This page contains your template form. All you need to do is copy it into your html editor. An email has also been sent to you containing the form.
If you do not receive the email, then your email address in the form is probably wrong! Make sure to fix it before using the form.
Do this...
- Select everything from the beginning of the html code to the end of the form .
- Copy it to the clipboard.
- Open your html editor or a text editor.
- Paste the form into a new window.
- If using your html editor, make sure that you are in html mode, so the editor knows you are pasting in raw html code. Delete any html code that is already there, and then paste in the new template form html.
- Save the file.
- If you are using a text editor, be sure to save the file in text only format.
- Open the file in your html editor and get to work.
Instructions for how to customize the template are on the Template Instructions page. Where else?
Your form starts right after this rule and goes to the very end of the page.
<HTML>
<HEAD>
<TITLE>Response-O-Matic Form</TITLE>
</HEAD>
<BODY BGCOLOR="#FFFFFF">
<FORM action="http://www.response-o-matic.com/cgi-bin/rom.pl" method="POST">
<H1><CENTER> </CENTER></H1>
<H1><CENTER><FONT COLOR="#000000">Thanks for visiting my site!</FONT>
</CENTER></H1>
<H3><CENTER>
<INPUT TYPE="hidden" NAME="your_email_address" VALUE="dexter@nve.com">
<INPUT TYPE="hidden" NAME="your_name" VALUE="Quality Manager">
<INPUT TYPE="hidden" NAME="email_subject_line" VALUE="NVE TQM Quiz/Certification">
<INPUT TYPE="hidden" NAME="required_fields" VALUE="your_email_address">
<INPUT TYPE="hidden" NAME="thank_you_title" VALUE="Thank you for completing the NVE TQM Tutorial and completing the test/certification. Your answers will be evaluated and notification of successful completion of the material will sent to you via email.">
<INPUT TYPE="hidden" NAME="return_link_url" VALUE="http://www.nve.com">
<INPUT TYPE="hidden" NAME="return_link_name" VALUE="NVE's Home Page">
<INPUT TYPE="hidden" NAME="background_color" VALUE="#FFFFFF">
<INPUT TYPE="hidden" NAME="text_color" VALUE="#000000">
<INPUT TYPE="hidden" NAME="link_color" VALUE="#0000FF">
<INPUT TYPE="hidden" NAME="visited_link_color" VALUE="#8000FF">
<INPUT TYPE="hidden" NAME="active_link_color" VALUE="#0000FF">
</CENTER></H3>
<H3><CENTER>Your comments are appreciated!</CENTER></H3>
<P><CENTER>Just complete this form. Click on Submit when ready to
send.</CENTER></P>
<H4> </H4>
<BLOCKQUOTE><P><TABLE BORDER=0 CELLSPACING=0>
<TR>
<TD WIDTH=116>
<H3>Your name:</H3>
</TD><TD>
<H4><INPUT TYPE="text" NAME="visitor_name" VALUE="" SIZE=50>
</H4>
</TD></TR>
<TR>
<TD WIDTH=116>
<H3>Email address:</H3>
</TD><TD>
<H4><INPUT TYPE="text" NAME="visitor_email_address" VALUE=""
SIZE=50></H4>
</TD></TR>
</TABLE></P>
<H3>Where do you want to go today?</H3>
<P><INPUT TYPE="radio" NAME="Where to?" VALUE="I don't know">I don't
know<BR>
<INPUT TYPE="radio" NAME="Where to?"
VALUE="Disneyland">Disneyland<BR>
<INPUT TYPE="radio" NAME="Where to?" VALUE="Bill Gate's house"
CHECKED>Bill Gate's house<BR>
<INPUT TYPE="radio" NAME="Where to?" VALUE="Back to bed">Back to bed
</P>
<P> </P>
<H3>What kind of movies do you like?</H3>
<P><INPUT TYPE="checkbox" NAME="Movies I like"
VALUE="Horror">Horror<BR>
<INPUT TYPE="checkbox" NAME="Movies I like"
VALUE="Science Fiction">Science Fiction<BR>
<INPUT TYPE="checkbox" NAME="Movies I like" VALUE="Romance"
CHECKED>Romance<BR>
<INPUT TYPE="checkbox" NAME="Movies I like" VALUE="Comedy">Comedy
</P></BLOCKQUOTE>
<P> </P>
<BLOCKQUOTE><H3>How many salesmen does it take to change a light
bulb?</H3>
<P><SELECT NAME="name">
<OPTION SELECTED>Who cares?
<OPTION>I hate this joke.
<OPTION>One
<OPTION>Two
<OPTION>Three
<OPTION>Only one. But today, and today only.
</SELECT></P></BLOCKQUOTE>
<P> </P>
<BLOCKQUOTE><H3>Any comments?</H3>
<P><TEXTAREA NAME="Comment" ROWS=5 COLS=50></TEXTAREA></P>
</BLOCKQUOTE>
<H4> </H4>
<BLOCKQUOTE><P><INPUT TYPE="submit" NAME="Submit"
VALUE="Submit"><INPUT TYPE="reset" VALUE="Reset"></P></BLOCKQUOTE>
<P> </P>
</FORM>
</BODY>
</HTML>