Web Order - Checkbox Values - sending via php mail

Question

mcx76 0 Light Poster

16 Years Ago

I am creating web order form html and php.I am not php coder.So please sorry if i am wrong .

The demo page is Here

I want if user come and click on check boxes.So i will receive email on completion.when submit.I dont know which tags will be user to get check box data in email.Please be advice.Thanks

The php code is

<?php
$message = '';
$to = "zeee76@gmail.com";
$from = $_POST;
$subject = $_POST ;
$message .='
<b>First Name = </b> '.$_POST.'<br />
<b>Last Name = </b> '.$_POST.'<br />
<b>Address = </b> '.$_POST.'<br />
<b>City = </b> '.$_POST.'<br />
<b>Province = </b> '.$_POST.'<br />
<b>Postal = </b> '.$_POST.'<br />
<b>Tel = </b> '.$_POST.'<br />
<b>Mobile = </b> '.$_POST.'<br />
<b>Email = </b> '.$_POST.'<br />
';
$body = $message;
$Mail_header = "Content-type: text/html\n";
$Mail_header .= "From:".$_POST."<$from> \n";
mail($to, $subject, $body, $Mail_header);
header("Location:thanks.html");
?>

php

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10 Replies
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Latest Post 16 Years Ago Latest Post by nav33n

nav33n 472 Purple hazed!

16 Years Ago

$checkboxvalue = $_POST['checkboxname'] is how you get the value of a checkbox. For example, if you have <input type=checkbox name=checkbox value=10> in your form, on submitting, you access the value (only if the checkbox is checked) as, $checkbox = $_POST['checkbox']; So, $checkbox has the value 10.

Cheers,
Nav

nav33n 472 Purple hazed!

16 Years Ago

Can you show us your html part ? Here's one simple example form.

<?php  //mail.php
$message="";
$email = $_POST['email'];
$checkbox1=$_POST['checkbox1'];
$checkbox2=$_POST['checkbox2'];
$message.="<b>$email $checkbox1 $checkbox2</b>";
echo $message;
$to="some_email@email.com";
$subject="test mail";
$from="From: someone@email.com";
mail($to,$subject,$message,$from);
?>
<html>
<body>
<form name="test" action="mail.php" method="post">
Enter email address: <input type="text" name="email"><br />
<input type="checkbox" name="checkbox1" value=10> 20 &nbsp;
<input type="checkbox" name="checkbox2" value=20> 10 &nbsp;<br />
<input type="submit" name="submit" value="sendmail">
</form>
</body>
</html>

nav33n 472 Purple hazed!

16 Years Ago

You are trying to access the checkbox controls with wrong name. Its not

<b>Batata Harra Plate $3.00	= </b> '.$_POST['Batata Harra Plate $3.00'].'<br />
<b>Moutabel Plate $3.00	= </b> '.$_POST['Moutabel Plate $3.00'].'<br />
<b>Warak Piece $.50		= </b> '.$_POST['Warak Piece $.50'].'<br />
<b>Loubieh Bzeit Plate $3.00	= </b> '.$_POST['Loubieh Bzeit Plate $3.00'].'<br />

It has to be, $_POST,$_POST and so on.

I would suggest you to call you html page as order.php and at the top, print the posted form variables. Then you will know the names and values that are being passed. Here, check this out. Fill in the details and click submit. I hope you can understand what I am talking about.

<?php
print "<pre>";
print_r($_POST);
print "</pre>";
?>
<!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=iso-8859-1" />
<title>Untitled Document</title>
<style type="text/css">
<!--
.box1 {font-family: tahoma;
font-size: 11px;
color: #5B5C5C;
text-decoration: none;
border: 1px solid #B9B9B9;
}
-->
</style>
<link href="css/style.css" rel="stylesheet" type="text/css" />
<style type="text/css">
<!--
.style1 {font-size: 16px}
-->
</style>
</head>

