| Code: |
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<form action="livereg.php" method="post"> <table width="100%" border="0"> <tr> <td width="300">First Name :</td> <td width="300" > <input type="text" name="username" size="32"> * </td> </tr> <tr> <td>Last Name:</td> <td><input type="text" name="password" size="32"> *</td> </tr> <tr> <td>Retype Password:</td> <td><input type="text" name="password2" size="32"> *</td> </tr> <tr> <td>Your Email:</td> <td><input type="text" name="email" size="32"> *</td> </tr> <tr> <td>Your Full Name:</td> <td><input type="text" name="name" size="32"> *</td> </tr> <tr> <td>Your Domain:</td> <td><input type="text" name="domain" size="32"></td> </tr> <tr> <td>Your ZIP Code:</td> <td><input type="text" name="zip" size="5"> *</td> </tr> <tr> <td height="21">Your City:</td> <td><input type="text" name="city" size="32"> *</td> </tr> <tr> <td>State/Province:</td> <td><input type="text" name="state" size="32"> *</td> </tr> <tr> <td>Country:</td> <td><input type="text" name="country" size="32"> *</td> </tr> <tr> <td>Address:</td> <td><input type="text" name="address" size="32"> *</td> </tr> <tr> <td>Phone:</td> <td><input type="text" name="phone" size="32"></td> </tr> <tr> <td> </td> <td><input type="submit" value="Submit" name="mailto:sean@extremefilmsproductions.com"></td> </tr> </table> </form> |
I need it so when you click submit, it emails it to sean@extremefilmsproductions.com
Please PM me if you would like to do this. I will give 100frih$ to someone who can do this.
