Variable Email Destinations Feedback Form Example

This page contains 4 forms. Each form has a different way of asking the user to choose a department. Email is sent depending on the choice or choices.

If you fill it out, the next page is the "thank you" page, which in this case is the demonstration index page. Emails are sent behind the scenes.


Form 1 — Dropdown list.

Select a department to send your message to:

Your email address:

Your name:

Your comment:


Form 2 — Checkboxes.

Select a department to send your message to:
Billing Department
Sales
Abuse Handling

Your email address:

Your name:

Your comment:


Form 3 — Radio buttons.

Select a department to send your message to:
Billing Department
Sales
Abuse Handling

Your email address:

Your name:

Your comment:


Form 4 — Multi-select menu list.

Select a department to send your message to:

Your email address:

Your name:

Your comment: