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

 1: <html>
 2: <head>
 3:   <title>Bob's Auto Parts</title>
 4: </head>
 5: <body>
 6: <h1>Bob's Auto Parts</h1>
 7: <h2>Order Form</h2>
 8: 
 9: <form action="processorder.php" method=post>
10: <table border=0>
11: <tr bgcolor=#cccccc>
12:   <td width=150>Item</td>
13:   <td width=15>Quantity</td>
14: </tr>
15: <tr>
16:   <td>Tires</td>
17:   <td align=left><input type="text" name="tireqty" size=3 maxlength=3></td>
18: </tr>
19: <tr>
20:   <td>Oil</td>
21:   <td align=left><input type="text" name="oilqty" size=3 maxlength=3></td>
22: </tr>
23: <tr>
24:   <td>Spark Plugs</td>
25:   <td align=left><input type="text" name="sparkqty" size=3 maxlength=3></td>
26: </tr>
27: <tr>
28:   <td>Shipping Address</td>
29:   <td align=center><input type="text" name="address" size=40 maxlength=40></td>
30: </tr>
31: <tr>
32:   <td colspan=2 align=center><input type=submit value="Submit Order"></td>
33: </tr>
34: </table>
35: </form>
36: 
37: </body>
38: </html>
39: