Online signup form, I need to know what you want on it Options

[Pnambic]

Hey guys,

I'm not up to date on the latest developments on our WCC05, so I need your help laying out the online form. You can take a peek at the FFC form here. Also, what email addresses do you want the forms sent to?

Happy to lend a hand!
(IMG:style_emoticons/default/beerchug.gif)

[Pnambic]

<center><br /><br /><form action="http://pub6.bravenet.com/emailfwd/senddata.php" method="post"><input type="hidden" name="PHPSESSID" value="232a994517b4421e815a1863fe5baa66" /><input type="hidden" name="usernum" value="507100178" /><input type="hidden" name="cpv" value="2" /><INPUT type="hidden" name="carboncopy" value="dan@dja3.com" /><table cellpadding="10" cellspacing="0" border="0" style="width: 475px; border:solid 1px #969696;" align="center"><tr bgcolor="#f6f6f6"><td width="50%" align="left" style="color:black;"><img src="http://www.dja3.com/914club/wcc2005.gif" border="0" width="100%" /><td width="50%" align="left" style="color:black;"><center><a href="http://www.914world.com/bbs2/index.php?act=ST&f=2&t=20131">2005 West Coast Classic <br />Sign-up Form</a><br />Registration Fees: $150</center></td></tr><tr><td width="50%" align="left" style="border-top: solid 1px #969696;color:black;">Enter Your Name:</td><td style="border-top: solid 1px #969696;color:black;"><input type="text" name="name..........." value=" " size="30" maxlength="40" /></td></tr><tr bgcolor="#f6f6f6"><td width="50%" align="left" style="border-top: solid 1px #969696;color:black;">Enter Your Address:</td><td style="border-top: solid 1px #969696;"><input type="text" name="address........" value=" " size="30" maxlength="40" /></td></tr><tr><td width="50%" align="left" style="border-top: solid 1px #969696;color:black;">Enter Your City:</td><td style="border-top: solid 1px #969696;"><input type="text" name="city..........." value=" " size="30" maxlength="40" /></td></tr><tr bgcolor="#f6f6f6"><td width="50%" align="left" style="border-top: solid 1px #969696;color:black;">Enter Your Zip Code:</td><td style="border-top: solid 1px #969696;"><input type="text" name="zip............" value=" " size="11" maxlength="12" /></td></tr><tr><td width="50%" align="left" style="border-top: solid 1px #969696;color:black;">Day Phone:</td><td style="border-top: solid 1px #969696;"><input type="text" name="phone.........." value=" " size="15" maxlength="15" /></td></tr><tr bgcolor="#f6f6f6"><td width="50%" align="left" style="border-top: solid 1px #969696;color:black;">914World.com Username:</td><td style="border-top: solid 1px #969696;"><input type="text" name="username......." value=" " size="30" maxlength="40" /></td></tr><tr><td width="50%" align="left" style="border-top: solid 1px #969696;color:black;">Bringing your 914?:</td><td style="border-top: solid 1px #969696;color:black;"><input type="radio" name="with914........" value="yes" checked style="border:0px;" /> Yes<input type="radio" name="with914........" value="no" style="border:0px;" /> No<br /></td></tr><tr bgcolor="#f6f6f6"><td align="left" style="border-top: solid 1px #969696;color:black;">Year: <select name="model-year....." size="1"><option value=" " SELECTED /></option><option value="1970">1970</option><option value="1971">1971</option><option value="1972">1972</option><option value="1973">1973</option><option value="1974">1974</option><option value="1975">1975</option><option value="1976">1976</option></select></td><td align="left" style="border-top: solid 1px #969696;color:black;">Color: <input type="text" name="color.........." value=" " size="15" maxlength="40" /></td></tr><tr><td colspan="2" align="left" style="border-top: solid 1px #969696;color:black;">Modifications:<br /><center><textarea cols="40" rows="4" value=" " name="modslist......." /></textarea></center></td></tr><tr bgcolor="#f6f6f6"><td align="left" style="border-top: solid 1px #969696;color:black;">What's your shirt size?:</td><td align="left" style="border-top: solid 1px #969696;color:black;"><select name="shirt-size....." size="1"><option value=" " SELECTED /> </option><option value="small">S</option><option value="medium">M</option><option value="large">L</option><option value="x-large">XL</option></select></td></tr><tr><td width="50%" align="left" style="border-top: solid 1px #969696;color:black;">Racing your 914?: </td><td style="border-top: solid 1px #969696;color:black;"><input type="radio" name="racing914......" value="yes" checked style="border:0px;" /> Yes<input type="radio" name="racing914......" value="no" style="border:0px;" /> No<br /></td></tr><tr><td colspan="2" align="left">What class?:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input type="radio" name="race_class....." value="novice" style="border:0px;" /> Novice<input type="radio" name="race_class....." value="middleweight" style="border:0px;" /> Middleweight<input type="radio" name="race_class....." value="track-star" style="border:0px;" /> Track Star<br /></td></tr><tr bgcolor="#f6f6f6"><td width="50%" align="left" style="border-top: solid 1px #969696;color:black;"><strong>Hotel Accomodations:</strong></td><td width="50%" align="left" style="border-top: solid 1px #969696;color:black;">Apr 22&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Apr 23&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Apr 24</td></tr><tr bgcolor="#f6f6f6"><td>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<a href="http://hamptoninn.hilton.com/en/hp/hotels/index.jhtml;jsessionid=0LWZVCH11PPZOCSGBIU2VCQKIYFC3UUC?ctyhocn=OXNHSHX" />Hampton Inn</a><br />&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<a href="http://www.daysinn.com/DaysInn/control/Booking/search_results?brand_code=DI&p_country=US&p_state=CA&p_city=Camarillo" />Days Inn</a><br />&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<a href="http://innoflancaster.com/index2.html" />Inn of Lancaster</a></td><td><input type="checkbox" name="apr22-Hampton.." value="Apr22 - Hampton" style="border:0px;" />&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input type="checkbox" name="apr23-Hampton.." value="Apr23 - Hampton" style="border:0px;" /><br><input type="checkbox" name="apr22-DaysInn.." value="Apr22 - DaysInn" style="border:0px;" />&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input type="checkbox" name="apr23-DaysInn.." value="Apr23 - DaysInn" style="border:0px;" /><br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input type="checkbox" name="apr24-Lancast.." value="Apr24 - Lancast" style="border:0px;" /></td></tr><tr><td colspan="2" align="left" style="border-top: solid 1px #969696;color:black;">Misc. notes:<br /><center><textarea cols="40" rows="4" value=" " name="misc-notes....." />ex. How many guests? Do they want shirts? How many of each size?</textarea></center></td></tr><tr bgcolor="#f6f6f6"><td colspan="2" align="center" style="border-top: solid 1px #969696;color:black;"><input type="submit" name="submit" Value="Submit Form" /><input type="reset" name="reset" value="Reset Form" /></td></tr></table></form></center>