Originally posted by rohithmr
can u plz post the HTML for the form?
Here is the code:
<form method="post" action="request.php" name="request">
<table width="100%" border="0" cellspacing="5">
<tr>
<td valign="top" width="126" bgcolor="#507098"><font face="Tahoma, Verdana, Arial, sans-serif" size="-1" color="#FFFFFF">First
Name:</font></td>
<td width="328" valign="top">
<input type="text" name="firstn" size="25">
</td>
</tr>
<tr>
<td valign="top" width="126" bgcolor="#507098"><font face="Tahoma, Verdana, Arial, sans-serif" size="-1" color="#FFFFFF">Last
Name: </font></td>
<td width="328" valign="top">
<input type="text" name="lastn" size="25">
</td>
</tr>
<tr>
<td valign="top" width="126" bgcolor="#507098"><font face="Tahoma, Verdana, Arial, sans-serif" size="-1" color="#FFFFFF">Email
Address: </font></td>
<td width="328" valign="top">
<input type="text" name="email" size="35">
</td>
</tr>
<tr>
<td valign="top" width="126"> </td>
<td width="328" valign="top"> </td>
</tr>
<tr>
<td valign="top" width="126"> </td>
<td width="328" valign="top"><font face="Tahoma, Verdana, Arial, sans-serif"><b>Address
Information </b></font></td>
</tr>
<tr>
<td valign="top" width="126" bgcolor="#507098"><font face="Tahoma, Verdana, Arial, sans-serif" size="-1" color="#FFFFFF">Address
1: </font></td>
<td width="328" valign="top">
<input type="text" name="address1" size="40">
</td>
</tr>
<tr>
<td valign="top" width="126" bgcolor="#507098"><font face="Tahoma, Verdana, Arial, sans-serif" size="-1" color="#FFFFFF">Address
2: </font></td>
<td width="328" valign="top">
<input type="text" name="address2" size="40">
</td>
</tr>
<tr>
<td valign="top" width="126" bgcolor="#507098"><font face="Tahoma, Verdana, Arial, sans-serif" size="-1" color="#FFFFFF">Address
3: </font></td>
<td width="328" valign="top">
<input type="text" name="address3" size="40">
</td>
</tr>
<tr>
<td valign="top" width="126" bgcolor="#507098"><font face="Tahoma, Verdana, Arial, sans-serif" size="-1" color="#FFFFFF">City:</font></td>
<td width="328" valign="top">
<input type="text" name="city" size="30">
</td>
</tr>
<tr>
<td valign="top" width="126" bgcolor="#507098"><font face="Tahoma, Verdana, Arial, sans-serif" size="-1" color="#FFFFFF">State/Province:</font></td>
<td width="328" valign="top">
<input type="text" name="state" size="30">
</td>
</tr>
<tr>
<td valign="top" width="126" bgcolor="#507098"><font face="Tahoma, Verdana, Arial, sans-serif" size="-1" color="#FFFFFF">Zip/Postal
Code: </font></td>
<td width="328" valign="top">
<input type="text" name="zip" size="11">
</td>
</tr>
<tr>
<td valign="top" width="126" bgcolor="#507098"><font face="Tahoma, Verdana, Arial, sans-serif" size="-1" color="#FFFFFF">Country:</font></td>
<td width="328" valign="top">
<input type="text" name="country" size="30">
</td>
</tr>
<tr>
<td valign="top" width="126"> </td>
<td width="328" valign="top"> </td>
</tr>
<tr>
<td valign="top" width="126"> </td>
<td width="328" valign="top"><b><font face="Tahoma, Verdana, Arial, sans-serif">Telephone
Information </font></b></td>
</tr>
<tr>
<td valign="top" width="126" bgcolor="#507098"><font face="Tahoma, Verdana, Arial, sans-serif" size="-1" color="#FFFFFF">Country
Code (if outside of US):</font></td>
<td width="328" valign="top">
<input type="text" name="ccode" size="10">
</td>
</tr>
<tr>
<td valign="top" width="126" bgcolor="#507098"><font face="Tahoma, Verdana, Arial, sans-serif" size="-1" color="#FFFFFF">Area
Code: </font></td>
<td width="328" valign="top">
<input type="text" name="acode" size="4">
</td>
</tr>
<tr>
<td valign="top" width="126" bgcolor="#507098"><font face="Tahoma, Verdana, Arial, sans-serif" size="-1" color="#FFFFFF">Phone
Number: </font></td>
<td width="328" valign="top">
<input type="text" name="phone" size="8">
</td>
</tr>
<tr>
<td valign="top" width="126"> </td>
<td width="328" valign="top"> </td>
</tr>
<tr>
<td valign="top" width="126"> </td>
<td width="328" valign="top"><b><font face="Tahoma, Verdana, Arial, sans-serif">Questions
or Comments</font></b></td>
</tr>
<tr>
<td valign="top" width="126"> </td>
<td width="328" valign="top">
<textarea name="comments" cols="40" rows="5" wrap="VIRTUAL"></textarea>
</td>
</tr>
<tr>
<td valign="top" width="126" height="42"> </td>
<td width="328" valign="top" height="42">
<table width="100%" border="0">
<tr>
<td align="left" width="50%">
<input type="submit" name="Submit" value="Submit Information">
</td>
<td width="50%" align="right">
<input type="reset" name="reset" value="Reset Form">
</td>
</tr>
</table>
</td>
</tr>
</table>
</form>