First Name     * 

Full Email address  *

Department     *

 Last Name     *

Phone number     *

If you don't ask for their e-mail address, you MUST make a hidden field and set it up so that it appears to come from someone.  See the FrontPage handout.
Text about your form can go here

Sample of Text Box    * 

Sample of Drop Down   *

   Squares usually indicate that multiple choices are available, but if only one is given, these can easily be de-selected.  Make sure all items in the same group have the same field name, but different values.

Do you like choices?  Here is a sample of two choices.  Notice how they both must have the same field name, but different values.  Yes     No

Get more information from visitors using a text box

 

        

Always include some contact or other information at the bottom in case the user encounters a problem.