<HTML> <Head> <Title>Enter your birthday</Title> </Head> <Body> <H1>Enter our birthday database!</H1> <Form method="POST" action="/cgi-bin/enter-birthday-info.pl"> <P>First name: <input type="text" size="15" maxsize="15" name="firstname"></P> <P>Last name: <input type="text" size="15" maxsize="15" name="lastname"></P> <P>E-mail address: <input type="text" size="50" maxsize="50" name="email"></P> <P>Your birthday: <select name="month"> <option value="1">January <option value="2">February <option value="3">March <option value="4">April <option value="5">May <option value="6">June <option value="7">July <option value="8">August <option value="9">September <option value="10">October <option value="11">November <option value="12">December </select> <select name="day"> <option value="1">1 <option value="2">2 <option value="3">3 <option value="4">4 <option value="5">5 <option value="6">6 <option value="7">7 <option value="8">8 <option value="9">9 <option value="10">10 <option value="11">11 <option value="12">12 <option value="13">13 <option value="14">14 <option value="15">15 <option value="16">16 <option value="17">17 <option value="18">18 <option value="19">19 <option value="20">20 <option value="21">21 <option value="22">22 <option value="23">23 <option value="24">24 <option value="25">25 <option value="26">26 <option value="27">27 <option value="28">28 <option value="29">29 <option value="30">30 <option value="31">31 </select>, 19 <!-- Assume the 20th century --> <select name="yeartens"> <option value="0">0 <option value="1">1 <option value="2">2 <option value="3">3 <option value="4">4 <option value="5">5 <option value="6">6 <option value="7">7 <option value="8">8 <option selected value="9">9 </select> <select name="yearones"> <option value="0">0 <option value="2">2 <option value="3">3 <option value="4">4 <option value="5">5 <option value="6">6 <option value="7">7 <option selected value="8">8 <option value="9">9 </select> </P> <input type="submit"> </Form> </Body> </HTML>