<body><a href="../css"></a>
<table width="841" border="0" cellpadding="0" cellspacing="0">
<!--DWLayoutTable-->
<tr>
<td width="841" height="90" valign="top"><table width="100%" border="0" cellpadding="0" cellspacing="0">
<!--DWLayoutTable-->
<tr>
<td width="841" height="90">&nbsp;</td>
</tr>
</table> </td>
</tr>
<tr>
<td height="27">&nbsp;</td>
</tr>
<tr>
<td height="890" valign="top"><table width="100%" border="0" cellpadding="0" cellspacing="0">
<!--DWLayoutTable-->
<tr>
<td width="841" height="890" valign="top"><p>&nbsp;</p>
<form action="order.php" method="post" name="frm_email" id="frm_email">
<table width="100%" border="0" cellspacing="0" cellpadding="2">
<!--DWLayoutTable-->
<tr>
<td width="26%" height="24" class="textbrwon"><div align="right"><span class="bodytext">First Name </span> : </div></td>
<td width="1%">&nbsp;</td>
<td colspan="6"><input name="name" type="text" class="box1" id="name" size="35" /></td>
</tr>
<tr>
<td height="24" class="textbrwon"><div align="right"><span class="bodytext">Last Name </span> : </div></td>
<td>&nbsp;</td>
<td colspan="6"><input name="last name" type="text" class="box1" id="last name" size="35" /> </td>
</tr>
<tr>
<td height="24" class="textbrwon"><div align="right"><span class="bodytext">Address</span> : </div></td>
<td>&nbsp;</td>
<td colspan="6"><input name="address" type="text" class="box1" id="address" size="35" /> </td>
</tr>
<tr>
<td height="24" class="textbrwon"><div align="right"> <span class="bodytext">City</span> : </div></td>
<td>&nbsp;</td>
<td colspan="6"><input name="city" type="text" class="box1" id="city" size="35" /> </td>
</tr>
<tr>
<td height="24" valign="top"><div align="right" class="textbrwon"> <span class="bodytext">Province</span> :</div></td>
<td>&nbsp;</td>
<td colspan="6"><input name="province" type="text" class="box1" id="province" value="" size="35" /></td>
</tr>
<tr>
<td height="24" valign="top"><div align="right"><span class="textbrwon"><span class="bodytext">Postal</span> :</span></div></td>
<td>&nbsp;</td>
<td colspan="6"><label>
<input name="postal" type="text" class="box1" id="postal" size="35" />
</label></td>
</tr>
<tr>
<td height="24" valign="top"><div align="right"><span class="textbrwon"><span class="bodytext">Tel</span> :</span></div></td>
<td>&nbsp;</td>
<td colspan="6"><label>
<input name="tel" type="text" class="box1" id="tel" size="35" />
</label></td>
</tr>
<tr>
<td height="24" valign="top"><div align="right"><span class="textbrwon"><span class="bodytext">Mobile</span> :</span></div></td>
<td>&nbsp;</td>
<td colspan="6"><label>
<input name="mobile" type="text" class="box1" id="mobile" size="35" />
</label></td>
</tr>
<tr>
<td height="24" valign="top"><div align="right"><span class="textbrwon"><span class="bodytext">Email</span> :</span></div></td>
<td>&nbsp;</td>
<td colspan="6"><input name="email" type="text" class="box1" id="email" size="35" /></td>
</tr>
<tr>
<td height="23" valign="top"><div align="right"><span class="textbrwon"><span class="linkyellow style1">Appetizer</span></span></div></td>
<td>&nbsp;</td>
<td colspan="6"><!--DWLayoutEmptyCell-->&nbsp;</td>
</tr>
<tr>
<td height="24" valign="top"><!--DWLayoutEmptyCell-->&nbsp;</td>
<td>&nbsp;</td>
<td width="244" valign="top"><label>
<input name="appetizer1" type="checkbox" id="appetizer1" value="Hummus Plate $3.00" />
<span class="heading">Hummus Plate $3.00 </span></label></td>
<td width="44">&nbsp;</td>
<td width="249" valign="top"><label class="heading">
