results.html

HTML
<form method="post"
      enctype="application/x-www-form-urlencoded"
      action="https://pizza.example.com/order.cgi">
  <p><label>Customer name: <input name="custname" required autocomplete="shipping name"></label></p>
  <p><label>Telephone: <input type=tel name="custtel" autocomplete="shipping tel"></label></p>
  <p><label>E-mail address: <input type=email name="custemail" autocomplete="shipping email"></label></p>
  <fieldset>
  <legend> Pizza Size </legend>
  <p><label> <input type=radio name=size required value="small"> Small </label></p>
  <p><label> <input type=radio name=size required value="medium"> Medium </label></p>
  <p><label> <input type=radio name=size required value="large"> Large </label></p>
  </fieldset>
  <fieldset>
  <legend> Pizza Toppings </legend>
  <p><label> <input type=checkbox name="topping" value="bacon"> Bacon </label></p>
  <p><label> <input type=checkbox name="topping" value="cheese"> Extra Cheese </label></p>
  <p><label> <input type=checkbox name="topping" value="onion"> Onion </label></p>
  <p><label> <input type=checkbox name="topping" value="mushroom"> Mushroom </label></p>
  </fieldset>
  <p><label>Preferred delivery time: <input type=time min="11:00" max="21:00" step="900" name="delivery" required></label></p>
  <p><label>Delivery instructions: <textarea name="comments" maxlength=1000>
Source

Also in HTML: