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PerF

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    Add state list and toggle fields to email form

    in PHP Coding Help

    Posted

    I am having trouble adding a state list and toggle fields to my email form.

    Please help.

    I need a dropdown of states for the field US States 

    I need a toggle with three choices for field Condition below the field

    I need a toggle with 4 choices for field Title below the field

     

    Here is a link to a picture of what I want to achieve.

    www.macroarts.com/filedemo/formimage.html

     

    Here is the code.  All other fields work. No problem.

    <body bgcolor="#000000" text="#FFFFFF">
        
        <form name="contactformfree" method="post" action="free_process.php" onsubmit="return validate.check(this)">
        <table width="100px" class="cffree">
        <tr>
         <td colspan="2">
          <p style="text-align:center">Fields marked with <span class="required_star"> * </span> are required.</p>
         </td>
        </tr>
        <tr>
         <td valign="top" class="cffree_td">
          <label for="First_Name" class="required">First Name<span class="required_star"> * </span></label>
         </td>
         <td valign="top" class="cffree_td">
          <input type="text" name="First_Name" id="First_Name" maxlength="80" style="width:50px">
         </td>
        
         <td valign="top" class="cffree_td">
          <label for="Last_Name" class="required">Last Name<span class="required_star"> * </span></label>
         </td>
         <td valign="top" class="cffree_td">
          <input type="text" name="Last_Name" id="Last_Name" maxlength="80" style="width:50px">
         </td>
        </tr>
        <tr>
         <td valign="top" class="cffree_td">
          <label for="Email_Address" class="required">Email<span class="required_star"> * </span></label>
         </td>
         <td valign="top" class="cffree_td">
          <input type="text" name="Email_Address" id="Email_Address" maxlength="100" style="width:50px">
         </td>
        
         <td valign="top" class="cffree_td">
          <label for="Telephone_Number" class="required">Phone<span class="required_star"> * </span></label>      
         </td>
         <td valign="top" class="cffree_td">
          <input type="text" name="Telephone_Number" id="Telephone_Number" maxlength="100" style="width:50px">
         </td>
        </tr>
        <tr>
         <td valign="top" class="cffree_td">
          <label for="City" class="not-required">City</label>
         </td>
         <td valign="top" class="cffree_td">
          <input type="text" name="City" id="City" maxlength="100" style="width:22px">
         </td>
        
         <td valign="top" class="cffree_td">
          <label for="US_States" class="not-required">US States</label>
         </td>
         <td valign="top" class="cffree_td">
          <input type="text" name="US_States" id="US_States" maxlength="100" style="width:22px">
         </td>
        
         <td valign="top" class="cffree_td">
          <label for="Zip" class="not-required">Zip</label>
         </td>
         <td valign="top" class="cffree_td">
          <input type="text" name="Zip" id="Zip" maxlength="100" style="width:28px">
         </td>
        </tr>
        <tr>
         <td valign="top" class="cffree_td">
          <label for="Year" class="required">Year<span class="required_star"> * </span></label>      
         </td>
         <td valign="top" class="cffree_td">
          <input type="text" name="Year" id="Year" maxlength="100" style="width:33px">
         </td>
        
         <td valign="top" class="cffree_td">
          <label for="Make" class="required">Make<span class="required_star"> * </span></label>      
         </td>
         <td valign="top" class="cffree_td">
          <input type="text" name="Make" id="Make" maxlength="100" style="width:33px">
         </td>
         
              <td valign="top" class="cffree_td">
          <label for="Model" class="required">Model<span class="required_star"> * </span></label>      
         </td>
         <td valign="top" class="cffree_td">
          <input type="text" name="Model" id="Model" maxlength="100" style="width:33px">
         </td>
         
        </tr>
        <tr>
         <td valign="top" class="cffree_td">
          <label for="Millage" class="not-required">Millage</label>
         </td>
         <td valign="top" class="cffree_td">
          <input type="text" name="Millage" id="Millage" maxlength="100" style="width:24px">
         </td>

         <td valign="top" class="cffree_td">
          <label for="Condition" class="not-required">Condition</label>
         </td>
         <td valign="top" class="cffree_td">
          <input type="text" name="Condition" id="Condition" maxlength="100" style="width:31px">
         </td>

         <td valign="top" class="cffree_td">
          <label for="Title" class="not-required">Title</label>
         </td>
         <td valign="top" class="cffree_td">
          <input type="text" name="Title" id="Title" maxlength="100" style="width:20px">
         </td>
        </tr>
        <tr>
         <td valign="top" class="cffree_td">
                <label for="Additional_Information" class="not-required">Additional Information</label>
         </td>
         <td valign="top" class="cffree_td">
          <textarea style="width:250px;height:120px" name="Additional_Information" id="Additional_Information" maxlength="2000" style="width:50px" ></textarea>
         </td>
        </tr>
        <tr>
         <td colspan="2" style="text-align:center"  class="cffree_td">
          <input type="submit" value=" Submit Form ">
          <br /><br />

          <br /><br />
         </td>
        </tr>
        </table>
        </form>

     

     

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