All pastes #762669 Raw Edit

Form

public text v1 · immutable
·published 2007-11-05 20:47 UTC
rendered paste body
<html>
<head>
<title>Seminar Registration Form</title>
<script type="text/javascript" src="validate.js"></script>
</head>
<body>
<p><b>Seminar Registration Form</b></p>
<p>All fields are required.</p>
<form id="rform" method="get" action="registration_confirmation.htm"">
  <p>First Name: <input name="first" id="first" size="20" type="text"></p>
  <p>Last Name: <input name="last" id="last" size="20" type="text"></p>
  <p>University email address: <input name="email" id="email" size="20" type="text"></p>
  <p>Classification: <select size="1" name="classification" id="classification">
    <option>Select a classification</option>
    <option>Java Developer</option>
    <option>Software Architect</option>
    <option>Systems Analyst</option>
    <option>Slacker</option>
  </select></p>
  <p>Beverage desired (check all that apply): <input name="juice" id="juice" value="ON" type="checkbox">Juice&nbsp;
  <input name="pop" id="pop" value="ON" type="checkbox">Pop&nbsp; <input name="coffee" id="coffee" value="ON" type="checkbox">Coffee</p>
  <p>I will be attending as a <input value="hands-on" name="participant" id="hands-on" type="radio">hands-on
  participant <input name="participant" value="observer" type="radio">observer<br>
  <br>
  I can go for <input name="hours" id="hours" size="3" type="text">  hours without a snack
  break.</p>
  <p><input value="Submit" name="submit" id="submit" type="submit"><input value="Reset" name="reset" id="reset" type="reset"></p>
</form>
</body></html>