
<HTML><HEAD></HEAD>
<BODY>
<TABLE border=0 width=500 >
<TR><TD>
Please fill out the form	

<!--START THE FORM -->
<FORM ACTION="test.asp" NAME="frmUser" METHOD="POST">

<!--FORM IS IN A TABLE TO ALIGN THE TEXTBOXES -->
<TABLE ALIGN="" BORDER=0 ALIGN="">
<TR>
<TD align=right><B>First Name</B></TD>
<TD>
  <INPUT TYPE="text" Name="FirstName" VALUE="">
</TD>
</TR>

<TD align=right><B>Last Name</B></TD>
<TD>
  <INPUT TYPE="text" Name="LastName" VALUE="">
</TD>
</TR>

<TR><TD align="right">
  <B>Date </B></td><TD><INPUT TYPE="Text" NAME="SendDate" 
             VALUE="">&nbsp;
             <font color="blue">(mm/dd/yyyy)</font>
</TD></TR>
</TABLE>
<!-- end table for data entry form -->

<INPUT TYPE="Submit" VALUE="Submit">&nbsp;&nbsp;<INPUT TYPE="RESET">
</FORM>

</TD></TR></TABLE>
<!-- end table used for page alignment -->
</BODY>
</HTML>