<?xml version="1.0" encoding="UTF-8"?>

<form url="default_form.asp"
 window="_self"
 method="POST"
 fontname="MS Sans Serif"
 width="517"
 height="600"
 bkcolor="0xFFFFFF"
 transparent="f"
 fontcolor="0x000000"
 outlinecolor="0x000000"
 themecolor="0xFFFF99"
 fontcolor2="#000000"
 bkcolor2="#FFFFFF"
 includeresults="false"
 emailuser="true"
 verifymessage="E-mail Does not match"
 reqmessage="One or More Fields are Required"
 transition="0"
 autoresponseincluderesults="f"
 autoresponseaddtotop="f"
 usephp="false"
 disableclicktoactiveprompt="true"
 extensions="*.txt;*.gif;*.jpg;*.jpeg;*.zip;*.doc;*.png;*.pdf;*.rtf"
>

<hidden
 name="thankyoupage"
 value="http://www.my-address.info"
></hidden>

<hidden
 name="subject"
 value="C.A.N.E Web Form Submission"
></hidden>

<textinput
 name="Name"
 x="40"
 y="108"
 w="175"
 h="22"
 initvalue="Name"
 maxchars="25"
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 editable="true"
>
</textinput>

<textinput
 name="Surname"
 x="40"
 y="140"
 w="175"
 h="22"
 initvalue="Surname"
 maxchars="25"
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 editable="true"
>
</textinput>

<textinput
 name="Contact No"
 x="40"
 y="172"
 w="175"
 h="22"
 initvalue="Contact No"
 maxchars="25"
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 editable="true"
  restrict="phone"
>
</textinput>

<textinput
 name="E-mail"
 x="40"
 y="200"
 w="175"
 h="22"
 initvalue="E-mail"
 maxchars="30"
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 editable="true"
  restrict="email"
>
</textinput>

<radiobutton
 name="My Radio Button 1"
 x="360"
 y="248"
 w="37"
 h="19"
 label="Yes"
 labelPos="right"
 groupname="Group 1"
 value="radiobutton1"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></radiobutton>

<radiobutton
 name="My Radio Button 2"
 x="408"
 y="248"
 w="32"
 h="19"
 label="No"
 labelPos="right"
 groupname="Group 1"
 value="radiobutton1"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></radiobutton>

<radiobutton
 name="My Radio Button 3"
 x="360"
 y="284"
 w="37"
 h="19"
 label="Yes"
 labelPos="right"
 groupname="Group 1"
 value="radiobutton1"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></radiobutton>

<radiobutton
 name="My Radio Button 4"
 x="408"
 y="284"
 w="32"
 h="19"
 label="No"
 labelPos="right"
 groupname="Group 1"
 value="radiobutton1"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></radiobutton>

<submitbutton
 name="Submit Button"
 x="220"
 y="560"
 w="100"
 h="20"
 label="Submit"
 fontname="Arial"
 fontcolor="0x000000"
  fontsize="12"
></submitbutton>

<browsebutton
 name="Upload File Button"
 x="340"
 y="560"
 w="100"
 h="20"
 label="Upload File"
 fontname="Arial"
 fontcolor="0x000000"
  fontsize="12"
></browsebutton>

<label
 name="My Text 1"
 x="40"
 y="60"
 w="193"
 h="16"
 text="Please Complete the form Below"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 2"
 x="40"
 y="248"
 w="295"
 h="16"
 text="Would you like to receive the C.A.N.E Newsletter?"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 3"
 x="40"
 y="284"
 w="237"
 h="16"
 text="Are you an existing C.A.N.E memeber ?"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<captcha
 name="My Captcha 1"
 x="36"
 y="436"
 w="133"
 h="100"
 text="Enter Key Here:"
 fnt="Arial"
 fntclr="0x000000"
 fntsize="11"
 bkbdrcolor="0x000000"
 bkfillclr="0xFFFFFF"
 bkdobdr="t"
 bkbdrsolid="t"
 bkdobk="t"
 bkfillalpha="100"
 message="Incorrect key!"
></captcha>

<label
 name="My Text 4"
 x="36"
 y="392"
 w="337"
 h="16"
 text="The below image verificationt tool is to prevent spammers."
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

</form>