/home/wpollock1/public_html/PHP/orderform.html

<html>
<head>
  <title>Bob's Auto Parts</title>
</head>
<body>
<h1>Bob's Auto Parts</h1>
<h2>Order Form</h2>

<form action="processorder.php" method=post>
<table border=0>
<tr bgcolor=#cccccc>
  <td width=150>Item</td>
  <td width=15>Quantity</td>
</tr>
<tr>
  <td>Tires</td>
  <td align=left><input type="text" name="tireqty" size=3 maxlength=3></td>
</tr>
<tr>
  <td>Oil</td>
  <td align=left><input type="text" name="oilqty" size=3 maxlength=3></td>
</tr>
<tr>
  <td>Spark Plugs</td>
  <td align=left><input type="text" name="sparkqty" size=3 maxlength=3></td>
</tr>
<tr>
  <td>Shipping Address</td>
  <td align=center><input type="text" name="address" size=40 maxlength=40></td>
</tr>
<tr>
  <td colspan=2 align=center><input type=submit value="Submit Order"></td>
</tr>
</table>
</form>

</body>
</html>