1. <html>
  2. <form action="contact.php" method="POST"><table>
  3. 	<tr>
  4. 		<td>Username:</td>
  5. 		<td><input type="text" name="username"></td>
  6. 	</tr>
  7. 	<tr>
  8. 		<td>E-mail:</td>
  9. 		<td><input type="text" name="email"></td>
  10. 	</tr>
  11. 	<tr>
  12. 		<td>Profile Type:</td>
  13. 		<td><input type="radio" name="type" value="OS"></td>
  14. 		<td><input type="radio" name="type" value="NS"></td>
  15. 	</tr>
  16. 	<tr>
  17. 		<td>CSS Profile Code:</td>
  18. 		<td><textarea rows="5" name="css"></textarea></td>
  19. 	</tr>
  20. 	<tr>
  21. 	    <td><input type="submit" value="Submit"></td>
  22. 	</tr>	
  23.  
  24. </table></html>