<HTML><HEAD><TITLE>Registration Form</TITLE></HEAD><BODY><FORM NAME="entries" METHOD=POST ACTION="http://www.navioo.com">Enter your first name:<INPUT TYPE="text" NAME="firstName"><P>Enter your last name:<INPUT TYPE="text" NAME="lastName"><P>Enter your address:<INPUT TYPE="text" NAME="address"><P>Enter your city:<INPUT TYPE="text" NAME="city"><P><INPUT TYPE="radio" NAME="gender" CHECKED>Male<INPUT TYPE="radio" NAME="gender">Female <P><INPUT TYPE="checkbox" NAME="retired">I am retired</FORM><P><A HREF="javascript:document.forms[0].submit()"><IMG SRC="http://www.navioo.com/style/logo.png" HEIGHT=25 WIDTH=100 BORDER=0></A><A HREF="javascript:document.forms[0].reset()"><IMG SRC="http://www.navioo.com/style/logo.png" HEIGHT=25 WIDTH=100 BORDER=0></A></BODY></HTML>
Name (required)
email (will not be published) (required)
Website