<form name=myform><input type="checkbox" name="mybox" value="wish1" checked />wish1<br /><input type="checkbox" name="mybox" value="wish2" disabled />wish2<br /><input type="checkbox" name="mybox" value="wish3" disabled />wish3<br /><input type="checkbox" name="mybox" value="wish4" disabled />wish4<br /></form>