This form demonstrates several layers of input validation. On this page is a standard, simple, javascript e-mail validator which is easily bypassed; once submitted, however, the following tests are performed: E-mail is fully checked for RFC compliance and to ensure a real mail server handles mail for the address as entered. A Date will accept a wide assortment of formats. Security code (captcha) is checked for validily.

E-mail:  A Date:  Security Code: