<html>
<head>
<title>Enquiry Form</title>
<script language="javascript">
function check()
{
var email=f1.email.value;
if(f1.fname.value=="")
alert("Please enter first name");
else
if(f1.lname.value=="")
alert("Please enter last name");
else
if(f1.cno.value=="")
alert("Please enter contact number");
else
if(isNaN(f1.cno.value))
alert("Please enter correct contact number");
else
if(f1.add.value=="")
alert("Please enter address");
else
if(f1.email.value=="")
alert("Please enter Email address");
else
if(email.indexOf("@")==-1)
alert("Missing '@' in Email address");
else
if(email.indexOf(".")==-1)
alert("Missing '.' in Email address");
else
if(f1.course.value=="select")
alert("Please select the course name");
else
if(f1.d.value=="Day")
alert("Please enter day");
else
if(f1.M.value=="month")
alert("Please enter Month");
else
if(f1.y.value=="year")
alert("Please enter Year");
}
</script>
</head>
<body>
<h1>Enquiry Form</h1><p>
<form name="f1" action="mailto:yourmailid@sitename.com" method="post">
<table width="60%">
<tr>
<td width="50%">First Name: </td><td width="50%"><input type="text" name=fname></td></tr>
<tr>
<td>Last Name: </td><td><input type="text" name=lname></td></tr>
<tr><td>Gender: </td><td><input type="radio" name=g checked>Male <input type="radio" name=g>Female</td></tr>
<tr><td>PhoneNumber:</td><td><input type="text" name=cno></td></tr>
<tr><td>Address: </td><td><textarea name="add"></textarea></td></tr>
<tr><td>Email-id</td><td><input type="text" name=email style="background-color:yellow"></td></tr>
<tr><td>Date of Birth: </td><td>
<select name="d">
<OPTION value="Day" selected>Day</OPTION>
<OPTION value=1>1</OPTION> <OPTION value=2>2</OPTION>
<OPTION value=3>3</OPTION> <OPTION value=4>4</OPTION>
<OPTION value=5>5</OPTION> <OPTION value=6>6</OPTION>
<OPTION value=7>7</OPTION> <OPTION value=8>8</OPTION>
<OPTION value=9>9</OPTION> <OPTION
value=10>10</OPTION> <OPTION value=11>11</OPTION>
<OPTION value=12>12</OPTION> <OPTION
value=13>13</OPTION> <OPTION value=14>14</OPTION>
<OPTION value=15>15</OPTION> <OPTION
value=16>16</OPTION> <OPTION value=17>17</OPTION>
<OPTION value=18>18</OPTION> <OPTION
value=19>19</OPTION> <OPTION value=20>20</OPTION>
<OPTION value=21>21</OPTION> <OPTION
value=22>22</OPTION> <OPTION value=2>23</OPTION>
<OPTION value=24>24</OPTION> <OPTION
value=25>25</OPTION> <OPTION value=26>26</OPTION>
<OPTION value=27>27</OPTION> <OPTION
value=28>28</OPTION> <OPTION value=29>29</OPTION>
<OPTION value=30>30</OPTION> <OPTION
value=31>31</OPTION></SELECT>
<select name="M">
<OPTION value="month" selected>Month</OPTION> <OPTION
value=Jan>Jan</OPTION> <OPTION value=Feb>Feb</OPTION>
<OPTION value=March>March</OPTION> <OPTION
value=April>April</OPTION> <OPTION
value=May>May</OPTION> <OPTION
value=June>June</OPTION> <OPTION
value=July>July</OPTION> <OPTION
value=Aug>Aug</OPTION> <OPTION
value=Sept>Sept</OPTION> <OPTION
value=Oct>Oct</OPTION> <OPTION value=Nov>Nov</OPTION>
<OPTION value=Dec>Dec</OPTION></SELECT>
<select name="y">
<OPTION value="year" selected>Year</OPTION>
<OPTION value=2008>2008</OPTION> <OPTION
value=2007>2007</OPTION> <OPTION
value=2006>2006</OPTION> <OPTION
value=2005>2005</OPTION> <OPTION
value=2004>2004</OPTION> <OPTION
value=2003>2003</OPTION> <OPTION
value=2002>2002</OPTION> <OPTION
value=2001>2001</OPTION> <OPTION
value=2000>2000</OPTION> <OPTION
value=1999>1999</OPTION> <OPTION
value=1998>1998</OPTION> <OPTION
