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Here is a form with two more elements: INPUT and SELECT.
The INPUTs are of TYPE="radio" or TYPE="checkbox" (each with VALUE).
The SELECT element is accompanied by further OPTION tags.
Each element must have its own NAME-attribute to identify it in processing.

Annual Income Level:

$0 to $19,999
$20,000 to $59,999
$60,000 and up

Computers:

Windows Macintosh Unix Other

Primary Application: