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<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Final//EN">
<HTML>
<HEAD>
<TITLE>Check Box Example</TITLE>
</HEAD>
<BODY>
<H1 ALIGN="CENTER">Gadget Order Form</H1>
<HR>
<FORM ACTION="mailto:order@company.com" METHOD="POST">
<B>Gadget Bonus Options:</B>
<BR>
Super-magneto: <INPUT TYPE="CHECKBOX" NAME="BONUS" VALUE="Magnetize">
<BR>
Kryptonite Coating: <INPUT TYPE="CHECKBOX" NAME="BONUS"
VALUE="Anti-Superman" CHECKED><BR>
Anti-gravity: <INPUT TYPE="CHECKBOX" NAME="BONUS" VALUE="Anti-gravity">
<BR>
</FORM>
<HR>
</BODY>
</HTML>
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