<form action="http://therxforum.com/6/ubb.x" method="POST" name="VOTE">
<input type="hidden" name="POLL_OID" value="7201091"><input type="hidden" name="s" value="100090022"><input type="hidden" name="f" value="3963098685"><span class="gs_normal">Choices:
<input type="checkbox" name="CHOICE" value="1">1
<input type="checkbox" name="CHOICE" value="2">2
<input type="checkbox" name="CHOICE" value="3">3
<input type="checkbox" name="CHOICE" value="4">4
<input type="checkbox" name="CHOICE" value="5">5
<input type="checkbox" name="CHOICE" value="6">6
<input type="checkbox" name="CHOICE" value="7">7
<input type="hidden" name="VOTE" value="vote">
</span><input type="submit" class="gs_submit_reg" value="Vote" name="VOTE">
</form>