<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> <html xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en"> <head> <meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" /> <h3> Choose your hire options and click submit </h3> <form id="myform" action="process.php" method="put"> <table border=1> <tr> <td> Membership Number </td> <td> <input type="text" name="memnum" maxlength="8" size="12" /> </td> </tr> <tr> <td> DVD? <input type="checkbox" name="dvd" value="yes" /> </td> </td> <td rowspan="2" align="center">Nights required<br /> <select name="nights"> <option>1</option> <option>2</option> <option>3</option> </select> </td> <tr> <td> VHS? <input type="checkbox" name="vhs" value="yes" /> </td> </tr> <tr> <td colspan="2" align="center"> <select id="classbox"> <option value="1">Choose classification</option> <option value="2">PG and below </option> <option value="3">12 and below</option> <option value="4">15 and below</option> <option value="5">18 and below</option> </select> </td> </tr> <tr> <td colspan="2" align="center"> <select name="film" id="filmbox"> <option value="NON">Select film to reserve</option> </select> </tr> </td> </table> <br /> <br /> <input type="submit" value="Reserve Video"/> </form> </body> </html>
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