Fill-Out Form Example

A fill-out form example, with multiple text entry fields and radio buttons.

Internet Pizza Delivery Service

Type in your street address:

Type in your phone number:

Would you like to view today's specials?

Choose a special pizza:

Or you may prefer to choose a topping for your pizza:
Pepperoni.
Sausage.
Anchovy.

Would you like to find out how long it will take to prepare your topping order?

To place your request, press this button:

The perl CGI script that handles this form is in pizza2.pl.

Check out a real Internet pizza ordering service.

ECS400 class example. Please send comments to njm@npac.syr.edu. 2/28/96.