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    <INPUT TYPE="TEXT" NAME="Address" SIZE="30" MAXLENGTH="40"> <BR> <BR>
                     <B> State: </B>
                     <INPUT TYPE="TEXT" NAME="State" SIZE="30" MAXLENGTH="40">
                     <B> City: </B>
                     <INPUT TYPE="TEXT" NAME="City" SIZE="30" MAXLENGTH="40">
                     <BR> <BR>
                     <B> Gender: </B>
                     <INPUT TYPE="RADIO" NAME="Gender" VALUE="M" > Male

                     <INPUT TYPE="RADIO" NAME="Gender" VALUE="F" CHECKED > Female
                     <BR> <B> Username (for this website):</B>
                     <INPUT TYPE="TEXT" NAME="Username" SIZE="30" MAXLENGTH="40">
                     <BR> <BR> <B> Password (for this website):</B>
                     <INPUT TYPE="Password" NAME="PWD" SIZE="30" MAXLENGTH="20"> <BR>
                     <B>Area of Interest: </B> <BR>
                     <INPUT TYPE= "CHECKBOX" NAME= "INTEREST_AREA" VALUE= "Spiritual"> Spiritual
                     <INPUT TYPE= "CHECKBOX" NAME= "INTEREST_AREA" VALUE= "Adventure"
                     CHECKED> Adventure
                     <INPUT TYPE= "CHECKBOX" NAME= "INTEREST_AREA" VALUE= "Wildlife">
                     Wildlife
                     <BR> <BR>
                     <B>Comment: </B> <BR>
                     <TEXTAREA NAME="Comment" ROWS="10" COLS="60">
                     Type your comments here…
                     </TEXTAREA> <BR>
                     <INPUT TYPE="Submit" VALUE="Submit">
                     </FORM>
                     </BODY>
                     </HTML>

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