type = text|password|checkbox|radio|submit|reset|file|hidden|image|button
RADIOBUTTON
value - data sent, only one value will be sent for a given group of radio buttons
name - defines which set of radio buttons that it is a part of
checked - a special attribute to indicate this is already selected by default
<form id='submitbutton' action='selfurl' method='post' >
<label><input type='radio' name='userinput' value='ls' checked /> ls </label></span>" );
<label><input type='radio' name='userinput' value='date'/> date </label>
</form>
http://www.w3.org/TR/html401/interact/forms.html#h-17.4
<div style="width: 100%;height: 250px;overflow:-moz-scrollbars-vertical;overflow-y:auto;">
Large amount of text here as this is a text box with a vertical scrollbar
</div>
<?php //no direct access
defined( '_JEXEC' ) or die( 'Restricted access' );
?>
<table width="100%" cellpadding="4" cellspacing="0" border="0">
<form action="http://website.com/webpagew/servlet.WebToLead?encoding=UTF-8" method="POST" name="myForm" onsubmit="return validateMyForm();">
<input type="hidden" name="oid" value="12345678">
<input type="hidden" name="retURL" value="http://return-url.php">
<tr>
<td width="16%"><label for="first_name">First Name</label></td>
<td width="84%"><input id="first_name" maxlength="40" name="first_name" size="20" type="text" /></td>
</tr>
<tr>
<td><label for="last_name">Last Name</label></td>
<td><input id="last_name" maxlength="80" name="last_name" size="20" type="text" /></td>
</tr>
<tr>
<td><label for="email">Email</label></td>
<td><input id="email" maxlength="80" name="email" size="20" type="text" /></td>
</tr>
<tr>
<td><label for="company">Company</label></td>
<td><input id="company" maxlength="40" name="company" size="20" type="text" /></td>
</tr>
<tr>
<td><label for="phone">Phone</label></td>
<td><input id="phone" maxlength="40" name="phone" size="20" type="text" /></td>
</tr>
<tr>
<td><label for="phone">Country</label></td>
<td>
<select id="Country" name="00N30000002EDDU" title="Country">
<option value="">--None--</option>
<option value="United Kingdom">United Kingdom</option>
<option value="Afghanistan">Afghanistan</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Antigua and Barbuda">Antigua and Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas, The">Bahamas, The</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Brazil">Brazil</option>
<option value="Brunei">Brunei</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burma">Burma</option>
<option value="Burundi">Burundi</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cape Verde">Cape Verde</option>
<option value="Central African Republic">Central African Republic</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo (Brazzaville)">Congo (Brazzaville)</option>
<option value="Congo (Kinshasa)">Congo (Kinshasa)</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Cote d'Ivoire">Cote d'Ivoire</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="Gabon">Gabon</option>
<option value="Gambia, The">Gambia, The</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>
<option value="Ghana">Ghana</option>
<option value="Greece">Greece</option>
<option value="Grenada">Grenada</option>
<option value="Guatemala">Guatemala</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-Bissau">Guinea-Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran">Iran</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Korea, North">Korea, North</option>
<option value="Korea, South">Korea, South</option>
<option value="Kosovo">Kosovo</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Laos">Laos</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libya">Libya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macau">Macau</option>
<option value="Macedonia">Macedonia</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mexico">Mexico</option>
<option value="Micronesia">Micronesia</option>
<option value="Moldova">Moldova</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montenegro">Montenegro</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>
<option value="Netherlands Antilles">Netherlands Antilles</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="North Korea">North Korea</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Palestinian Territories">Palestinian Territories</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Qatar">Qatar</option>
<option value="Romania">Romania</option>
<option value="Russia">Russia</option>
<option value="Rwanda">Rwanda</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome and Principe">Sao Tome and Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Serbia">Serbia</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Africa">South Africa</option>
<option value="South Korea">South Korea</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Swaziland">Swaziland</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syria">Syria</option>
<option value="Taiwan">Taiwan</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania">Tanzania</option>
