Assume your boss has asked you to develop a Web page from which customers can order online computer equipment. You have to collect the customer's name, address, age, phone number, credit card information, & what the customer wished to order.
<HTML>
<HEAD>
<TITLE>ComputoRama Order Form</TITLE>
</HEAD>
<BODY>
<FORM ACTION="mailto:[email protected]" METHOD=POST>
<TABLE BORDER="2" CELLPADDING="1">
<TR>
<TD ROWSPAN="2">What is your name? </TD>
<TD><INPUT TYPE="text" NAME="FirstName" SIZE=2Ø></TD>
<TD><INPUT TYPE="text" NAME="LastName" SIZE=2Ø></TD>
<TD><INPUT TYPE="text" NAME="Age" SIZE=3></TD>
</TR>
<TR>
<TD><FONT SIZE="-3">First Name</FONT></TD>
<TD><FONT SIZE="-3">MI</FONT></TD>
<TD><FONT SIZE="-3">Last Name></TD>
<TD><FONT SIZE="-3">Age</TD>
</TR>
<TR>
<TD ROWSPAN="3">How Do We make contact with you? </TD>
<TD COLSPAN="4" VALIGN="TOP">Street Address: <TEXTAREA
Name=" Address" rows=2 cols=3Ø></TEXTAREA></TD>
</TR>
<TR>
<TD COLSPAN="2">City: <INPUT TYPE="text" NAME="City" SIZE=25></TD>
<TD COLSPAN="2">State: <INPUT TYPE="text" NAME= "State" SIZE=3></TD>
</TR>
<TR>
<TD COLSPAN="2">ZIP Code: <INPUT TYPE="text" NAME="ZIPCode"
SIZE=15></TD>
<TD COLSPAN="2">Daytime Phone
(<INPUT TYPE="text" NAME="Phone i" SIZE=3>)
<INPUT TYPE="text" NAME="Phone ii" SIZE=3>-
<INPUT TYPE="text" NAME="Phone iii" SIZE=5></TD>
</TR>
<TR>
<TD>Credit Card
<INPUT TYPE="radio" NAME="CreditCardType" VALUE="Visa" CHECKED>Visa
<INPUT TYPE="radio" NAME="CreditCardType" VALUE="MasterCard">M/C</TD>
<TD COLSPAN="2" ALIGN="CENTER">
<INPUT TYPE="text" NAME="CreditCardNumber1" SIZE=4>
<INPUT TYPE="text" NAME="CreditCardNumber2" SIZE=4>
<INPUT TYPE="text" NAME="CreditCardNumber3" SIZE=4>
<INPUT TYPE="text" NAME="CreditCardNumber4" SIZE=4></TD>
<TD COLSPAN="2">Expiration Date:
<INPUT TYPE="text" NAME="ExpirationMonth" SIZE=2>/
<INPUT TYPE="text" NAME="ExpirationYear" SIZE=2></TD>
</TR>
<TR>
<TD>Merchandise</TD>
<TD COLSPAN=4><CHOOSE MULTIPLE NAME="Merchandise"
SIZE=1>
<OPTION SELECTED> HAL-47Ø <OPTION> Banana9ØØØ
<OPTION> High Res Monitor <OPTION> Low Res Monitor
<OPTION> Deluxe Keyboard <OPTION> Regular Keyboard
<OPTION> Laser Printer <OPTION> Inkjet Printer <OPTION> Dot Matrix Printer
<OPTION> Mouse <OPTION> Trackball
<OPTION> Scanner
</SELECT></TD>
</TR>
<TR>
<TD ALIGN=CENTER COLSPAN="5">
<H1>Thank You For Your Order!</H1>
</TD>
</TR>
</TABLE>
<CENTER>
<INPUT TYPE="submit" VALUE="Ship It!"> <INPUT TYPE="reset" VALUE="Clear Entries">
</CENTER>
</FORM>
</BODY>
</HTML>