<form>
<fieldset>
<legend><strong>Personal Details</strong></legend>
<label for="name">Name:</label>
<input id="name" type="text" name="name" size="30" title="Your Name" />
</fieldset>
<fieldset>
<legend><strong>Select the fact sheets you want</strong></legend>
<input id="roses" type="checkbox" title ="rose factsheet" name="roses" value="checkbox" />
<label for="roses">Roses</label>
<input id="daffodils" type="checkbox" title="daffodil factsheet" name="daffodils" value="checkbox" />
<label for="daffodils">Daffodils</label>
<input id="tulips" type="checkbox" title="tulip factsheet" name="tulips" value="checkbox" />
<label for="tulips">Tulips</label>
</fieldset>
<fieldset>
<legend><strong>Gender</strong></legend>
<input type="radio" id="male" name="gender" />
<label for="male">Male</label>
<input type="radio" id="female" name="gender" />
<label for="female">Female</label>
</fieldset>
<fieldset>
<legend><strong>Favourite City</strong></legend>
<label for="favcity">Choose your favourite city?</label>
<select id="favcity" name="favcity">
<optgroup label="Asia">
<option value="3">Delhi</option>
<option value="4">Hong Kong</option>
<option value="8">Mumbai</option>
<option value="11">Tokyo</option>
</optgroup>
<optgroup label="Europe">
<option value="1">Amsterdam</option>
<option value="5">London</option>
<option value="7">Moscow</option>
</optgroup>
<optgroup label="North America">
<option value="6">Los Angeles</option>
<option value="9">New York</option>
</optgroup>
<optgroup label="South America">
<option value="2">Buenos Aires</option>
<option value="10">Sao Paulo</option>
</optgroup>
</select>
</fieldset>
<fieldset>
<legend><strong>Additional Comments</strong></legend>
<label for="comments">Comments</label><br />
<textarea id="comments" name="commenttext"></textarea>
</fieldset>
</form>