXLENGTH=30></b></font></p>
<p style="margin-left: 20; margin-top: 0; margin-bottom: 0">&nbsp;</p>
<p style="margin-left: 20; margin-top: 0; margin-bottom: 0">
<font size="1" face="Century Gothic" color="#AECF18"><b>What Work Do You 
Require?<BR>
<TEXTAREA NAME="Work Needed" ROWS=5 COLS=31></TEXTAREA></b></font></p>
<p style="margin-left: 20; margin-top: 0; margin-bottom: 0">&nbsp;</p>
<p style="margin-left: 20; margin-top: 0; margin-bottom: 0"><b>
<font face="Century Gothic" size="1" color="#AECF18">How Much Are You Expecting 
To Pay?<BR>
</font><font size="1" face="Century Gothic" color="#FFFFFF">£15 - £30: <INPUT NAME="£15 - £30" TYPE="checkbox" value="ON"><BR>
£30 - £50: <INPUT NAME="£30 - £50" TYPE="checkbox" value="ON"><BR>
£50 - £100: <INPUT NAME="£50 - £100" TYPE="checkbox" value="ON"><BR>
£100+: <INPUT NAME="£100+" TYPE="checkbox" value="ON"></font></b></p>
<p style="margin-left: 20; margin-top: 0; margin-bottom: 0">&nbsp;</p>
<p style="margin-left: 20; margin-top: 0; margin-bottom: 0"><b>
<font face="Century Gothic" size="1" color="#AECF18">Do You Have A Paypal 
Account?<BR>
</font><font face="Century Gothic" size="1" color="#FFFFFF">Yes: <INPUT NAME="Yes" TYPE="checkbox" value="ON"><BR>

No: <INPUT NAME="No" TYPE="checkbox" value="ON"></font></b><BR>

</td></tr>
<tr><td align=center width="454">
<p style="margin-left: 20; margin-top: 0; margin-bottom: 0">
<INPUT TYPE="submit" value="submit" style="border:1px solid #AECF18; color: #AECF18; background-color: #000000; float:left; font-family:Century Gothic; font-size:8pt">
</td></tr></table>
</p>
      </td>
    </tr>
  </table>
  </center>
</div>