Content-type: text/html
<html>
<head>
<title>Tres Tacos</title>
</head>
<body bgcolor="white">
<h3>Tres Tacos</h3>
<form action="/page.pl" id="p3" method="post" name="p3">
<div id="p3_state"><input id="_submitted_p3" name="_submitted_p3" type="hidden" value="2" />
<input id="_page" name="_page" type="hidden" value="3" /></div>
<table id="p3_body">
<tr id="p3_replacement_row" valign="top">
<td id="p3_replacement_label">MikeZ is Da"Bomb"</td>
<td id="p3_replacement_field"><table>
<tr>
<td><input checked="checked" id="replacement_TRUE" name="replacement" type="radio" value="TRUE" /></td>
<td><label for="replacement_TRUE">TRUE</label></td>
</tr>
<tr>
<td><input id="replacement_FALSE" name="replacement" type="radio" value="FALSE" /></td>
<td><label for="replacement_FALSE">FALSE</label></td>
</tr>
<tr>
<td><input id="replacement_MAYBE" name="replacement" type="radio" value="MAYBE" /></td>
<td><label for="replacement_MAYBE">MAYBE</label></td>
</tr>
</table></td>
</tr>
<tr id="p3_ticket_row" valign="top">
<td id="p3_ticket_label">Ticket</td>
<td id="p3_ticket_field"><input id="ticket" name="ticket" type="text" value="-1million" /> master mister</td>
</tr>
<tr id="p3_action_row" valign="top">
<td id="p3_action_label"> JackSUN </td>
<td id="p3_action_field"><input id="action" misc="ellaneous" name="action" type="password" value="Unsubscribe" /></td>
</tr>
<tr id="p3_submit_row" valign="top">
<td align="center" colspan="2" id="p3_submit_field"><input id="p3_submit" name="_submit" type="submit" value="Submit" /></td>
</tr>
</table>
</form>
</body>
</html>