Example Form – Oklahoma Panhandle State University

Oklahoma Panhandle State University

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Example Form

"*" indicates required fields

Name*

First Last

Phone number*

Email*

Street address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Sample Input Field*

Selector label*

Date*

Time*

:

Radio buttons

First Choice

Second Choice

Third Choice

Checkboxes

First Choice

Second Choice

Third Choice

Message*

References

Name

Relationship

Phone Number

CAPTCHA