Sindbad~EG File Manager

Current Path : /home/beeson/public_html/helpwithmath/
Upload File :
Current File : //home/beeson/public_html/helpwithmath/enroll.html

<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8" />
<title>Enroll in WebGrades</title>
</head>

<body>
  <form action="http://www.helpwithmath.com/WebGradesEnroll.php" method="post" enctype="multipart/form-data" name="form1">
   <table width="500" border="0">
    <tr> 
	    <td width="250"> Email address:</td>
        <td width="250"> <input size="40" type="text" name="Email" value=></td>
     </tr>
     <tr> 
	    <td width="250"> First Name:</td>
        <td width="250"> <input size="40" type="text" name="FirstName" value=></td>
     </tr>
     <tr> 
	    <td width="250"> Last Name:</td>
        <td width="250"> <input size="40" type="text" name="LastName" value=></td>
     </tr>
   </table>   
      <input type="hidden" name="ClassName" value="Math 30" >
      <input type="hidden" name="School" value="SJSU" >
      <input type="hidden" name="Teacher" value="Dr. Beeson" >
      <input type="hidden" name="StartDate" value="2010-08-23" >
	  <p>
		<input type="submit" name="Submit" value="Submit" >         
		</p>
   </form>
</body>
</html>

Sindbad File Manager Version 1.0, Coded By Sindbad EG ~ The Terrorists