<html>
<head><title>Example Form 4</title></head>
<body bgcolor="#3c8484">
<center>
<img src="/tools/enhance/form_emailer_help/example4/dctitle.gif" border="0">
</center>
<h1>Order Form</h1>
<form action="/cgi-bin/cgiemail" method="post">
<!-- HTML Template used for the page after successful submission -->
<input type="hidden" name="cgiemail_html" value="form2.html">
<!-- Customized Error message for bad Email addresses -->
<input type="hidden" name="cgiemail_invalid" value="You typed your email wrong.">
<!-- HTML Template used in case as error occurs -->
<input type="hidden" name="cgiemail_error" value="error.html">
<!-- Do not actually send anything yet -->
<input type="hidden" name="cgiemail_message" value="">
<!-- Delimitor to be used for the "product" variable below -->
<input type="hidden" name="delim_product" value=";">
<!-- Fields that must be submitted -->
<input type="hidden" name="cgiemail_required" value="full_name:Please supply your full name.">
<input type="hidden" name="cgiemail_required" value="email:You forgot to put your email address.">
<input type="hidden" name="cgiemail_required" value="product:You need to select at least one Item, or you are not going to order anything.">
<table border=1>
<tr><td><b>Full Name:</b></td>
<td><input name=full_name></td></tr>
<tr><td><b>Company:</b></td>
<td><input name=company></td></tr>
<tr><td><b>Email:</b></td>
<td><input name=email></td></tr>
<tr><td colspan=2><b>Send me the following Items:</b><br>
<input type=checkbox name=product value="PRODUCT1">Item #1
<input type=checkbox name=product value="PRODUCT2">Item #2
<input type=checkbox name=product value="PRODUCT3">Item #3</td></tr>
<tr><td colspan=2><input type=submit value="Next"></td></tr>
</table>
</form>
</body>
</html>
