Sample Page

<!DOCTYPE html PUBLIC “-//W3C//DTD XHTML 1.0 Transitional//EN” “http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd”>
<html xmlns=”http://www.w3.org/1999/xhtml”>
<head>
<title></title>
<style type=”text/css”>
p {
color: blue;
}

.FormDesc {
width: 200;
float: left;
}

.FormOption {
margin-left: 200;
}

textarea, select {
width: 200px;
}
</style>
</head>
<body>
<p>
test
</p>
<form method=”post” action=”http://www.buenoenergy.com/emailmarketer/form.php?form=3″>
<div id=”main”>
<div>
<span style=”FormDesc”><span class=”required”>*</span>&nbsp;
Your Email Address:</span>
<span style=”FormOption”>&nbsp;&nbsp;<input type=”text” name=”email” value=”” /></span>
</div>
<div>
<span style=”FormDesc”><span class=”required”>*</span>&nbsp;
Preferred Format:</span>
<span style=”FormOption”>&nbsp;&nbsp;<select name=”format”><option value=”h”>HTML</option><option value=”t”>Text</option></select></span>
</div>
<div>
<span style=”FormDesc”>&nbsp;&nbsp;&nbsp;&nbsp;Postal/Zip Code:</span>
<span style=”FormOption”>&nbsp;&nbsp;<input type=”text” name=”CustomFields[10]” id=”CustomFields_10_3″ value=”” size=’50’></span>
</div>
<div>
<span style=”FormDesc”>&nbsp;&nbsp;&nbsp;&nbsp;Phone:</span>
<span style=”FormOption”>&nbsp;&nbsp;<input type=”text” name=”CustomFields[4]” id=”CustomFields_4_3″ value=”” size=’50’></span>
</div>
<div>
<span style=”FormDesc”>&nbsp;&nbsp;&nbsp;&nbsp;Full_name:</span>
<span style=”FormOption”>&nbsp;&nbsp;<input type=”text” name=”CustomFields[12]” id=”CustomFields_12_3″ value=”” size=’64’></span>
</div>
<div>
<span style=”FormDesc”><span class=”required”>*</span>&nbsp;
Enter the security code shown:</span>
<span style=”FormOption”>&nbsp;&nbsp;<script type=”text/javascript”>
// <![CDATA[
if (!Application) var Application = {};
if (!Application.Page) Application.Page = {};
if (!Application.Page.ClientCAPTCHA) {
Application.Page.ClientCAPTCHA = {
sessionIDString: ”,
captchaURL: [],
getRandomLetter: function () { return String.fromCharCode(Application.Page.ClientCAPTCHA.getRandom(65,90)); },
getRandom: function(lowerBound, upperBound) { return Math.floor((upperBound – lowerBound + 1) * Math.random() + lowerBound); },
getSID: function() {
if (Application.Page.ClientCAPTCHA.sessionIDString.length <= 0) {
var tempSessionIDString = ”;
for (var i = 0; i < 32; ++i) tempSessionIDString += Application.Page.ClientCAPTCHA.getRandomLetter();
Application.Page.ClientCAPTCHA.sessionIDString.length = tempSessionIDString;
}
return Application.Page.ClientCAPTCHA.sessionIDString;
},
getURL: function() {
if (Application.Page.ClientCAPTCHA.captchaURL.length <= 0) {
var tempURL = ‘http://www.buenoenergy.com/emailmarketer/admin/resources/form_designs/captcha/index.php?c=';

tempURL += Application.Page.ClientCAPTCHA.getRandom(1,1000);
tempURL += ‘&ss=’ + Application.Page.ClientCAPTCHA.getSID();
Application.Page.ClientCAPTCHA.captchaURL.push(tempURL);
}
return Application.Page.ClientCAPTCHA.captchaURL;
}
}
}

var temp = Application.Page.ClientCAPTCHA.getURL();
for (var i = 0, j = temp.length; i < j; i++) document.write(‘<img src=”‘ + temp[i] + ‘” alt=”img’ + i + ‘” />’);
// ]]>
</script>
<br/><input type=”text” name=”captcha” value=”” /></span>
</div>

<div>
<div class=”FormDesc”>
<input type=”submit” value=”Subscribe” />
<br/><span style=”display: block; font-size: 10px; color: gray; padding-top: 5px;”>Email marketing by Conspire</span>
</div>
</div>
</div>
</form>
</body>
</html>

As a new WordPress user, you should go to your dashboard to delete this page and create new pages for your content. Have fun!