Howslow

JoeBp I dont know alot about radio buttons as you can see in the code the radio buttons are setup this way

[radio radio-601 “$350.00”]
[radio radio-601 “$800.00”]
[radio radio-601 “$413.68”]
[radio radio-601 “$513.68”]

I’m getting the email from the site that tells me what section they made. But in the cell I just want the dollar amount, I don’t what to put Traditional A in the cell. So now I’m just putting the dollar amount in the cell and when someone submits the form I just go to the website to see what plan that dollar amount is in. I know if I get email that says $800.00 its the Traditional A plan they picked. But when i have more plans and if they have the same dollar amount I’m screwed. I really don’t know that much about the radio buttons..

-b

i really need help with this. That’s why i bumped it..

i have updated the the link on how i would like the form to be viewed on the site. Is it possible for this to be done with this plugin ?

Here is the form link https://icardnet.com/wordpress/

The row with HSA 3000 just has the dollar amounts. that’s how i would like the form to be viewed.

I will also attached the code.

<table border="0" width="800">
<tbody>
<tr>
  <td width="149"><strong><span style="text-align: left;">Employee ID</span>:</strong></td>
  <td width="641">[text employ-number id:employ-number]</td>
</tr>
</tbody>
</table>
<div align="center"><strong>SELECT THE APPROPRIATE COVERAGES BELOW</strong></div>
<div align="left"><strong>MEDICAL BENEFITS</strong></div>
<table style="height: 60px;" border="0" width="800">
<tbody>
<tr>
<td style="text-align: left;" width="60"></td>
<td style="text-align: center;" width="5">Plan</td>
<td style="text-align: center;" width="142">Annual
Deductible</td>
<td style="text-align: center;" width="105">Employee
Only</td>
<td style="text-align: center;" width="105">Employee
Spouse</td>
<td style="text-align: center;" width="105">Employee
Child(ren)</td>
<td style="text-align: center;" width="115">Employee
Family</td>
</tr>
<tr>
<td style="text-align: center;"></td>
<td style="text-align: center;"></td>
<td style="text-align: center;">(Policy Year)</td>
<td style="text-align: center;" colspan="4">Monthly Contribution</td>
</tr>
<tr>
<td style="text-align: center;">Traditional</td>
<td style="text-align: center;">A</td>
<td style="text-align: center;">$200/$400</td>
<td style="text-align: center;">[radio radio-601 "Traditional A $70.00"]</td>
<td style="text-align: center;">[radio radio-601 "Traditional A $500.00"]</td>
<td style="text-align: center;">[radio radio-601 "Traditional A $350.00"]</td>
<td style="text-align: center;">[radio radio-601 "Traditional A $800.00"]</td>
</tr>
<tr>
<td style="text-align: center;">HSA 3000</td>
<td style="text-align: center;">C</td>
<td style="text-align: center;">$3,000/$6,000</td>
<td style="text-align: center;">[radio radio-601 "$413.68"]</td>
<td style="text-align: center;">[radio radio-601 "$513.68"]</td>
<td style="text-align: center;">[radio radio-601 "$613.68"]</td>
<td style="text-align: center;">[radio radio-601 "$713.68"]</td>
</tr>
<tr>
<td style="text-align: left;" colspan="7">After $3,000 per year of qualified expenses, plan includes: Rx - $10/$30/$50 copay. Rx mail order - $20/$60/$100 copay for up to 90 day supply.</td>
</tr>
<tr>
<td style="text-align: center;" colspan="3"></td>
<td style="text-align: center;">AnnualMaximum</td>
<td style="text-align: center;" colspan="2">2014 Aug 1, 2014 to Dec 31, 2014
Amount</td>
<td style="text-align: center;">Jan 1, 2015 to July 31, 2015 Amount</td>
</tr>
<tr>
<td style="text-align: left;" colspan="3">Participant HSA Contribution</td>
<td style="text-align: center;">$3,100/$6,250</td>
<td style="text-align: center;" colspan="2">[text ParticipantHSAContribution 5/5 id:ParticipantHSAContribution]</td>
<td style="text-align: center;">[text ParticipantHSAContribution 5/5 id:ParticipantHSAContribution]</td>
</tr>
<tr>
<td style="text-align: left;" colspan="3">Catch Up Contribution</td>
<td style="text-align: center;">$1,000</td>
<td style="text-align: center;" colspan="2">[text CatchUpContribution 5/5 id:CatchUpContribution]</td>
<td style="text-align: center;">[text CatchUpContribution 5/5 id:CatchUpContribution]</td>
</tr>
<tr>
<td style="text-align: left;" colspan="6">(Participants age 55 and over can increase annual maximum by $1,000)</td>
<td style="text-align: center;"></td>
</tr>
<tr>
<td style="text-align: left;" colspan="7">[radio radio-601 "I do not want Medical Coverage"]</td>
</tr>
</tbody>
</table>
<table border="0" width="800">
  <tbody>
<tr></tr>
<tr></tr>
</tbody>
</table>
<table border="0" width="800">
  <tbody>
<tr>
<td width="138"><strong><span style="text-align: left;">Employee Name:</span></strong></td>
<td width="652">[text Name id:Name]</td>
</tr>
<tr>
<td><strong><span style="text-align: left;">Date</span></strong></td>
<td>[text date /11 id:date]</td>
</tr>
</tbody>
</table>
<address></address>
[submit id:Submit]

Thanks for any help..

Edit your Contact us page take out the title=”Contact us”] It should only have [contact-form-7 id=”649″] in the page for the form to be displayed.

Did you check your gmail spam folder ?

Thanks I have been playing around with it. I wanted to know if it was also possible to since I’m using radio buttons I have plan A and C What can i change in the code so when i get a email i know if they have picked A or C and the dollar about. this is how my code is now.

Now

<td style="text-align: center;">[radio radio-305 "Plan A $413.68"]</td>
<td style="text-align: center;">[radio radio-305 "Plan A $786.00"]</td>
<td style="text-align: center;">[radio radio-305 "Plan C $670.18"]</td>
<td style="text-align: center;">[radio radio-305 "Plan C $1,042.46"]</td>

What i want to change is just the dollar amount. But if i change it to the below and take out the PlanA or C I will never know in the email i get if they picked PlanA or C.

<td style="text-align: center;">[radio radio-305 "$413.68"]</td>
<td style="text-align: center;">[radio radio-305 "$786.00"]</td>
<td style="text-align: center;">[radio radio-305 "$670.18"]</td>
<td style="text-align: center;">[radio radio-305 "$1,042.46"]</td>

Any thoughts ? Thanks Again!