Name
Surname
City
Name First
Surname First
City First
Select an option
a) Choice 1 (result will be: "Mike Miller, London")
b) Choice 2 (result will be: "Mike Miller, from L.")
c) Choice 3 (result will be: "Mike M. from L.")
d) Choice 4 (result will be: "M. M. from L.")
Result
Submit
Should be Empty: