Jamen, så kommer den her, det er en lidt længere form - håber du kan finde hovede og hale i det:
<form action="
http://www.pebeo.dk/cgi-bin/formmail.pl" method="get" name="form1" onSubmit="MM_validateForm('Last name','','R');MM_validateForm('First name','','R');MM_validateForm('Address','','R');MM_validateForm('Postal code','','RisNum');MM_validateForm('City','','R');MM_validateForm('Country','','R');MM_validateForm('E-mail','','RisEmail');MM_validateForm('Rotaract Club','','R');MM_validateForm('District','','R');return document.MM_returnValue">
<table width="465" border="0" cellpadding="4" cellspacing="0" bordercolor="#FFFFFF">
<tr class="brodtekst">
<td width="110" valign="top">
<input type="hidden" name="recipient" value="info@royalrotaract.dk">
<input type=hidden name="redirect" value="
http://www.rotaract.dk/nordact2003/thankyou.php"> Last name</td>
<td colspan="3"><input name="Last name" type="text" class="input" id="Last name" size="30">
</td>
</tr>
<tr class="brodtekst">
<td valign="top">First name</td>
<td colspan="3"><input name="First name" type="text" class="input" id="First name" size="30"></td>
</tr>
<tr class="brodtekst">
<td width="110" valign="top">Address</td>
<td colspan="3"><input name="Address" type="text" class="input" id="Address" size="50"></td>
</tr>
<tr class="brodtekst">
<td width="110" valign="top">Postal code</td>
<td colspan="3"><input name="Postal code" type="text" class="input" id="Postal code" size="10">
City
<input name="City" type="text" class="input" id="City" size="30"></td>
</tr>
<tr class="brodtekst">
<td width="110" valign="top">Country</td>
<td colspan="3"><input name="Country" type="text" class="input" id="Country" size="30"></td>
</tr>
<tr class="brodtekst">
<td width="110" valign="top"> </td>
<td colspan="3"> </td>
</tr>
<tr class="brodtekst">
<td width="110" valign="top">E-mail</td>
<td colspan="3"><input name="E-mail" type="text" class="input" id="E-mail" size="30"></td>
</tr>
<tr class="brodtekst">
<td width="110" valign="top"> </td>
<td colspan="3"> </td>
</tr>
<tr class="brodtekst">
<td width="110" valign="top">Phone private</td>
<td colspan="3"><input name="Phone private" type="text" class="input" id="Phone private" size="20"></td>
</tr>
<tr class="brodtekst">
<td width="110" valign="top">Phone work</td>
<td colspan="3"><input name="Phone work" type="text" class="input" id="Phone work" size="20"></td>
</tr>
<tr class="brodtekst">
<td width="110" valign="top">Cell phone</td>
<td colspan="3"><input name="Cell phone" type="text" class="input" id="Cell phone" size="20"></td>
</tr>
<tr class="brodtekst">
<td width="110" valign="top"> </td>
<td colspan="3"> </td>
</tr>
<tr class="brodtekst">
<td width="110" valign="top">Rotaract Club</td>
<td colspan="3"> <input name="Rotaract Club" type="text" class="input" id="Rotaract Club" size="50">
</td>
</tr>
<tr class="brodtekst">
<td valign="top">District</td>
<td colspan="3"><input name="District" type="text" class="input" id="District" size="4"></td>
</tr>
<tr class="brodtekst">
<td width="110" valign="top"> </td>
<td colspan="3"> </td>
</tr>
<tr class="brodtekst">
<td width="110" valign="top">Date of birth</td>
<td> <p>Day <br>
<select name="Day of birth" size="1" class="button" id="Day of birth">
<option selected>Please select</option>
<option>1</option>
<option>2</option>
<option>3</option>
<option>4</option>
<option>5</option>
<option>6</option>
<option>7</option>
<option>8</option>
<option>9</option>
<option>10</option>
<option>11</option>
<option>12</option>
<option>13</option>
<option>14</option>