value=1997>1997</OPTION> <OPTION
value=1996>1996</OPTION> <OPTION
value=1995>1995</OPTION> <OPTION
value=1994>1994</OPTION> <OPTION
value=1993>1993</OPTION> <OPTION
value=1992>1992</OPTION> <OPTION
value=1991>1991</OPTION> <OPTION
value=1990>1990</OPTION> <OPTION
value=1989>1989</OPTION> <OPTION
value=1988>1988</OPTION> <OPTION
value=1987>1987</OPTION> <OPTION
value=1986>1986</OPTION> <OPTION
value=1985>1985</OPTION> <OPTION
value=1984>1984</OPTION> <OPTION
value=1983>1983</OPTION> <OPTION
value=1982>1982</OPTION> <OPTION
value=1981>1981</OPTION> <OPTION
value=1980>1980</OPTION> <OPTION
value=1979>1979</OPTION> <OPTION
value=1978>1978</OPTION> <OPTION
value=1977>1977</OPTION> <OPTION
value=1976>1976</OPTION> <OPTION
value=1975>1975</OPTION> <OPTION
value=1974>1974</OPTION> <OPTION
value=1973>1973</OPTION> <OPTION
value=1972>1972</OPTION> <OPTION
value=1971>1971</OPTION> <OPTION
value=1970>1970</OPTION> <OPTION
value=1969>1969</OPTION> <OPTION
value=1968>1968</OPTION> <OPTION
value=1967>1967</OPTION> <OPTION
value=1966>1966</OPTION> <OPTION
value=1965>1965</OPTION> <OPTION
value=1964>1964</OPTION> <OPTION
value=1963>1963</OPTION> <OPTION
value=1962>1962</OPTION> <OPTION
value=1961>1961</OPTION> <OPTION
value=1960>1960</OPTION> <OPTION
value=1959>1959</OPTION> <OPTION
value=1958>1958</OPTION> <OPTION
value=1957>1957</OPTION> <OPTION
value=1956>1956</OPTION> <OPTION
value=1955>1955</OPTION> <OPTION
value=1954>1954</OPTION> <OPTION
value=1953>1953</OPTION> <OPTION
value=1952>1952</OPTION> <OPTION
value=1951>1951</OPTION> <OPTION
value=1950>1950</OPTION> <OPTION
value=1949>1949</OPTION> <OPTION
value=1948>1948</OPTION> <OPTION
value=1947>1947</OPTION> <OPTION
value=1946>1946</OPTION> <OPTION
value=1945>1945</OPTION> <OPTION
value=1944>1944</OPTION> <OPTION
value=1943>1943</OPTION> <OPTION
value=1942>1942</OPTION> <OPTION
value=1941>1941</OPTION> <OPTION
value=1940>1940</OPTION> <OPTION
value=1939>1939</OPTION> <OPTION
value=1938>1938</OPTION> <OPTION
value=1937>1937</OPTION> <OPTION
value=1936>1936</OPTION> <OPTION
value=1935>1935</OPTION> <OPTION
value=1934>1934</OPTION> <OPTION
value=1933>1933</OPTION> <OPTION
value=1932>1932</OPTION> <OPTION
value=1931>1931</OPTION> <OPTION
value=1930>1930</OPTION> <OPTION
value=1929>1929</OPTION> <OPTION
value=1928>1928</OPTION> <OPTION
value=1927>1927</OPTION> <OPTION
value=1926>1926</OPTION> <OPTION
value=1925>1925</OPTION> <OPTION
value=1924>1924</OPTION> <OPTION
value=1923>1923</OPTION> <OPTION
value=1922>1922</OPTION> <OPTION
value=1921>1921</OPTION> <OPTION
value=1920>1920</OPTION> <OPTION
value=1919>1919</OPTION> <OPTION
value=1918>1918</OPTION> <OPTION
value=1917>1917</OPTION> <OPTION
value=1916>1916</OPTION> <OPTION
value=1915>1915</OPTION> <OPTION
value=1914>1914</OPTION> <OPTION
value=1913>1913</OPTION> <OPTION
value=1912>1912</OPTION> <OPTION
value=1911>1911</OPTION> <OPTION
value=1910>1910</OPTION> <OPTION
value=1909>1909</OPTION> <OPTION
value=1908>1908</OPTION> <OPTION
value=1907>1907</OPTION> <OPTION
value=1906>1906</OPTION> <OPTION
value=1905>1905</OPTION> <OPTION
value=1904>1904</OPTION> <OPTION
value=1903>1903</OPTION> <OPTION
value=1902>1902</OPTION> <OPTION
value=1901>1901</OPTION></SELECT>
</td></tr>
<tr><td><center>
<input type="submit" value="Submit" onclick="check()"> </center></td><td>
<input type="reset" value="reset"></td></tr>
</table>
</form>
</body>
</html>