This form shows the basic form elements and layout as well as the method to submit the collected data to an e-mail address. You can download this document, then open it in your web authoring software to study the form elements and the HTML code.

  • 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: [required]

Nearest Airport:

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

E-Mail Address:

Internet Usage (check all that apply):
Home | Work | School | Internet cafe

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.