blob: 9e7d4e12a6754591fb9a6205f92ca2b75328263b [file] [log] [blame]
<form>
<table class="contact_form">
<caption>Contact Us</caption>
<tbody>
<tr>
<th>Your name:</th>
<td><input type="text" name="Name" value="" /></td>
</tr>
<tr>
<th>Your email:</th>
<td><input type="text" name="Email" value="" /></td>
</tr>
<tr>
<th>Message Subject:</th>
<td><input type="text" name="Subject" value="" /></td>
</tr>
<tr>
<th>What are your hobbies?</th>
<td>
<input type="checkbox" value="Marbles" name="Hobbies[]" /> Marbles <br />
<input type="checkbox" value="Conkers" name="Hobbies[]" /> Conkers <br />
<input type="checkbox" value="Jacks" name="Hobbies[]" /> Jacks
</td>
</tr>
<tr>
<th>Message Body:</th>
</tr>
<tr>
<td colspan="2">
<textarea name="Message"> </textarea>
</td>
</tr>
</tbody>
</table>
<input type="submit" value="Send" /> &nbsp;&nbsp; <input type="reset" value="Reset" />
</form>