%\begin{Form}[action=http:www.rhbnc.ac.uk/htbin/shew-fields,html,method=post]

\documentclass{article}
\usepackage[bookmarks=false]{hyperref}
\setlength{\parindent}{0pt}
\setlength{\parskip}{10pt}
\begin{document}
\begin{Form}[action=mailto:srahtz,encoding=html,method=post]

\TextField[width=3in,name=xname,value={Bilbo Baggins}]
    {Full name:  }

%\TextField[name=warfs,validate={AFRange_Validate\string\(true, 1, true, 13\string\);}]
%    {How many dwarves came along:  }

\TextField[multiline,width=1in,name=address,borderstyle=D,
    color=1 1 1,backgroundcolor=0 0 .5,
    value={Bag End, The Hill, Hobbiton}]{Address: }

\ChoiceMenu[default=Home,menulength=3,width=2in,name=travel,default=Beorn]
     {Favorite part of your travels:}
     {Trolls,Misty Mountains,Beorn,Mirkwood,Elves,Laketown,%
     Smaug,The Battle}

Have you still got your:
\CheckBox[]{Sword}
\CheckBox[name=coat]{Mithril coat}
%\CheckBox[name=ring,checked]{\textbf{Ring!}}
\CheckBox[name=ring,checked]{Ring!}

\ChoiceMenu[radio,default=Again,name=next,borderwidth=3,bordercolor=0 1 0]
     {Do you want to:}
     {Do it all again=Again,
      Pretend it never happened=Forget,
      Write a book about it=Write}

%\TextField[password,name=made]{\emph{Who} made the ring? }
\TextField[password,name=made]{Who made the ring? }

\ChoiceMenu[combo,default=Bofur,name=whatdwarf,
     ]{Select funniest name, or add one}
     {Bofur,Thorin,Gollum,Smaug,Gandalf}

%\PushButton[name=xxx,onclick={app.beep(0)}]{Make a horrid beep}

\Submit{Send} 
\Reset{Clear}

\end{Form}
\end{document}
