Stuff

<FORM action="/form_submit.php" method="POST">
<div id="name">
<h3 id="title">Name:</h3>
<div><span>First:   <INPUT type="text" name="First" size=""></span>
   <div><span>M.I:  <INPUT type="text" name="MI" size="1"></span>
<div><span>Last:    <INPUT type="text" name="Last" size=""><span>
</div>
<div id="occ">
<h3 id="title">Occupation (select one):</h3>
<select name="occ">
<option value="Student">Student</option>
<option value="Teacher">Teacher</option>
<option value="other">Other</option>
</select>
<span>If other, specify: <input type="text" name="occue"></span>
</div>
<div id="int">
<h3 id="title">I am interested in (check all that apply):</h3>
     <div><INPUT type="checkbox" name="int[]" value="donate"> Making a donation to SEAS</div>
   <div><INPUT type="checkbox" name="int[]" value="T-shirt"> Buying a SEAS T-Shirt</div>
<div><INPUT type="checkbox" name="int[]" value="chapterS"> Establishing a SEAS chapter in my school</div>
   <div><INPUT type="checkbox" name="int[]" value="chapterC"> Establishing a SEAS chapter in my community</div>
<div>Other: <INPUT type="text" name="otherI" size=""></div> 
</div>

<div id="contact">
	<h3 id="title">Contact Information:</h3>
	<div><span>Street Address:<input type="text" name="address"></span></div>
	<div><span>City:<input type="text" name="city"></span></div>
	<div><span>State:<input type="text" name="state"></span></div>
	<div><span>Zip Code:<input type="text" name="zip"></span></div>
	<div><span>Email Address:<input type="text" name="email"></span></div>
	<div><span>Phone Number:<input type="text" name="phone"></span></div>
	</div>
	
<div id="school">
	<h3 id="title">School Information:</h3>
	<div><span>Name:<input type="text" name="sname"></span></div>
	<div><span>City:<input type="text" name="scity"></span></div>
	<div><span>State:<input type="text" name="sstate"></span></div>
	<div><span>Grade:<input type="text" name="grade"></span></div>
	</div>
       <br/>

   <INPUT type="submit" name="Submit" value="Submit">
</FORM>