<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>