form.html

form.html

<form action="http://spreebird.com/publisher_subscribe" method="post" name="ContactForm" onsubmit="return ValidateContactForm();">
<input name="campaign" type="hidden" value="test" />
<input name="medium" type="hidden" value="test" />
<input type="hidden" name="url" value="http://www.paulsonmanagementgroup.com" />
<input name="email" type="text" value="email" />
<select name="geography">
  <option value="Denver">Denver</option>
  <option value="Philadelphia">Philadelphia</option>
  <option value="Orange County">Orange County</option>
</select>
<input name="Submit" type="submit" />
</form>