England Football

Survey Form 

<div class="survey-form">

    <form name="ProfileForm" onsubmit="return CheckInputs();">
        <input type=hidden name="CID" value="789193440"><input type=hidden name="SID" value=""><input type=hidden name="UID" value=""><input type=hidden name="f" value="1873"><input type=hidden name="p" value="2"><input type=hidden name="a" value="r"><input type=hidden name="el" value=""><input type=hidden name="llid" value=""><input type=hidden name="c" value=""><input type=hidden name="counted" value=""><input type=hidden name="RID" value=""><input type=hidden name="mailnow" value="">Email:<input type=text name="inp_3" maxlength=255 value=""><br>
        Survey Opt Out:<select name="inp_23870" size=1>
            <option value=""> </option>
            <option value="1">Yes</option>
        </select><br>
        <input aria-label='Submit' tabindex='993' type=button onclick="javascript:SubmitIt()" name="submit1" value="Submit">
    </form>

</div>

No notes defined.

/* No context defined. */
 
<div class="survey-form">

  <form name="ProfileForm" onsubmit="return CheckInputs();">
    <input type=hidden name="CID" value="789193440"><input type=hidden name="SID" value=""><input type=hidden name="UID"
      value=""><input type=hidden name="f" value="1873"><input type=hidden name="p" value="2"><input type=hidden
      name="a" value="r"><input type=hidden name="el" value=""><input type=hidden name="llid" value=""><input
      type=hidden name="c" value=""><input type=hidden name="counted" value=""><input type=hidden name="RID"
      value=""><input type=hidden name="mailnow" value="">Email:<input type=text name="inp_3" maxlength=255
      value=""><br>
    Survey Opt Out:<select name="inp_23870" size=1>
      <option value=""> </option>
      <option value="1">Yes</option>
    </select><br>
    <input aria-label='Submit' tabindex='993' type=button onclick="javascript:SubmitIt()" name="submit1" value="Submit">
  </form>

</div>