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JERLBAUM / CGI-Application-3.1 / Examples / Mailform / mailform.html 
<html>
	<head>
		<title>CGI::Application::Mailform Example</title>
		<meta name="description" content="CGI::Application::Mailform - A simple HTML form to email system.  CGI::Application::Mailform is a subclass of CGI::Application.  CGI::Application and CGI::Application::Mailform are Perl modules written by Jesse Erlbaum and are available at http://www.cpan.org/authors/id/J/JE/JERLBAUM/">
		<meta name="keywords" content="CGI Application Mailform Example Email Mail Form CGI::Application Usage Example CGI::Application::Mailform Usage Example Jesse Erlbaum Vanguard Media Perl CPAN">
	</head>
	<body>
		<h1>CGI::Application::Mailform Example</h1>

		<h3>A simple HTML form to email system.</h3>

		<p>CGI::Application::Mailform is a subclass of CGI::Application.  CGI::Application and
			CGI::Application::Mailform are Perl modules written by Jesse Erlbaum and
			are available at <a href="http://www.cpan.org/authors/id/J/JE/JERLBAUM/">http://www.cpan.org/authors/id/J/JE/JERLBAUM/</a></p>


		<form action="mailform.cgi" method="POST">

			<!-- Set up hidden form parameter 'rm' to set run-mode to 'submitform'  -->
			<input type="hidden" name="rm" value="submitform">

			<table border="1" cellspacing="0" cellpadding="5">
				<tr>
					<td align="right" valign="top">Name:</td>
					<td><input type="textfield" name="name" size="40"></td>
				</tr>

				<tr>
					<td align="right" valign="top">Email Address:</td>
					<td><input type="textfield" name="email" size="40"></td>
				</tr>

				<tr>
					<td align="right" valign="top">Company:</td>
					<td><input type="textfield" name="company_name" size="40"></td>
				</tr>

				<tr>
					<td align="right" valign="top">Postal Address:</td>
					<td><textarea name="postal_address" cols="40" rows="4"></textarea></td>
				</tr>

				<tr>
					<td align="right" valign="top">CGI::Application::Mailform is:</td>
					<td><select name="mailform_is">
							<option value="Pretty Swell">Pretty Swell
							<option value="Earth Shattering">Earth Shattering
							<option value="Mind Blowing">Mind Blowing
							<option value="A Religious Experience">A Religious Experience
					</select></td>
				</tr>

				<tr>
					<td align="right" valign="top">Perl is:</td>
					<td>
						<input type="radio" name="perl_is" value="great" checked>Great!
						<input type="radio" name="perl_is" value="superfabulastic">SuperFabulastic!
					</td>
				</tr>

				<tr>
					<td align="right" valign="top">Would you like Jesse to sing you Happy Birthday?</td>
					<td><input type="checkbox" name="sing_happy_bday" value="yes" checked>Yes, please!</td>
				</tr>

				<tr>
					<td colspan="2" align="center"><input type="submit" name="submit"></td>
				</tr>

			</table>
		</form>
	</body>
</html>