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<form action="http://intersend.com/userpages/formprocess.php" method="post"> <input type="hidden" name="username" value="yourusername"> <input type="hidden" name="toemail" value="you@yourdomain.com"> <input type="hidden" name="redirect" value="http://yourdomain.com/thankyou.html"> <input type="hidden" name="categoryid[]" value="4"> <input type="hidden" name="categoryid[]" value="5"> <input type="hidden" name="categoryid[]" value="6"> <input type="hidden" name="campaignid" value="22"> <b>Please sign our guestbook:</b><br> <hr color=navy width="200"> Name: <input type="text" name="FirstName" maxlength="20"><br> Email: <input type="text" name="Email" maxlength="50"><br> <br> <b>How can we help you?</b> <hr color=navy width=200> <input type="checkbox" name="helpwith[]" value="Buying a Home"> Buying a Home<br> <input type="checkbox" name="helpwith[]" value="Selling a Home"> Selling a Home<br> <input type="checkbox" name="helpwith[]" value="Home Loan"> Home Loan<br> <input type="checkbox" name="helpwith[]" value="Relocation Package"> Relocation Package<br> <input type="checkbox" name="helpwith[]" value="Investment Property"> Investment Property<br> <input type="checkbox" name="helpwith[]" value="Home Evaluation"> Home Evaluation<br> <br> <center><input type="submit" value="Submit"></center> </form> |