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%\begin{Form}[action=http:www.rhbnc.ac.uk/htbin/shew-fields,html,method=post]
\documentclass{article}
\usepackage[bookmarks=false]{hyperref}
\setlength{\parindent}{0pt}
\setlength{\parskip}{10pt}
\begin{document}
\begin{Form}[action=mailto:srahtz,encoding=html,method=post]
\TextField[width=3in,name=xname,value={Bilbo Baggins}]
{Full name: }
%\TextField[name=warfs,validate={AFRange_Validate\string\(true, 1, true, 13\string\);}]
% {How many dwarves came along: }
\TextField[multiline,width=1in,name=address,borderstyle=D,
color=1 1 1,backgroundcolor=0 0 .5,
value={Bag End, The Hill, Hobbiton}]{Address: }
\ChoiceMenu[default=Home,menulength=3,width=2in,name=travel,default=Beorn]
{Favorite part of your travels:}
{Trolls,Misty Mountains,Beorn,Mirkwood,Elves,Laketown,%
Smaug,The Battle}
Have you still got your:
\CheckBox[]{Sword}
\CheckBox[name=coat]{Mithril coat}
%\CheckBox[name=ring,checked]{\textbf{Ring!}}
\CheckBox[name=ring,checked]{Ring!}
\ChoiceMenu[radio,default=Again,name=next,borderwidth=3,bordercolor=0 1 0]
{Do you want to:}
{Do it all again=Again,
Pretend it never happened=Forget,
Write a book about it=Write}
%\TextField[password,name=made]{\emph{Who} made the ring? }
\TextField[password,name=made]{Who made the ring? }
\ChoiceMenu[combo,default=Bofur,name=whatdwarf,
]{Select funniest name, or add one}
{Bofur,Thorin,Gollum,Smaug,Gandalf}
%\PushButton[name=xxx,onclick={app.beep(0)}]{Make a horrid beep}
\Submit{Send}
\Reset{Clear}
\end{Form}
\end{document}
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