Posted: Tue Mar 18, 2008 8:33 am Problem with form!!!
I am creating an electronic registration for my church, and i have the code created and everything is working fine except the summiting. I had a mailto form but i want to change it to a better form, is anyone here that can help me!! Here is the code....
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<html>
<title>Aplicacion 2008-09</title>
<head><font size="+5" color="red">Aplicacion 2008-09 CCE Elemental</font></head>
<body>
<h1>Informacion Personal</h1>
<form action="/cgi-bin/mycgi.pl">
Nombre <input type="text" name="Nombre" size="30" maxlength="20"
<br>
Apellido <input type="text" name="apellido" size="25" maxlength="20"
<br>
Inicial <input type="text" name="Inicial" size="5" maxlength="1">
<br>
Fecha de Nacimiento<input type="text" name="Fecha de Nacimiento" size="10" maxlength="20"
<br>
Direccion <input type="text" name="direccion" size="30" maxlength="60">
<br>
Ciudad <input type="text" name="ciudad" size="30" maxlength="60"
<br>
ZIP <input type="text" name="zip" size="10" maxlength="5">
<br>
Numero de Telefono <input type="text" name="Telefono" size="25" maxlength="20">
<br>
<br>
<br>
Nombre del Padre <input type="text" name="Nombre" size="30" maxlength="20"
<br>
Telefono del Trabajo <input type="text" name="telefono" size="30" maxlength="20">
<br>
Nombre de la Madre <input type="text" name="Nombre" size="30" maxlength="20"
<br>
Telefono del Trabajo <input type="text" name="Telefono" size="30" maxlength="20">
<br>
Contacto de Emergencia <input type="text" name="Contacto" size="30" maxlength="20"
<br>
Telefono <input type="text" name="Telefono" size="30" maxlength="20">
<br>
<br>
<br>
<h1>Sacramentos Recibidos</h1>
Bautizado <input type="checkbox" name="Bautizado"
<br>
Donde? <input type="text" name="Donde" size="30" maxlength="20">
<br>
1era Comunion <input type="checkbox" name="1 Comunion"
<br>
Donde? <input type="text" name="Donde" size="30" maxlength="20">
<br>
Confirmado <input type="checkbox" name="Confirmado"
<br>
Donde? <input type="text" name="Donde" size="30" maxlength="20">
<br>
<br>
<h1>Informacion Medica</h1>
Alergias <input type="checkbox" name="Alergias">
<br>
<textarea cols="30" rows="7" name="comentarios"></textarea>
<br>
<br>
<br>
<h1>Informacion del Grado</h1>
Grado <select name="Grado">
<option value="1">Kinder
<option value="2">1st
<option value="3">2nd
<option value="4">3rd
<option value="5">3rd 1st Comm
<option value="6">4th
<option value="7">4th & 5th 1st Comm
<option value="8">5th
</select>
<br>
<br>
<br>
<h1>Informacion Financial</h1>
Donacion General $15.00
<br>
Sacramento $25.00
<br>
<br>
Pago <input type="checkbox" name="Pago">
<br>
Numero de Cheque<input type"text" name="Numero de Cheque" size="10" maxlength="10"
<br>
Cash <input type"text" name="Cantidad de Cash" size="10" maxlength="10">
<br>
<br>
Dio un abono <input type="checkbox" name="No Pago"
<br>
Abono <input type"text" name="Cantidad de Cash" size="10" maxlength="10">
<br>
<br>
No Pago <input type="checkbox" name="No Pago">
<br>
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