Street Address:
Postal City code:
Zip Code:


Here comes the password output:

Name: Password:

Here comes the checkbox output:

What flavors do you like? Vanilla
Strawberry
Chocolate


Here comes the radio output:

Which is your favorite? Vanilla
Strawberry
Chocolate


Here comes the image output:


Here comes the submit output:



Here comes the reset output:


Here comes the select output:
Vanilla Strawberry Rum and Raisin Peach and Orange

Here comes the textaraea output:
HaL Computer Systems Dell Avenue Campbell, California 95008