Let's suppose this is for a magazine order. The next thing you want to add is a drop down list of magazine choices (think up four or five) and a pair of radio buttons for choosing the length of subscription...

Lastly, make the Name, Address and City boxes a little bigger and add a text area for Additional Comments...

Now that's a handsome form! Upload it, test it and make sure it works properly and sends you the data as expected.

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