apanzerj/former.html

## former.html
<html>
<head>
<script type="text/javascript" src="http://ajax.googleapis.com/ajax/libs/jquery/1.7.2/jquery.min.js"></script>
<script type="text/javascript" src="http://ajax.googleapis.com/ajax/libs/jqueryui/1.8.18/jquery-ui.min.js"></script>
</head>
<div id="box_form">
<form id="zFormer" method="POST" action="former.php" name="former">
    <p>
        <label for="z_name">Your Name:</label>
        <input type="text" value="Adam Panzer" name="z_name">
    </p>
    <p>
        <label for="z_requestor">Your Email Address: </label>
        <input type="text" value="apanzer@zendesk.com" name="z_requester">
    </p>
    <p>
        <label for="z_subject">Subject: </label>
        <input type="text" value="Who needs a subject?" name="z_subject">
    </p>
    <p>
        <label for="z_description">Description: </label>
        <textarea name="z_description">I have this pain in my knee.</textarea>
    </p>
    <p>
        <input type="submit" value="submit" id="submitter">
    </p>
</form>
</div>
</html>
	<html>
	<head>
	<script type="text/javascript" src="http://ajax.googleapis.com/ajax/libs/jquery/1.7.2/jquery.min.js"></script>
	<script type="text/javascript" src="http://ajax.googleapis.com/ajax/libs/jqueryui/1.8.18/jquery-ui.min.js"></script>
	</head>
	<div id="box_form">
	<form id="zFormer" method="POST" action="former.php" name="former">
	<p>
	<label for="z_name">Your Name:</label>
	<input type="text" value="Adam Panzer" name="z_name">
	</p>
	<p>
	<label for="z_requestor">Your Email Address: </label>
	<input type="text" value="apanzer@zendesk.com" name="z_requester">
	</p>
	<p>
	<label for="z_subject">Subject: </label>
	<input type="text" value="Who needs a subject?" name="z_subject">
	</p>
	<p>
	<label for="z_description">Description: </label>
	<textarea name="z_description">I have this pain in my knee.</textarea>
	</p>
	<p>
	<input type="submit" value="submit" id="submitter">
	</p>
	</form>
	</div>
	</html>