Web Form for Printing

This form shows the basic tags and layout. The script allows you to create a different page for printing (you'll see an example after you click the Submit button).


  • Click in the first form field to begin completing the form.
  • Use the mouse to place the cursor in the next form field or press the [Tab] key to move the cursor.
  • Press [Shift]+[Tab] to move the cursor to the previous form field.
  • Click on the "radio buttons" to make a selection from among several choices.
  • Use the Vertical Scroll Bar or the Page Up and Page Down keys to scroll through the form.
  • Click on the [Submit] button at the bottom of this form when the form is complete.
  • If you need to start over, click on the [Reset] button at the bottom of this form to clear all of the form fields.

Name: Home town:

Age: Less than 20 21 to 30 31 to 45 Over 45

Send a Copy to this E-Mail Address:

Internet Connection: Dial-up PPP or SLIP Account Direct Internet Access

Tell us about yourself:


Click on the [Submit] button to submit the completed form. The data will be sent to the e-mail address specified in the HTML source document.

Click on the [Reset] button to clear all of the form fields.