<input name="appetizer2" type="checkbox" id="appetizer2" value="Moutabel Plate $3.00" />
<span class="heading">Moutabel Plate $3.00 </span></label></td>
<td width="38">&nbsp;</td>
<td width="8">&nbsp;</td>
<td width="8">&nbsp;</td>
</tr>
<tr>
<td height="24" valign="top"><!--DWLayoutEmptyCell-->&nbsp;</td>
<td>&nbsp;</td>
<td valign="top"><label class="heading">
<input name="checkbox3" type="checkbox" id="checkbox3" value="Warak Piece $.50" />
Warak'inab Piece $0.50 </label></td>
<td>&nbsp;</td>
<td valign="top"><label class="heading">
<input name="appetizer4" type="checkbox" id="appetizer4" value="Loubieh Bzeit Plate $3.00" />
Loubieh Bzeit Plate $3.00</label></td>
<td>&nbsp;</td>
<td>&nbsp;</td>
<td>&nbsp;</td>
</tr>
<tr>
<td height="24" valign="top"><!--DWLayoutEmptyCell-->&nbsp;</td>
<td>&nbsp;</td>
<td valign="top"><label class="heading">
<input name="appetizer5" type="checkbox" id="appetizer5" value="Batata Harra Plate $3.00" />
Batata Harra Plate $3.00</label></td>
<td>&nbsp;</td>
<td valign="top"><label class="heading">
<input name="appetizer6" type="checkbox" id="appetizer6" value="Kibbeh Nayeh Plate $3.00" />
Kibbeh Nayeh Plate $3.00</label></td>
<td>&nbsp;</td>
<td>&nbsp;</td>
<td>&nbsp;</td>
</tr>
<tr>
<td height="24" valign="top"><!--DWLayoutEmptyCell-->&nbsp;</td>
<td>&nbsp;</td>
<td valign="top"><label class="heading">
<input name="appetizer7" type="checkbox" id="appetizer7" value="Fatayer Sebanikh 6 pieces $3.00" />
Fatayer Sebanikh 6 pieces $3.00</label></td>
<td>&nbsp;</td>
<td valign="top"><label class="heading">
<input name="appetizer8" type="checkbox" id="appetizer8" value="Sanbousek Biljibneh 6 pieces $3.00" />
Sanbousek Biljibneh 6 pieces $3.00</label></td>
<td>&nbsp;</td>
<td>&nbsp;</td>
<td>&nbsp;</td>
</tr>
<tr>
<td height="24" valign="top"><!--DWLayoutEmptyCell-->&nbsp;</td>
<td>&nbsp;</td>
<td valign="top"><label class="heading">
<input name="appetizer9" type="checkbox" id="appetizer9" value="Zahra Maqlia Plate $3.00" />
Zahra Maqlia Plate $3.00</label></td>
<td>&nbsp;</td>
<td valign="top"><!--DWLayoutEmptyCell-->&nbsp;</td>
<td>&nbsp;</td>
<td>&nbsp;</td>
<td>&nbsp;</td>
</tr>
<tr>
<td height="24" valign="top"><div align="right"><span class="linkyellow style1">Soups</span></div></td>
<td>&nbsp;</td>
<td valign="top"><!--DWLayoutEmptyCell-->&nbsp;</td>
<td>&nbsp;</td>
<td valign="top"><!--DWLayoutEmptyCell-->&nbsp;</td>
<td>&nbsp;</td>
<td>&nbsp;</td>
<td>&nbsp;</td>
</tr>
<tr>
<td height="24" valign="top"><!--DWLayoutEmptyCell-->&nbsp;</td>
<td>&nbsp;</td>
<td valign="top"><label class="heading">
<input type="checkbox" name="checkbox10" value="checkbox" />
Vegetable Soup Bowl $2.00</label></td>
<td>&nbsp;</td>
<td valign="top"><label class="heading">
<input type="checkbox" name="checkbox11" value="checkbox" />
Lentil Soup Bowl $2.00 </label></td>
<td>&nbsp;</td>
<td>&nbsp;</td>
<td>&nbsp;</td>
</tr>
<tr>
<td height="24" valign="top"><!--DWLayoutEmptyCell-->&nbsp;</td>
<td>&nbsp;</td>
<td valign="top"><label class="heading">
<input type="checkbox" name="checkbox12" value="checkbox" />
Chicken Soup Bowl $2.50</label></td>
<td>&nbsp;</td>
<td valign="top"><label class="heading">
<input type="checkbox" name="checkbox13" value="checkbox" />
Oat and Tomato soup Bowl $2.50</label></td>
<td>&nbsp;</td>
<td>&nbsp;</td>
<td>&nbsp;</td>
</tr>
<tr>
<td height="24" valign="top"><!--DWLayoutEmptyCell-->&nbsp;</td>
<td>&nbsp;</td>
<td valign="top"><label class="heading">
<input type="checkbox" name="checkbox14" value="checkbox" />
