Price Each:
＜INPUT TYPE="TEXT" NAME="price" VALUE="$"＞＜BR＞
＜HR＞
First Name:
＜INPUT TYPE="TEXT" NAME="firstName"＞＜BR＞
Last Name:
＜INPUT TYPE="TEXT" NAME="lastName"＞＜BR＞
Middle Initial:
＜INPUT TYPE="TEXT" NAME="initial"＞＜BR＞
Shipping Address:
＜TEXTAREA NAME="address" ROWS=3 COLS=40＞＜/TEXTAREA＞＜BR＞
Credit Card:＜BR＞
＜INPUT TYPE="RADIO" NAME="cardType"
VALUE="Visa"＞Visa＜BR＞
＜INPUT TYPE="RADIO" NAME="cardType"
VALUE="Master Card"＞Master Card＜BR＞
＜INPUT TYPE="RADIO" NAME="cardType"
VALUE="Amex"＞American Express＜BR＞
＜INPUT TYPE="RADIO" NAME="cardType"
VALUE="Discover"＞Discover＜BR＞
＜INPUT TYPE="RADIO" NAME="cardType"
VALUE="Java SmartCard"＞Java SmartCard＜BR＞
Credit Card Number:
＜INPUT TYPE="PASSWORD" NAME="cardNum"＞＜BR＞
Repeat Credit Card Number:
＜INPUT TYPE="PASSWORD" NAME="cardNum"＞＜BR＞＜BR＞
＜CENTER＞
＜INPUT TYPE="SUBMIT" VALUE="Submit Order"＞
＜/CENTER＞
＜/FORM＞
＜/BODY＞
＜/HTML＞
