Assume your boss has asked you to develop a Web page from which customers can order online computer equipment. You have to collect the customer's name, address, age, phone number, credit card information, & what the customer wished to order.

<HTML>

<HEAD>

<TITLE>ComputoRama Order Form</TITLE>

</HEAD>

<BODY>

<FORM ACTION="mailto:[email protected]" METHOD=POST>

<TABLE BORDER="2" CELLPADDING="1">

<TR>

<TD ROWSPAN="2">What is your name? </TD>

<TD><INPUT TYPE="text" NAME="FirstName" SIZE=2Ø></TD>

<TD><INPUT TYPE="text" NAME="LastName" SIZE=2Ø></TD>

<TD><INPUT TYPE="text" NAME="Age" SIZE=3></TD>

</TR>

<TR>

<TD><FONT SIZE="-3">First Name</FONT></TD>

<TD><FONT SIZE="-3">MI</FONT></TD>

<TD><FONT SIZE="-3">Last Name></TD>

<TD><FONT SIZE="-3">Age</TD>

</TR>

<TR>

<TD ROWSPAN="3">How Do We make contact with you? </TD>

<TD COLSPAN="4" VALIGN="TOP">Street Address: <TEXTAREA

Name=" Address" rows=2 cols=3Ø></TEXTAREA></TD>

</TR>

<TR>

<TD COLSPAN="2">City: <INPUT TYPE="text" NAME="City" SIZE=25></TD>

<TD COLSPAN="2">State: <INPUT TYPE="text" NAME= "State" SIZE=3></TD>

</TR>

<TR>

<TD COLSPAN="2">ZIP Code: <INPUT TYPE="text" NAME="ZIPCode"

SIZE=15></TD>

<TD COLSPAN="2">Daytime Phone

(<INPUT TYPE="text" NAME="Phone i" SIZE=3>)

<INPUT TYPE="text" NAME="Phone ii" SIZE=3>-

<INPUT TYPE="text" NAME="Phone iii" SIZE=5></TD>

</TR>

<TR>

<TD>Credit Card

<INPUT TYPE="radio" NAME="CreditCardType" VALUE="Visa" CHECKED>Visa

<INPUT TYPE="radio" NAME="CreditCardType" VALUE="MasterCard">M/C</TD>

<TD COLSPAN="2" ALIGN="CENTER">

<INPUT TYPE="text" NAME="CreditCardNumber1" SIZE=4>

<INPUT TYPE="text" NAME="CreditCardNumber2" SIZE=4>

<INPUT TYPE="text" NAME="CreditCardNumber3" SIZE=4>

<INPUT TYPE="text" NAME="CreditCardNumber4" SIZE=4></TD>

<TD COLSPAN="2">Expiration Date:

<INPUT TYPE="text" NAME="ExpirationMonth" SIZE=2>/

<INPUT TYPE="text" NAME="ExpirationYear" SIZE=2></TD>

</TR>

<TR>

<TD>Merchandise</TD>

<TD COLSPAN=4><CHOOSE MULTIPLE NAME="Merchandise"

SIZE=1>

<OPTION SELECTED> HAL-47Ø <OPTION> Banana9ØØØ

<OPTION> High Res Monitor <OPTION> Low Res Monitor

<OPTION> Deluxe Keyboard <OPTION> Regular Keyboard

<OPTION> Laser Printer <OPTION> Inkjet Printer <OPTION> Dot Matrix Printer

<OPTION> Mouse <OPTION> Trackball

<OPTION> Scanner

</SELECT></TD>

</TR>

<TR>

<TD ALIGN=CENTER COLSPAN="5">

<H1>Thank You For Your Order!</H1>

</TD>

</TR>

</TABLE>

<CENTER>

<INPUT TYPE="submit" VALUE="Ship It!"> <INPUT TYPE="reset" VALUE="Clear Entries">

</CENTER>

</FORM>

</BODY>

</HTML>