Fill-Out Form Example

This is a fill-out form example, with multiple text entry fields and checkboxes. It was shamelessly stolen from NCSA, except I added a text-area box. It came from here. It will only work if you are using a client, like XMosaic, which supports fill-out forms.

Godzilla's Pizza -- Internet Delivery Service

Type in your street address:

Type in your phone number:

Which toppings would you like?

  1. Pepperoni.
  2. Sausage.
  3. Anchovies.
Here is a text area for your special instructions or comments on our pizzas.

To order your pizza, press this button: .