HTML表单 - 未按正确顺序通过电子邮件发送回复

时间:2016-02-17 17:00:55

标签: html forms

我有一个使用表格的HTML表单,但通过电子邮件提交的回复不是它们在表单上显示的顺序。

这是发送的电子邮件输出的当前顺序:

感兴趣的产品?: 出生日期: 电话号码: 保险ID: 市: 名称: 州: 地址2: 地址1: HMO或PPO: 压缩: 电子邮件地址: 保险名称:

如果有人可以提供指导,我们将非常感激。谢谢。

<form name="form1">


<br><br>

<table border="2px" cellpadding="5" cellspacing="0" width="600" style="border-collapse: collapse; border-color: Black; border-bottom:1px solid black;">

<tr>
<td><b>Your Full Name: </b></td>
<td><input type="text" name="Name" maxlength="60" style="width:300px;" required /></td>
 </tr>

<tr> 
<td><b>Your Email Address: </b></td>
<td><input type="text" name="Email Address" maxlength="60" style="width:300px;" required /></td>
</tr>

<tr>
<td><b>Your Phone Number: </b></td>
<td><input type="text" name="Phone Number" maxlength="15" style="width:150px;" required /></td>
</tr>

<tr>
<td><b>Your Date of Birth (MMDDYY): </b></td>
<td><input type="text" name="DOB" maxlength="6" style="width:80px;" required /></td>
</tr>

<tr>
<td><b>Your Insurance Name: </b></td>
<td><input type="text" name="Insurance Name" maxlength="60" style="width:300px;" required /></td>
</tr>

<tr>
<td><b>Your Insurance Type (PPO, HMO): </b></td>
<td><select id="HMO_PPO" name="HMO or PPO"><option value="">Please select one</option><option value="PPO">PPO</option><option value="HMO">HMO</option></select>
</tr>

<tr>
<td><b>Your Insurance ID: </b></td> 
<td><input type="text" name="Insurance ID" maxlength="25" style="width:150px;" required /></td>
</tr>

<tr>
<td><b>Mailing Address: </b></td>
<td><input type="text" name="Address1" maxlength="60" style="width:300px;" required /></td>
</tr>

<tr>
<td><b>Mailing Address 2: </b></td>
<td><input type="text" name="Address2" maxlength="60" style="width:300px;" required /></td>
</tr>

<tr>
<td><b>City: </b></td>
<td><input type="text" name="City" maxlength="20" style="width:180px;" required /></td>
</tr>

<tr>
<td><b>State: </b></td>
<td><input type="text" name="State" maxlength="15" style="width:120px;" required /></td>
</tr>

<tr>
<td><b>Zip Code: </b></td>
<td><input type="text" name="Zip" maxlength="5" style="width:80px;" required /></td>
</tr>

<tr>
<td><b>Products Interested In? </b></td>
 <td><textarea name="Products Interested In?" rows="3" cols="40" style="width:300px;"></textarea></td>
</tr>


</div>
</table> <br />
</div>
</table> <br />

<br><br>
<tr>
<td><b>Medical Notes: </b></td>
<td><input name="file1" type="file" /> </td>
</tr>


<tr>
<td><b>Doctors RX: </b></td>
<td><input name="file2" type="file" /></td>
</tr>

<script type="text/javascript" src="https://www.100forms.com/js/FORMKEY:LUEBN4Q6D2XN"></script> 
<br><br>
<input id="saveForm" class="button_text" type="submit" name="submit" value="Submit" />

<br><br>
</td></tr>
 </table><br />
 </form>
            </div>
        </div>

0 个答案:

没有答案