<option>15</option>
<option>16</option>
<option>17</option>
<option>18</option>
<option>19</option>
<option>20</option>
<option>21</option>
<option>22</option>
<option>23</option>
<option>24</option>
<option>25</option>
<option>26</option>
<option>27</option>
<option>28</option>
<option>29</option>
<option>30</option>
<option>31</option>
</select>
</p></td>
<td><p>Month<br>
<select name="Month of birth" size="1" class="button" id="Month of birth">
<option selected>Please select</option>
<option>1</option>
<option>2</option>
<option>3</option>
<option>4</option>
<option>5</option>
<option>6</option>
<option>7</option>
<option>8</option>
<option>9</option>
<option>10</option>
<option>11</option>
<option>12</option>
</select>
</p></td>
<td><p>Year<br>
<select name="Year of birth" size="1" class="button" id="Year of birth">
<option selected>Please select</option>
<option>1972</option>
<option>1973</option>
<option>1974</option>
<option>1975</option>
<option>1976</option>
<option>1977</option>
<option>1978</option>
<option>1979</option>
<option>1980</option>
<option>1981</option>
<option>1982</option>
<option>1983</option>
<option>1984</option>
<option>1985</option>
<option>1986</option>
<option>Other</option>
</select>
</p></td>
</tr>
<tr class="brodtekst">
<td valign="top"> </td>
<td colspan="3"> </td>
</tr>
<tr class="brodtekst">
<td width="110" valign="top">Sex</td>
<td colspan="3"> <input type="radio" name="Sex" value="Female">
Female <input type="radio" name="Sex" value="Male">
Male</td>
</tr>
<tr class="brodtekst">
<td valign="top"> </td>
<td colspan="3"> </td>
</tr>
<tr class="brodtekst">
<td valign="top">Mixed rooms?</td>
<td colspan="3"><input type="radio" name="mixed rooms" value="Yes">
Yes
<input type="radio" name="mixed rooms" value="No">
No </td>
</tr>
<tr class="brodtekst">
<td valign="top"> </td>
<td colspan="3"> </td>
</tr>
<tr class="brodtekst">
<td valign="top">Special medical care needed?</td>
<td colspan="3">
<p>
<input type="radio" name="Medical" value="Yes">
Yes - please specify:
<input type="radio" name="Medical" value="No">
No <br>
<br>
<textarea name="Medical" cols="50" rows="3" class="input" id="Medical"></textarea>
</p></td>
</tr>
<tr class="brodtekst">
<td valign="top"> </td>
<td colspan="3"> </td>
</tr>
<tr class="brodtekst">
<td valign="top">Arrangement</td>
<td colspan="3"><p>
<input type="radio" name="Arrangement" value="nummer 1">
Arrangement 1 - DKK 850 (<a href="arrangements.php" class="brodtekst-link">more
information</a>)</p>
<p>
<input type="radio" name="Arrangement" value="nummer 2">
Arrangement 2 - DKK 1050 or 1400 (<a href="arrangements.php" class="brodtekst-link">more
information</a>)</p></td>
</tr>
<tr class="brodtekst">
<td valign="top"> </td>
<td colspan="3"> </td>
</tr>
<tr class="brodtekst">
<td width="110" valign="top">Optional message</td>
<td colspan="3"> <textarea name="Optional message" cols="50" rows="5" class="input" id="Optional message"></textarea>
</td>
</tr>
<tr class="brodtekst">
<td valign="top"> </td>
<td colspan="3"> </td>
</tr>
<tr class="brodtekst">
<td width="110" valign="top"> </td>
<td colspan="3">By submitting this form you confirm that you have
read and understood the <a href="payment.php" class="brodtekst-link">registration
and payment notes</a> </td>
</tr>
<tr class="brodtekst">
<td width="110" valign="top"> </td>
<td colspan="3"> <input name="Submit" type="Submit" class="input" id="Submit" value="Submit registration">
<input name="reset" type="reset" class="input" value="Clear fields">
</td>
</tr>
</table>
</form>