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Simply fill in titles for the kinds of items you wish on your form. If you do not wish the particular items, just leave the titles and/or HTML names blank.The Title will appear next to the form element on your page, while the HTML name will appear in the text you receive when the form is submitted.
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Form Action (Pick one) |
| Your Email Address | |
| Your CGI Script | |

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| Table Color | (If using custom color, be sure to click "Other" radio button) |
| Background | Black Red Blue White Other: |
| HTML Text Color | Black Red Blue White Other: |
| Font Face | Arial, Helvetica, Sans-serif Times, Palatino, Serif |
Click Here for Web Safe Colors Selector Click Here for Literal Colors Selector |

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| Form Color | (If using custom color, be sure to click "Other" radio button) |
| Background | Black Red Blue White Other: |
| Text Color | Black Red Blue White Other: |
| Font Face | Monaco, Pro Font, Sans-serif Courier, Monotype.com, Serif |

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| Form Element | Title On Page for Form Element | HTML Name of element |
| Text Input | | |
| Text Input | | |
| Text Input | | |
| Text Input | | |

(To group radio buttons, you must name all in one group with the same name. You may have more than one group.) |
| Form Element | Title On Page for Form Element | HTML Name of element |
| Radio Button | | |
| Radio Button | | |
| Radio Button | | |
| Radio Button | | |
| Radio Button | | |
| Radio Button | | |
| Radio Button | | |
| Radio Button | | |
| Radio Button | | |
| Radio Button | | |
| Radio Button Group | Pre-programmed Gender Selection | Yes No |
| Radio Button Group | Pre-programmed Age Selection | Yes No |
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| Form Element | Title On Page for Form Element | HTML Name of element |
| Check Box | | |
| Check Box | | |
| Check Box | | |
| Check Box | | |
| Check Box | | |
| Check Box | | |
| Check Box | | |
| Check Box | | |
| Check Box | | |
| Check Box | | |
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| Form Element | Title On Page for Form Element | HTML Name of element |
| Password | | |
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| Form Element | Title On Page for Form Element | HTML Name of element |
| Selector Pop-up Menu | | |
| Option #1 | | |
| Option #2 | | |
| Option #3 | | |
| Option #4 | | |
| Option #5 | | |
| Option #6 | | |
| Option #7 | | |
| Option #8 | | |
| Option #9 | | |
| Option #10 | | |
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| Form Element | Title On Page for Form Element | HTML Name of element |
| Selector Scroll Box Menu | | |
| Option #1 | | |
| Option #2 | | |
| Option #3 | | |
| Option #4 | | |
| Option #5 | | |
| Option #6 | | |
| Option #7 | | |
| Option #8 | | |
| Option #9 | | |
| Option #10 | | |
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| States Pop-up Menu | (Pre-programmed) | Yes No |
| States Scroll Box Menu | (Pre-programmed) | Yes No |
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| Form Element | Title On Page for Form Element | HTML Name of element |
| User File Selection | | |
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| Form Element | Title On Page for Form Element | HTML Name of element |
| Text Area (Comment Box) | | |
| Text Area (Comment Box) | | |
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Simply copy using Control-c or Apple-c
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© Copyright 1994-2007 John H. and Erika E. Keyes
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