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<html>  
<head>  
<title>Registration Form</title>  
</head>  
<body>  
<form name="entries" method="POST" action="">  
Enter your first name:<input type="text" name="firstName" id="firstName" />  
<p>Enter your last name:<input type="text" name="lastName" id="lastName" /></p>  
<p>Enter your address:<input type="text" name="address" id="address" /></p>  
<p>Enter your city:<input type="text" name="city" id="city" /></p>  
<p><input type="radio" name="gender" id="gender1" checked="checked"/>Male  
<input type="radio" name="gender" id="gender2" />Female</p>  
<p><input type="checkbox" name="retired" id="retired" />I am retired</p>  
</form>  
<p><a href="javascript:document.forms[0].submit()"> 
  <img alt="image" src="submit.jpg" height="25" width="100" border="0" /></a>  
  <a href="javascript:document.forms[0].reset()"> 
  <img alt="image" src="reset.jpg" height="25" width="100" border="0" /></a></p>  
 
</body>  
</html>  
 
    
     
     
   
    
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