<HTML>
<HEAD>
<TITLE> Moccasin Day </TITLE>
</HEAD>
<BODY>
<FORM action="http://somesite.com/prog/adduser" method="post">
Do you want to celebrate Wear Your Moccasins to Work Day?
<P>
      <INPUT type="radio" name="vote" value="Yes"> Yes<BR>
      <INPUT type="radio" name="vote" value="No"> No<BR>
      <P>
      <BUTTON name="submit" value="submit" type="submit">
      Send</BUTTON>
      <BUTTON name="reset" type="reset">
      Reset</BUTTON>
   </FORM>
</BODY>
</HTML>