TimKeesling.com
XHTML Week 6 Project Assignment - Contact Form

Contact me "Tim Keesling" - www.TimKeesling.com

Name:
email:
Address:
City:
State:
Zipcode:
Country:
Phone: - -
 
What season do you prefer?
 
Do you like to exercise? YES   NO
 
Where do you exercise?
At the Track At the Gym At the Pool At Home
 
Send me a line or two!
OR

This form calls on a cgi script to process the data. The form output is sent to my email. Give it a try if you want! There are no required fields so fill in as much or as little as you want! You should see a "Thank You" page once you click the submit button.

Valid XHTML 1.0 Transitional