Zucchini Soup Bowl $2.50</label></td>
<td>&nbsp;</td>
<td valign="top"><label class="heading">
<input type="checkbox" name="checkbox15" value="checkbox" />
Addas Bil-Hamod Soup Bowl $2.50 </label></td>
<td>&nbsp;</td>
<td>&nbsp;</td>
<td>&nbsp;</td>
</tr>
<tr>
<td height="24" valign="top"><div align="right"><span class="linkyellow style1">Salads</span></div></td>
<td>&nbsp;</td>
<td valign="top"><!--DWLayoutEmptyCell-->&nbsp;</td>
<td>&nbsp;</td>
<td valign="top"><!--DWLayoutEmptyCell-->&nbsp;</td>
<td>&nbsp;</td>
<td>&nbsp;</td>
<td>&nbsp;</td>
</tr>
<tr>
<td height="24" valign="top"><!--DWLayoutEmptyCell-->&nbsp;</td>
<td>&nbsp;</td>
<td valign="top"><label class="heading">
<input type="checkbox" name="checkbox16" value="checkbox" />
Fattoush Plate $3.00 </label></td>
<td>&nbsp;</td>
<td valign="top"><label class="heading">
<input type="checkbox" name="checkbox17" value="checkbox" />
Tabbouleh Plate $3.50 </label></td>
<td>&nbsp;</td>
<td>&nbsp;</td>
<td>&nbsp;</td>
</tr>
<tr>
<td height="24" valign="top"><div align="right"><span class="linkyellow style1">Meat</span></div></td>
<td>&nbsp;</td>
<td valign="top"><!--DWLayoutEmptyCell-->&nbsp;</td>
<td>&nbsp;</td>
<td valign="top"><!--DWLayoutEmptyCell-->&nbsp;</td>
<td>&nbsp;</td>
<td>&nbsp;</td>
<td>&nbsp;</td>
</tr>
<tr>
<td height="24" valign="top"><!--DWLayoutEmptyCell-->&nbsp;</td>
<td>&nbsp;</td>
<td valign="top"><label class="heading">
<input type="checkbox" name="checkbox18" value="checkbox" />
Mixed grill (Oven BBQ) Plate $5.00</label></td>
<td>&nbsp;</td>
<td valign="top"><label class="heading">
<input type="checkbox" name="checkbox19" value="checkbox" />
Kafta Kebab (4 Kebab) Plate $5.00</label></td>
<td>&nbsp;</td>
<td>&nbsp;</td>
<td>&nbsp;</td>
</tr>
<tr>
<td height="24" valign="top"><!--DWLayoutEmptyCell-->&nbsp;</td>
<td>&nbsp;</td>
<td valign="top"><label class="heading">
<input type="checkbox" name="checkbox20" value="checkbox" />
Shawarma Plate $5.00 </label></td>
<td>&nbsp;</td>
<td colspan="2" valign="top"><label class="heading">
<input type="checkbox" name="checkbox21" value="checkbox" />
Laham Mashwi Ma'a al-fitr Plate $5.00</label></td>
<td>&nbsp;</td>
<td>&nbsp;</td>
</tr>
<tr>
<td height="24" valign="top"><!--DWLayoutEmptyCell-->&nbsp;</td>
<td>&nbsp;</td>
<td valign="top"><label class="heading">
<input type="checkbox" name="checkbox22" value="checkbox" />
Kafta Bil Siniya Plate $5.00</label></td>
<td>&nbsp;</td>
<td valign="top"><label class="heading">
<input type="checkbox" name="checkbox23" value="checkbox" />
Lasagna Plate $5.00</label></td>
<td>&nbsp;</td>
<td>&nbsp;</td>
<td>&nbsp;</td>
</tr>
<tr>
<td height="24" valign="top"><!--DWLayoutEmptyCell-->&nbsp;</td>
<td>&nbsp;</td>
<td valign="top"><label class="linkgray">
<input type="checkbox" name="checkbox24" value="checkbox" />
Kharoof Mahshi Plate $9.00</label></td>
<td>&nbsp;</td>
<td colspan="3" valign="top"><label class="heading">
<input type="checkbox" name="checkbox25" value="checkbox" />
Whole Lamb (Kharoof Mahshi ) whole $320.00 </label></td>
<td>&nbsp;</td>
</tr>
<tr>
<td height="24" valign="top"><!--DWLayoutEmptyCell-->&nbsp;</td>
<td>&nbsp;</td>
<td valign="top"><!--DWLayoutEmptyCell-->&nbsp;</td>
<td>&nbsp;</td>
<td colspan="3" valign="top"><!--DWLayoutEmptyCell-->&nbsp;</td>
<td>&nbsp;</td>
</tr>
<tr>
<td height="27">&nbsp;</td>
<td>&nbsp;</td>
<td colspan="6"><input name="Submit2" type="submit" class="box1" value="Submit" /></td>
</tr>
</table>
</form></td>
</tr>
</table>
</td>
</tr>
</table>
</body>
</html>

