<H3>Reader Contact Information</H3>
<P>Please fill out
this form, so we'll know how to get in touch with you. Thanks!
<FORM
METHOD="POST" ACTION="/cgi-bin/usr-inf">
<P>Please enter your
name:
<P>First name: <INPUT NAME="first" TYPE="TEXT" SIZE="12"
MAXLENGTH="20">
MI: <INPUT NAME ="MI" TYPE="TEXT" SIZE="3"
MAXLENGTH="3">
Surname(last name): <INPUT NAME="surname" TYPE="TEXT"
SIZE="15" MAXLENGTH="25">
<P>
<P>Please give us your
mailing address:
<P>Address 1: <INPUT NAME="adr1" TYPE="TEXT"
SIZE="30" MAXLENGTH="45">
<P>Address 2: <INPUT NAME="adr2"
TYPE="TEXT" SIZE="30" MAXLENGTH="45">
<P>City: <INPUT NAME="city"
TYPE="TEXT" SIZE="15" MAXLENGTH="30">
<P>State: <INPUT
NAME="state" TYPE="TEXT" SIZE="15" MAXLENGTH="15">
ZIP/Postal
Code: <INPUT NAME="zip" TYPE="TEXT" SIZE="10"
MAXLENGTH="10">
<P>Country: <INPUT NAME="country" TYPE="TEXT"
SIZE="15" MAXLENGTH="15">
<P>
<P>Thank you! <INPUT
TYPE="SUBMIT"> <INPUT
TYPE="RESET">
</FORM>
<ADDRESS>
Sample form for
<I>HTML for Dummies</I> Version 3.1<BR>
10/16/97
http://www.noplace.com/HTML4D/usr-inf.html
</ADDRESS>
Please fill out this form, so we'll know how to get in touch with you. Thanks!
Sample form for HTML for Dummies Version 3.1