Newsletter Subscribe: Difference between revisions

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<div>
<div>
<label for="name">Name:</label><br /><input type="text" name="cm-name" id="name" /><br />
<label for="name">Name:</label><br /><input type="text" name="cm-name" id="name" /><br />
<br>
<label for="jhplk-jhplk">Email:</label><br /><input type="text" name="cm-jhplk-jhplk" id="jhplk-jhplk" /><br />
<label for="jhplk-jhplk">Email:</label><br /><input type="text" name="cm-jhplk-jhplk" id="jhplk-jhplk" /><br />
<br>
<label for="Primary Expertise">Primary Expertise:</label><br /><input type="text" name="cm-f-xuuui" id="PrimaryExpertise" /><br />
<label for="Primary Expertise">Primary Expertise:</label><br /><input type="text" name="cm-f-xuuui" id="PrimaryExpertise" /><br />
<br>
<label for="Secondary Expertise">Secondary Expertise:</label><br /><input type="text" name="cm-f-fhylt" id="SecondaryExpertise" /><br />
<label for="Secondary Expertise">Secondary Expertise:</label><br /><input type="text" name="cm-f-fhylt" id="SecondaryExpertise" /><br />


<label for="City">City:</label><br /><input type="text" name="cm-f-mlhn" id="City" /><br />
<label for="City">City:</label><br /><input type="text" name="cm-f-mlhn" id="City" /><br />
<br>
<label for="Country">Country:</label><br /><input type="text" name="cm-f-mlhm" id="Country" /><br />
<label for="Country">Country:</label><br /><input type="text" name="cm-f-mlhm" id="Country" /><br />
<br>
<label for="Age Group">Age Group:</label><br /><select name="cm-fo-fhylr">
<label for="Age Group">Age Group:</label><br /><select name="cm-fo-fhylr">
<option value="359883">0 - 17</option>
<option value="359883">0 - 17</option>

Revision as of 21:17, 10 October 2012