Successpass
New member
Here is the code. I hope someone can fix it!
Full Name
<form><input type="text" />
Email Address
</form><form><input type="text" />
Phone number
</form><form><input type="text" />
How did you hear about us?
</form><form><input type="text" />
Why do you want to do the 3 day retreat?
</form><form><input type="text" />
So we know what group to put you in are you more interested in having fun & getting drunk or are you more interested in learning about the NSP process & neuroscience and how it can benefit you in your work or personal life?
</form><form><input type="text" />
What are your preferred dates?
</form><form><input type="text" />
Have you ever tried to learn Kung Fu or Qi Gong?
</form><form><input type="text" />
Do you have any medical conditions we should know about?
</form><form><input type="text" />
Are you comfortable going out on a boat?
</form><form><input type="text" />
Do you want to go kayaking?
</form><form><input type="text" />
Home address
</form><form><input type="text" />
Next of kin/Emergency contact
</form><form><input type="text" />
Do you drink alcohol?
</form><form><input type="text" />
Do you have any addiction that you would like to conquer?
</form><form><input type="text" />
Are you happy with your current weight?
</form><form><input type="text" />
Have you ever tried to meditate?
</form><form><input type="text" />
Have you ever read a personal development book?
</form><form><input type="text" />
Do you know the neurological basis of your current issues? Would knowing this information help you?
</form><form><input type="text" />
Have you ever been to a motivational or personal development seminar?
</form><form><input type="text" />
Are you a positive person?
</form><form><input type="text" />
Are you fun to be around?
</form><form><input type="text" />
Do you like learning new things?
</form><form><input type="text" />
</form><form action="”mailto:contact@successpass@gmail.com”" enctype="”multipart/form-data”" method="”POST”" name="”EmailForm”"><input type="submit" />
</form><form action="”mailto:contact@successpass@gmail.com”" enctype="”multipart/form-data”" method="”POST”" name="”EmailForm”"><button type="button"></button>
<script>
function my_button_click_handler()
{
alert('Button Clicked');
}
</script></form><form action="mailto:successpass@gmail.com"></form>
Full Name
<form><input type="text" />
Email Address
</form><form><input type="text" />
Phone number
</form><form><input type="text" />
How did you hear about us?
</form><form><input type="text" />
Why do you want to do the 3 day retreat?
</form><form><input type="text" />
So we know what group to put you in are you more interested in having fun & getting drunk or are you more interested in learning about the NSP process & neuroscience and how it can benefit you in your work or personal life?
</form><form><input type="text" />
What are your preferred dates?
</form><form><input type="text" />
Have you ever tried to learn Kung Fu or Qi Gong?
</form><form><input type="text" />
Do you have any medical conditions we should know about?
</form><form><input type="text" />
Are you comfortable going out on a boat?
</form><form><input type="text" />
Do you want to go kayaking?
</form><form><input type="text" />
Home address
</form><form><input type="text" />
Next of kin/Emergency contact
</form><form><input type="text" />
Do you drink alcohol?
</form><form><input type="text" />
Do you have any addiction that you would like to conquer?
</form><form><input type="text" />
Are you happy with your current weight?
</form><form><input type="text" />
Have you ever tried to meditate?
</form><form><input type="text" />
Have you ever read a personal development book?
</form><form><input type="text" />
Do you know the neurological basis of your current issues? Would knowing this information help you?
</form><form><input type="text" />
Have you ever been to a motivational or personal development seminar?
</form><form><input type="text" />
Are you a positive person?
</form><form><input type="text" />
Are you fun to be around?
</form><form><input type="text" />
Do you like learning new things?
</form><form><input type="text" />
</form><form action="”mailto:contact@successpass@gmail.com”" enctype="”multipart/form-data”" method="”POST”" name="”EmailForm”"><input type="submit" />
</form><form action="”mailto:contact@successpass@gmail.com”" enctype="”multipart/form-data”" method="”POST”" name="”EmailForm”"><button type="button"></button>
<script>
function my_button_click_handler()
{
alert('Button Clicked');
}
</script></form><form action="mailto:successpass@gmail.com"></form>