<html> <head><title>Example Form 4</title></head> <body bgcolor="#3c8484">
<center> <img src="/tools/enhance/form_emailer_help/example4/dctitle.gif" border="0"> </center> <h1>Order Form</h1>
<form action="/cgi-bin/cgiemail" method="post">
<!-- HTML Template used for the page after successful submission --> <input type="hidden" name="cgiemail_html" value="form2.html">
<!-- Customized Error message for bad Email addresses --> <input type="hidden" name="cgiemail_invalid" value="You typed your email wrong.">
<!-- HTML Template used in case as error occurs --> <input type="hidden" name="cgiemail_error" value="error.html">
<!-- Do not actually send anything yet --> <input type="hidden" name="cgiemail_message" value="">
<!-- Delimitor to be used for the "product" variable below --> <input type="hidden" name="delim_product" value=";">
<!-- Fields that must be submitted --> <input type="hidden" name="cgiemail_required" value="full_name:Please supply your full name."> <input type="hidden" name="cgiemail_required" value="email:You forgot to put your email address."> <input type="hidden" name="cgiemail_required" value="product:You need to select at least one Item, or you are not going to order anything.">
<table border=1> <tr><td><b>Full Name:</b></td> <td><input name=full_name></td></tr> <tr><td><b>Company:</b></td> <td><input name=company></td></tr> <tr><td><b>Email:</b></td> <td><input name=email></td></tr> <tr><td colspan=2><b>Send me the following Items:</b><br> <input type=checkbox name=product value="PRODUCT1">Item #1 <input type=checkbox name=product value="PRODUCT2">Item #2 <input type=checkbox name=product value="PRODUCT3">Item #3</td></tr> <tr><td colspan=2><input type=submit value="Next"></td></tr> </table>
</form>
</body> </html>