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>
Created by: Brandan Jones December 17, 2001