<option value="Thailand">Thailand</option>
<option value="Timor-Leste">Timor-Leste</option>
<option value="Togo">Togo</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United States of America">United States of America</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Venezuela">Venezuela</option>
<option value="Vietnam">Vietnam</option>
<option value="Yemen">Yemen</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
</select>
</td>
</tr>
<tr>
<td valign="top"><label for="phone">Target</label></td>
<td>
<select id="TargetOS" multiple="multiple" name="00N30000000h6Ll" title="Target OS">
<option value="linux">linux</option>
</select>
</td>
</tr>
<tr>
<td valign="top"><label for="phone">Existing Graphics Solution</label></td>
<td>
<select id="Existing Graphics Solution" multiple="multiple" name="00N30000002Famu" title="Existing Graphics Solution?">
<option value="QT">QT</option>
<option value="GTK">GTK</option>
<option value="WindML">WindML</option>
<option value="DirectX">DirectX</option>
<option value="Win32">Win32</option>
<option value="OpenGL">OpenGL</option>
<option value="Other">Other</option>
</select>
</td>
</tr>
<tr>
<td valign="top"><label for="phone">Industry</label></td>
<td>
<select id="industry" name="industry">
<option value="">--None--</option>
<option value="Automotive">Automotive</option>
<option value="Commercial Vehicle">Commercial Vehicle</option>
<option value="Transportation">Transportation</option>
<option value="Industrial Automation">Industrial Automation</option>
<option value="Medical">Medical</option>
<option value="Defense">Defense</option>
<option value="Aerospace">Aerospace</option>
<option value="Consumer Devices">Consumer Devices</option>
<option value="Communications">Communications</option>
<option value="Software">Software</option>
<option value="Other">Other</option>
</select><br>
</select>
</td>
</tr>
<tr>
<td valign="top"><label for="phone">Hardware Platform</label></td>
<td>
<select id="00N30000000h6Lp" multiple="multiple" name="00N30000000h6Lp" title="Hardware Platform">
<option value="ARM">ARM</option>
<option value="PPC">PPC</option>
<option value="x86">x86</option>
</select><br>
</select>
</td>
</tr>
<tr>
<td valign="top"><label for="phone">Quantity of units planned?</label></td>
<td>
<select id="00N30000002FanA" name="00N30000002FanA" title="How many devices?">
<option value="">--None--</option>
<option value="1 - 500">1 - 500</option>
<option value="500 - 10,000">500 - 10,000</option>
<option value="10,000+">10,000+</option>
</select><br>
</td>
</tr>
<tr>
<td><input id="00N30000002FanJ" name="00N30000002FanJ" type="checkbox" value="1" /></td>
<td>I require the ability to import / export</td>
</tr>
</td>
</tr>
<tr>
<td><input type="checkbox" name="agree" /></td>
<td>I acknowledge that I have read and will comply with the <a href="http://website/Legal_flex.pdf">Software License Agreement</a></td>
</tr>
<tr>
<td colspan="2">
<br /> <br />
<center>
<input type="submit" value="Register" style="color:#FF3300; font-size:120%;">
</center>
</td>
</tr>
</form>
</table>
<script type="text/javascript" language="javascript">
function validateMyForm() {
if (document.getElementById('Country').value == '') {
alert('Please choose a country');
document.getElementById('Country').focus();
return false;
}
if (document.getElementById('TargetOS').value == '') {
alert('Please choose a Target OS');
document.getElementById('TargetOS').focus();
return false;
}
if (document.getElementById('industry').value == '') {
alert('Please select your industry');
document.getElementById('industry').focus();
return false;
}
if (document.getElementById('Existing Graphics Solution').value == '') {
alert('Please select your existing graphics solution');
document.getElementById('Existing Graphics Solution').focus();
return false;
}
if (document.getElementById('00N30000000h6Lp').value == '') {
alert('Please select your target hardware platform');
document.getElementById('00N30000000h6Lp').focus();
return false;
}
if (document.getElementById('00N30000002FanA').value == '') {
alert('Please indicate how many units you plan to ship');
document.getElementById('00N30000002FanA').focus();
return false;
}
if (document.myForm.agree.checked == false) {
alert('You must first agree to our terms and conditions.');
document.myForm.agree.focus();
return false;
}
if (document.myForm.first_name.value == '') {
alert('Please enter your first name');
document.myForm.first_name.focus();
return false;
}
if (document.myForm.last_name.value == '') {
alert('Please enter your last name');
document.myForm.last_name.focus();
return false;
}
if (document.myForm.email.value == '') {
alert('Please enter your email');
document.myForm.email.focus();
return false;
}
if (document.myForm.company.value == '') {
alert('Please enter your company');
document.myForm.company.focus();
return false;
}
if (document.myForm.phone.value == '') {
alert('Please enter a phone number');
document.myForm.phone.focus();
return false;
}
return true;
//return false;
}
</script>