<form name="mail" action="http://www.siue.edu/cgi-bin/FormMail.pl" method="post">
<input name="recipient" type="hidden" value="lcarlis@siue.edu" /><input name="subject" type="hidden" value="Purchase Suggestion" /><input name="sort" type="hidden" value="realname,email, Title,Author_editor,Publisher,Year,StandardNumber,Price,Format,Volumes" /><input name="required" type="hidden" value="Title,Format,email, realname" /><input name="redirect" type="hidden" />
<table border="0" width="85%" cellspacing="1" cellpadding="3">
<tr>
<td colspan="4"><strong>Request the purchase of an item for the library.</strong></td>
</tr>
<tr>
<td colspan="4">Request one item per form.</td>
</tr>
<tr>
<td colspan="2">
<div align="left">Title: <span style="color:#FF0000;">(required)</span></div>
</td>
<td colspan="2"><input name="Title" size="30" type="text" value="" id="Title" /></td>
</tr>
<tr>
<td colspan="2">
<div align="left">Author/Editor:</div>
</td>
<td colspan="2"><input name="Author_Editor" size="30" type="text" value="" id="Author_Editor" /></td>
</tr>
<tr>
<td colspan="2">
<div align="left">Publisher:</div>
</td>
<td colspan="2"><input name="Publisher" size="30" type="text" value="" id="Publisher" /></td>
</tr>
<tr>
<td colspan="2">
<div align="left">Year:</div>
</td>
<td colspan="2"><input name="Year" size="30" type="text" value="" id="Series" /></td>
</tr>
<tr>
<td colspan="2">
<div align="left">ISBN/ISSN:</div>
</td>
<td colspan="2"><input name="StandardNumber" size="30" type="text" value="" id="StandardNumber" /></td>
</tr>
<tr>
<td colspan="4">Notes to the Social Sciences Librarian:</td>
</tr>
<tr>
<td colspan="4"><textarea name="NotesToLibrarian" rows="5" cols="50" id="NotesToLibrarian"></textarea></td>
</tr>
<tr>
<td colspan="2">
<div align="left">Price:</div>
</td>
<td colspan="2"><input name="Price" size="20" type="text" value="0.00" id="Price" /></td>
</tr>
<tr>
<td width="22%">
<div align="left">Format: <span style="color:#FF0000;">(required)</span></div>
</td>
<td width="18%"><select name="Format" id="Format"><option selected="selected"></option><option>book </option> <option> journal </option> <option> DVD </option> <option> VHS video </option> <option> other </option> </select></td>
<td width="23%">
<div align="left">Volumes:</div>
</td>
<td width="37%"><input name="Volumes" size="20" type="text" value="" id="Volumes" /></td>
</tr>
<tr>
<td colspan="2">
<div align="left">Your Name (<span style="color:#FF0000;">required</span>):</div>
</td>
<td colspan="2"><input name="realname" size="30" type="text" id="realname" /></td>
</tr>
<tr>
<td colspan="2">
<div align="left">Your Email <span style="color:#FF0000;">(required</span>):</div>
</td>
<td colspan="2"><input name="email" size="30" type="text" value="" id="email" /></td>
</tr>
<tr>
<td colspan="2">
<div align="left"><input name="Submit" type="submit" value="Submit" /></div>
</td>
<td colspan="2"><input name="Reset" type="reset" value="Clear Form" id="Reset" /></td>
</tr>
</table>
</form>