Copy this code and save it as "order.php".

Cheers,
Naveen

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vssp -5 Junior Poster · Answer 1 · 2008-01-03T10:07:37+00:00

I want if use come and click on check boxes.So i will receive email on completion.when submit.
The php code is

hi I am not clear what you want

your question is

When user click the check box then submit you receive the mail correct?

vssp -5 Junior Poster · Answer 2 · 2008-01-03T10:08:20+00:00

I want if use come and click on check boxes.So i will receive email on completion.when submit.
The php code is

hi I am not clear what you want

your question is

When user click the check box, then submit, you receive the mail correct?

mcx76 0 Light Poster · Answer 3 · 2008-01-03T10:10:40+00:00

hi I am not clear what you want
your question is

When user click the check box then submit you receive the mail correct?

I dont know how to get the check box items in email .I use dreamweaver to add check boxs.

There is no tags in php file for check box items.Please be advice which tags i need to add on php file to receive check items in EMAIL.Thanks

vssp -5 Junior Poster · Answer 4 · 2008-01-03T10:23:48+00:00

<input type="checkbox" name="checkbox5" value="Batata Harra Plate $3.00" />
Batata Harra Plate $3.00</label></td>

Right now i have changed text box value , now you receive the chk box value in $-POST , so easy to send the chk box value

mcx76 0 Light Poster · Answer 5 · 2008-01-03T20:54:28+00:00

I have changed the script as you mention.I try my best as no knowledge of php.I am receving now the BOLD PART OF TEXT IN EMAIL. but it coming all the text.no geting the check box value.

<?php
$message = '';
$to			  = "zeee76@gmail.com";
$from         = $_POST['email'];
$subject      = $_POST['subject'] ;
$checkboxvalue = $_POST['checkboxname'] ;

$message .='
<b>First Name 	= </b> '.$_POST['name'].'<br />
<b>Last Name	= </b> '.$_POST['last_name'].'<br />
<b>Address	= </b> '.$_POST['address'].'<br />
<b>City	 	= </b> '.$_POST['city'].'<br />
<b>Province 	= </b> '.$_POST['province'].'<br />
<b>Postal 		= </b> '.$_POST['postal'].'<br />
<b>Tel		= </b> '.$_POST['tel'].'<br />
<b>Mobile 	= </b> '.$_POST['mobile'].'<br />
<b>Email		= </b> '.$_POST['email'].'<br />
Appetizer
[B]<b>Batata Harra Plate $3.00	= </b> '.$_POST['Batata Harra Plate $3.00'].'<br />
<b>Moutabel Plate $3.00	= </b> '.$_POST['Moutabel Plate $3.00'].'<br />
<b>Warak Piece $.50		= </b> '.$_POST['Warak Piece $.50'].'<br />
<b>Loubieh Bzeit Plate $3.00	= </b> '.$_POST['Loubieh Bzeit Plate $3.00'].'<br />[/B]
';



$body         = $message;
$Mail_header  = "Content-type: text/html\n";
$Mail_header .= "From:".$_POST['name']."<$from> \n";

mail($to, $subject, $body, $Mail_header);

header("Location:thanks.html");
?>

mcx76 0 Light Poster · Answer 6 · 2008-01-04T00:19:03+00:00

I succefully received on check box value with this

<b>$appetizer1 	= </b> '.$_POST['checkbox1'];'<br />

But when i appied this code to other check boxex.No check box filled received in email.As only first check box value worked.No other is working.I am sure i am wrong on code.Please be advice.Thanks

$checkboxvalue = $_POST['checkboxname'] is how you get the value of a checkbox. For example, if you have <input type=checkbox name=checkbox value=10> in your form, on submitting, you access the value (only if the checkbox is checked) as, $checkbox = $_POST['checkbox']; So, $checkbox has the value 10.
Cheers,
Nav

<?php
$message = '';
$to			  = "zeee76@gmail.com";
$from         = $_POST['email'];
$subject      = $_POST['subject'] ;
$checkboxvalue = $_POST['checkboxname'] ;

$message .='
<b>First Name 	= </b> '.$_POST['name'].'<br />
<b>Last Name	= </b> '.$_POST['last_name'].'<br />
<b>Address		= </b> '.$_POST['address'].'<br />
<b>City	 		= </b> '.$_POST['city'].'<br />
<b>Province 	= </b> '.$_POST['province'].'<br />
<b>Postal 		= </b> '.$_POST['postal'].'<br />
<b>Tel		 	= </b> '.$_POST['tel'].'<br />
<b>Mobile 		= </b> '.$_POST['mobile'].'<br />
<b>Email		= </b> '.$_POST['email'].'<br />

<b>$appetizer1 	= </b> '.$_POST['checkbox1'];'<br /> 
$appetizer2 	= </b> '.$_POST['checkbox2'];

mcx76 0 Light Poster · Answer 7 · 2008-01-04T20:10:15+00:00

Can you show us your html part ? Here's one simple example form.

<?php  //mail.php
$message="";
$email = $_POST['email'];
$checkbox1=$_POST['checkbox1'];
$checkbox2=$_POST['checkbox2'];
$message.="<b>$email $checkbox1 $checkbox2</b>";
echo $message;
$to="some_email@email.com";
$subject="test mail";
$from="From: someone@email.com";
mail($to,$subject,$message,$from);
?>
<html>
<body>
<form name="test" action="mail.php" method="post">
Enter email address: <input type="text" name="email"><br />
<input type="checkbox" name="checkbox1" value=10> 20 &nbsp;
<input type="checkbox" name="checkbox2" value=20> 10 &nbsp;<br />
<input type="submit" name="submit" value="sendmail">
</form>
</body>
</html>

This is the html . Thank you in advance

<!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=iso-8859-1" />
<title>Untitled Document</title>
<style type="text/css">

</style>
<link href="css/style.css" rel="stylesheet" type="text/css" />
<style type="text/css">

</style>
</head>
<body><a href="../css"></a>
<table width="841" border="0" cellpadding="0" cellspacing="0">

<tr>
<td width="841" height="90" valign="top"><table width="100%" border="0" cellpadding="0" cellspacing="0">

<tr>
<td width="841" height="90"> </td>
</tr>
</table> </td>
</tr>
<tr>
<td height="27"> </td>
</tr>
<tr>
<td height="890" valign="top"><table width="100%" border="0" cellpadding="0" cellspacing="0">

<tr>
<td width="841" height="890" valign="top"><p> </p>
<form action="mail_comments.php" method="post" name="frm_email" id="frm_email">
<table width="100%" border="0" cellspacing="0" cellpadding="2">

