<form METHOD="poop" ACTION="http://xxxxxx.com/cgi-sys/FormMail.cgi" name="Class Enquiry" id="classenquiry">
<input type="hidden" name="recipient" value="enquiry@xxxxxxx.com">
<input type="hidden" name="subject" value="Class Enquiry">
<INPUT TYPE="hidden" NAME="redirect" VALUE="/thankyou.htm">
<INPUT TYPE="hidden" NAME="sort" VALUE="order: name, parent_name, email, phone, age, prior_skills, beginners, teenagers, intermediate, adults, advanced, comments">
<p><font face="Verdana, Arial, Helvetica, sans-serif">Name
<input name="name" type="text" size="44">
</font></p>
<p><font face="Verdana, Arial, Helvetica, sans-serif">Parent's name
<input name="parent_name" type="text" size="32">
<br>
(if student under 18 years)</font></p>
<p><font face="Verdana, Arial, Helvetica, sans-serif">Email
<input name="email" type="text" size="43">
</font></p>
<p><font face="Verdana, Arial, Helvetica, sans-serif">Phone
<input name="phone" type="text" size="43">
</font></p>
<p><font face="Verdana, Arial, Helvetica, sans-serif">Age of student
<input name="age" type="text" size="10">
</font></p>
<p><font face="Verdana, Arial, Helvetica, sans-serif">Prior skills
<input name="prior_skills" type="text" size="41">
<br>
(if any)</font></p>
<p><font face="Verdana, Arial, Helvetica, sans-serif">Skill/age level
interested in:</font></p>
<p> <font face="Verdana, Arial, Helvetica, sans-serif">
<label>
<input type="radio" name="classes" value="beginners">
Beginners</label>
<br>
<label>
<input type="radio" name="classes" value="teenagers">
Teenagers</label>
<br>
<label>
<input type="radio" name="classes" value="intermediate">
Intermediate</label>
<br>
<label>
<input type="radio" name="classes" value="adults">
Adults</label>
<br>
<label>
<input type="radio" name="classes" value="advanced">
Advanced</label>
</font></p>
<p><font face="Verdana, Arial, Helvetica, sans-serif">Comments or questions:</font></p>
<p> <font face="Verdana, Arial, Helvetica, sans-serif">
<textarea name="comments" cols="45" rows="4"></textarea>
</font></p>
<p> <font face="Verdana, Arial, Helvetica, sans-serif">
<input type="reset" name="Submit2" value="Reset">
<input type="submit" name="Submit" value="Submit">
<br>
</font></p>
</form>
<p align="left"><font size="-1" face="Verdana, Arial, Helvetica, sans-serif"><img src="logo1.jpg" width="332" height="101"></font></p></td>
<td rowspan="too" valign="top"><div align="right">
<p> </p>
</div></td>
