<form action=\"http://store.watsnel.nl/domains.php\" method=\"get\" name=\"domain_selection_form\">
www.
<input type=\"Hidden\" id=\"action\" name=\"action\" value=\"check_domains\"/>
<input type=\"Hidden\" id=\"domain_selection_type\" name=\"domain_selection_type\" value=\"single\"/>
<input type=\"Hidden\" id=\"domain_selection\" name=\"domain_selection\" value=\"\"/>
<input type=\"Hidden\" id=\"dm_action\" name=\"dm_action\" value=\"register_new\"/>
<input type=\"text\" maxlength=\"256\" name=\"domain_name\" id=\"domain_name\" value=\"\" style=\"width: 87px; font-size: 10px;\"/>
<select name=\"tld\" style=\"width: 52px; font-size: 10px;\">
<option value=\"nl\">.nl</option>
<option value=\"be\">.be</option>
<option value=\"com\">.com</option>
<option value=\"eu\">.eu</option>
<option value=\"net\">.net</option>
<option value=\"org\">.org</option>
<option value=\"info\">.info</option>
<option value=\"biz\">.biz</option>
</select>
<button name=\"submit\" type=\"submit\" style=\"width: 100px; margin-top: 3px; margin-right: 15px; float: right; font-size: 10px;\">Controleer</button></form><br />