<tr>
<td width="26%" height="24" class="textbrwon"><div align="right"><span class="bodytext">First Name </span> : </div></td>
<td width="1%"> </td>
<td colspan="6"><input name="name" type="text" class="box1" id="name" size="35" /></td>
</tr>
<tr>
<td height="24" class="textbrwon"><div align="right"><span class="bodytext">Last Name </span> : </div></td>
<td> </td>
<td colspan="6"><input name="last name" type="text" class="box1" id="last name" size="35" /> </td>
</tr>
<tr>
<td height="24" class="textbrwon"><div align="right"><span class="bodytext">Address</span> : </div></td>
<td> </td>
<td colspan="6"><input name="address" type="text" class="box1" id="address" size="35" /> </td>
</tr>
<tr>
<td height="24" class="textbrwon"><div align="right"> <span class="bodytext">City</span> : </div></td>
<td> </td>
<td colspan="6"><input name="city" type="text" class="box1" id="city" size="35" /> </td>
</tr>
<tr>
<td height="24" valign="top"><div align="right" class="textbrwon"> <span class="bodytext">Province</span> :</div></td>
<td> </td>
<td colspan="6"><input name="province" type="text" class="box1" id="province" value="" size="35" /></td>
</tr>
<tr>
<td height="24" valign="top"><div align="right"><span class="textbrwon"><span class="bodytext">Postal</span> :</span></div></td>
<td> </td>
<td colspan="6"><label>
<input name="postal" type="text" class="box1" id="postal" size="35" />
</label></td>
</tr>
<tr>
<td height="24" valign="top"><div align="right"><span class="textbrwon"><span class="bodytext">Tel</span> :</span></div></td>
<td> </td>
<td colspan="6"><label>
<input name="tel" type="text" class="box1" id="tel" size="35" />
</label></td>
</tr>
<tr>
<td height="24" valign="top"><div align="right"><span class="textbrwon"><span class="bodytext">Mobile</span> :</span></div></td>
<td> </td>
<td colspan="6"><label>
<input name="mobile" type="text" class="box1" id="mobile" size="35" />
</label></td>
</tr>
<tr>
<td height="24" valign="top"><div align="right"><span class="textbrwon"><span class="bodytext">Email</span> :</span></div></td>
<td> </td>
<td colspan="6"><input name="email" type="text" class="box1" id="email" size="35" /></td>
</tr>
<tr>
<td height="23" valign="top"><div align="right"><span class="textbrwon"><span class="linkyellow style1">Appetizer</span></span></div></td>
<td> </td>
<td colspan="6"> </td>
</tr>
<tr>
<td height="24" valign="top"> </td>
<td> </td>
<td width="244" valign="top"><label>
<input name="appetizer1" type="checkbox" id="appetizer1" value="Hummus Plate $3.00" />
<span class="heading">Hummus Plate $3.00 </span></label></td>
<td width="44"> </td>
<td width="249" valign="top"><label class="heading">
<input name="appetizer2" type="checkbox" id="appetizer2" value="Moutabel Plate $3.00" />
<span class="heading">Moutabel Plate $3.00 </span></label></td>
<td width="38"> </td>
<td width="8"> </td>
<td width="8"> </td>
</tr>
<tr>
<td height="24" valign="top"> </td>
<td> </td>
<td valign="top"><label class="heading">
<input name="checkbox3" type="checkbox" id="checkbox3" value="Warak Piece $.50" />
Warak'inab Piece $0.50 </label></td>
<td> </td>
<td valign="top"><label class="heading">
<input name="appetizer4" type="checkbox" id="appetizer4" value="Loubieh Bzeit Plate $3.00" />
Loubieh Bzeit Plate $3.00</label></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr>
<td height="24" valign="top"> </td>
<td> </td>
<td valign="top"><label class="heading">
<input name="appetizer5" type="checkbox" id="appetizer5" value="Batata Harra Plate $3.00" />
Batata Harra Plate $3.00</label></td>
<td> </td>
<td valign="top"><label class="heading">
<input name="appetizer6" type="checkbox" id="appetizer6" value="Kibbeh Nayeh Plate $3.00" />
Kibbeh Nayeh Plate $3.00</label></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr>
<td height="24" valign="top"> </td>
<td> </td>
<td valign="top"><label class="heading">
<input name="appetizer7" type="checkbox" id="appetizer7" value="Fatayer Sebanikh 6 pieces $3.00" />
Fatayer Sebanikh 6 pieces $3.00</label></td>
<td> </td>
<td valign="top"><label class="heading">
<input name="appetizer8" type="checkbox" id="appetizer8" value="Sanbousek Biljibneh 6 pieces $3.00" />
Sanbousek Biljibneh 6 pieces $3.00</label></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr>
<td height="24" valign="top"> </td>
<td> </td>
<td valign="top"><label class="heading">
