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course mth 151
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It's very good that you noted the need for the name and title lines. However those would go into an email, not into a form submission.
Since form results go to a nonsecure page, you don't want to put any identifying information in the body of the form. That information should go only in the boxes where it is requested.
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Date: January 7th 2015.
note: I am incredibly confused. I hope I did this correctly because I have literally no idea what I am doing.
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You appear to be doing fine.
Continue to follow the instructions one step at a time and it will all become clear.
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