Mine

<html>

<HEAD><TITLE>Text Messaging Sign Up List</TITLE></HEAD>

<FORM ACTION="signupsms.php" method="post"> 


First Name <INPUT TYPE=TEXT NAME= "first" SIZE=20 MAXLENGTH=20>
<br>
Last Name <INPUT TYPE=TEXT NAME= "last" SIZE=20 MAXLENGTH=20>
<br>
Phone Number <INPUT TYPE=TEXT NAME= "number" SIZE=10 MAXLENGTH=10 >
<br>

<div align="left">
Service Provider: <select name="provider">
<option value="tmomail.net">T-mobile</option>
<option value="vmobl.com">Virgin Mobile</option>
<option value="cingularme.com">Cingular</option>
<option value="messaging.sprintpcs.com">Sprint</option>
<option value="vtext.com">Verizon</option>
<option value="messaging.nextel.com">Nextel</option>
</select>
</div>
<INPUT TYPE=RESET NAME="RESET" VALUE="Reset">
<br>
<INPUT TYPE=SUBMIT NAME="SUBMIT" VALUE="Submit">
<br>
</FORM>
</html>