Class 2 Intermediate Java 30-IT-397  

Registration.html

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN">

<HTML>
  <HEAD>
    <TITLE></TITLE>
  </HEAD>
  <BODY>

  <h2>Health Care Registration</h2>
  <form name="register" method="GET" action="Register.jsp">
  How many dependents do you have?
  <input type="text" name="dependents">
  <br>
  <input type="SUBMIT" value="Continue">
  </form>
 

  </BODY>
</HTML>

 Back

Created by:  Brandan Jones December 17, 2001