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Thread: HTML Form

  1. #1
    Junior Member
    Join Date
    Oct 2010
    Member #
    I'm trying to create a form with two boxes for an insurance site. I want that in the first box the user will select the type of insurance and in the second box type the zip code. For every insurance type, the surfer will be directed to a different URL.
    This is the code that I have, but of course that it doesn't work:

    <form name="mainform">
                <td colspan="2">
                    <select name="src" id="type">
                        <option value="">Auto</option>
                        <option value="">Home</option>
                        <option value="">Life</option>
                        <option value="</option>
                        <option value="</option>
                        <option value="</option>
                <input type="hidden" name="source" value="google" />
                <td><input type="text" name="zipcode" maxlength="5" id="zip" />
                <td colspan="2" style="text-align:center;"><input type="submit" id="button" value="Go"/></td>
    For example, for auto insurance the URL should be:
    HTML Code:


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