41 lines
1.1 KiB
HTML
41 lines
1.1 KiB
HTML
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<HTML>
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<HEAD>
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<TITLE>Checkbox Element</TITLE>
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</HEAD>
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<BODY>
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<h1>Feedback Form</h1>
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<FORM METHOD = "POST" ACTION = "/cgi-bin/mail">
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<INPUT TYPE = "hidden" NAME = "recipient" VALUE = "happycodings.com@gmail.com">
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<INPUT TYPE = "hidden" NAME = "subject" VALUE = "Feedback Form">
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<INPUT TYPE = "hidden" NAME = "redirect" VALUE = "main.html">
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<P><STRONG>Name: </STRONG>
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<INPUT NAME = "name" TYPE = "text" SIZE = "30"></P>
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<P><STRONG>Comments:</STRONG>
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<TEXTAREA NAME = "comments" ROWS = "8" COLS = "40"></TEXTAREA>
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</P>
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<P><STRONG>Email Address:</STRONG>
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<INPUT NAME = "email" TYPE = "password" SIZE = "30"></P>
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<P><STRONG>Categories you liked:</STRONG><BR>
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Android
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<INPUT NAME = "things" TYPE = "checkbox" VALUE = "Android">
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C++
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<INPUT NAME = "things" TYPE = "checkbox" VALUE = "C++">
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Java
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<INPUT NAME = "things" TYPE = "checkbox" VALUE = "Java">
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Csharp
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<INPUT NAME = "things" TYPE = "checkbox" VALUE = "Csharp">
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Php
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<INPUT NAME = "things" TYPE = "checkbox" VALUE = "Php">
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</P>
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<INPUT TYPE = "submit" VALUE = "Submit Your Entries">
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<INPUT TYPE = "reset" VALUE = "Clear Your Entries">
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</FORM>
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</BODY>
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</HTML>
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