Fill-Out Form Example #3

This is another fill-out form example, with multiple text entry fields and checkboxes.

Godzilla's Pizza -- Internet Delivery Service

Type in your street address:

Type in your phone number:

Which toppings would you like?

  1. Pepperoni.
  2. Sausage.
  3. Anchovies.
To order your pizza, press this button: .

Things you may want to note:

Back to example 2 or forward to example 4.



NCSA
The National Center for Supercomputing Applications

University of Illinois at Urbana-Champaign

mosaic-x-help@ncsa.uiuc.edu

Last modified: June 17, 1997