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<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<html>
<head>
<title>Personal Details</title>
<meta name="content-language" content="en" />
<link rel="stylesheet" type="text/css" href="main.css" />
</head>
<body>
<h1>Personal Details</h1>
<form name="MyForm" action="/servlet/YourResponseRecorder" method="post">
<input class="control" type="hidden" name="AuthenticationCode" value="pW5va9LGfxtYJ">
<table>
<tr>
<td>Name:</td>
<td><input class="control" name="Name" size="40"></td>
</tr>
<tr>
<td>Title:</td>
<td>
<select class="control" name="Title" size="1">
<option value="none" selected>Please select...</option>
<option>Lord</option>
<option>Lt General Sir</option>
<option>Major General</option>
<option>Professor</option>
<option>Rt Honourable</option>
<option>Prime Minister</option>
<option>Master & Commander</option>
<option>Grand Poobah</option>
</select>
</td>
</tr>
<tr>
<td>Email Address:</td>
<td><input class="control" type="text" name="Email" size="40" /></td>
</tr>
<tr>
<td>Password:</td>
<td><input class="control" type="password" name="Password" size="40" value="secret"/></td>
</tr>
<tr>
<td>Member:</td>
<td><input type="checkbox" name="Member" checked /></td>
</tr>
<tr>
<td>Address:</td>
<td><textarea class="control" name="Address" rows="4" cols="45"></textarea></td>
</tr>
<tr>
<td>Mailing List Subscriptions:</td>
<td>
<input type="checkbox" name="MailingList" value="A"> Announcements<br>
<input type="checkbox" name="MailingList" value="B"> General<br>
<input type="checkbox" name="MailingList" value="C"> Cheap Viagra Offers<br>
<input type="checkbox" name="MailingList" value="D"> Anatomical Enlargements
</td>
</tr>
<tr>
<td>Favourite Fare:</td>
<td>
<input type="radio" name="FavouriteFare" value="spam" checked="checked" /> Spam
<input type="radio" name="FavouriteFare" value="rhubarb" /> Rhubarb
<input type="radio" name="FavouriteFare" value="honey" /> Honey
<input type="radio" name="FavouriteFare" value="rum" /> Rum
</td>
</tr>
<tr>
<td>Favourite Sports:</td>
<td>
<select class="control" name="FavouriteSports" multiple>
<option value="BB">Baseball
<option value="CR">Cricket
<option value="AFL">AFL
<option value="SOC">Soccer
</select>
<div class="instructions">(hold down CTRL key to select multiple items)</div>
</td>
</tr>
</table>
<p><input type="submit" value="Submit Form" name="button1"/></p>
</form>
</body>
</html>
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