<input name="appetizer9" type="checkbox" id="appetizer9" value="Zahra Maqlia Plate $3.00" />
Zahra Maqlia Plate $3.00</label></td>
<td> </td>
<td valign="top"> </td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr>
<td height="24" valign="top"><div align="right"><span class="linkyellow style1">Soups</span></div></td>
<td> </td>
<td valign="top"> </td>
<td> </td>
<td valign="top"> </td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr>
<td height="24" valign="top"> </td>
<td> </td>
<td valign="top"><label class="heading">
<input type="checkbox" name="checkbox10" value="checkbox" />
Vegetable Soup Bowl $2.00</label></td>
<td> </td>
<td valign="top"><label class="heading">
<input type="checkbox" name="checkbox11" value="checkbox" />
Lentil Soup Bowl $2.00 </label></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr>
<td height="24" valign="top"> </td>
<td> </td>
<td valign="top"><label class="heading">
<input type="checkbox" name="checkbox12" value="checkbox" />
Chicken Soup Bowl $2.50</label></td>
<td> </td>
<td valign="top"><label class="heading">
<input type="checkbox" name="checkbox13" value="checkbox" />
Oat and Tomato soup Bowl $2.50</label></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr>
<td height="24" valign="top"> </td>
<td> </td>
<td valign="top"><label class="heading">
<input type="checkbox" name="checkbox14" value="checkbox" />
Zucchini Soup Bowl $2.50</label></td>
<td> </td>
<td valign="top"><label class="heading">
<input type="checkbox" name="checkbox15" value="checkbox" />
Addas Bil-Hamod Soup Bowl $2.50 </label></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr>
<td height="24" valign="top"><div align="right"><span class="linkyellow style1">Salads</span></div></td>
<td> </td>
<td valign="top"> </td>
<td> </td>
<td valign="top"> </td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr>
<td height="24" valign="top"> </td>
<td> </td>
<td valign="top"><label class="heading">
<input type="checkbox" name="checkbox16" value="checkbox" />
Fattoush Plate $3.00 </label></td>
<td> </td>
<td valign="top"><label class="heading">
<input type="checkbox" name="checkbox17" value="checkbox" />
Tabbouleh Plate $3.50 </label></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr>
<td height="24" valign="top"><div align="right"><span class="linkyellow style1">Meat</span></div></td>
<td> </td>
<td valign="top"> </td>
<td> </td>
<td valign="top"> </td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr>
<td height="24" valign="top"> </td>
<td> </td>
<td valign="top"><label class="heading">
<input type="checkbox" name="checkbox18" value="checkbox" />
Mixed grill (Oven BBQ) Plate $5.00</label></td>
<td> </td>
<td valign="top"><label class="heading">
<input type="checkbox" name="checkbox19" value="checkbox" />
Kafta Kebab (4 Kebab) Plate $5.00</label></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr>
<td height="24" valign="top"> </td>
<td> </td>
<td valign="top"><label class="heading">
<input type="checkbox" name="checkbox20" value="checkbox" />
Shawarma Plate $5.00 </label></td>
<td> </td>
<td colspan="2" valign="top"><label class="heading">
<input type="checkbox" name="checkbox21" value="checkbox" />
Laham Mashwi Ma'a al-fitr Plate $5.00</label></td>
<td> </td>
<td> </td>
</tr>
<tr>
<td height="24" valign="top"> </td>
<td> </td>
<td valign="top"><label class="heading">
<input type="checkbox" name="checkbox22" value="checkbox" />
Kafta Bil Siniya Plate $5.00</label></td>
<td> </td>
<td valign="top"><label class="heading">
<input type="checkbox" name="checkbox23" value="checkbox" />
Lasagna Plate $5.00</label></td>
<td> </td>
<td> </td>
<td> </td>
</tr>
<tr>
<td height="24" valign="top"> </td>
<td> </td>
<td valign="top"><label class="linkgray">
<input type="checkbox" name="checkbox24" value="checkbox" />
Kharoof Mahshi Plate $9.00</label></td>
<td> </td>
<td colspan="3" valign="top"><label class="heading">
<input type="checkbox" name="checkbox25" value="checkbox" />
Whole Lamb (Kharoof Mahshi ) whole $320.00 </label></td>
<td> </td>
</tr>
<tr>
<td height="24" valign="top"> </td>
<td> </td>
<td valign="top"> </td>
<td> </td>
<td colspan="3" valign="top"> </td>
<td> </td>
</tr>
<tr>
<td height="27"> </td>
<td> </td>
<td colspan="6"><input name="Submit2" type="submit" class="box1" value="Submit" /></td>
</tr>
</table>
</form></td>
</tr>
</table>
</td>
</tr>
</table>
</body>
</html>