<HTML>
<head>
<title>SSI Registration Form Demo</title>
</head>
<BODY background="/images/blue_pap.gif" text="#000000">
<h1>SSI Registration Form Demo</h1>
<form method=GET action="submit.ssi">
<br>
<h2>Tell us about yourself:</h2>
<TT><strong>
<PRE>
Name: <INPUT TYPE="text" NAME="name" SIZE="30" MAXLENGTH="60">
Address: <INPUT TYPE="text" NAME="street" SIZE="40" MAXLENGTH="60">
City: <INPUT TYPE="text" NAME="city" SIZE="40" MAXLENGTH="60">
State: <INPUT TYPE="text" NAME="state" SIZE="2" MAXLENGTH="2">
Zip: <INPUT TYPE="text" NAME="zip" SIZE="5" MAXLENGTH="8">
</PRE>
</strong></tt>
<br>
Press <input type="submit" value="Submit">
</form>
<hr>
<! Standard trailer. Note use of ESSI variable substitution to insert document name in hyperlink below. >
<! Hyperlink points to a BASIC script that displays raw HTML rather than translated HTML. >
<a href="/scripts/convert.bas?docs<!--#echo var="DOCUMENT_URI"-->">
<it>See how this page is written.</it></a>
<p>
Copyright © 1995 Novell, Inc. All Rights Reserved.
</body>
</HTML>