i presume this is what you wish to do...
VB Code:
  1. [COLOR=BLUE]Private[/COLOR] [COLOR=BLUE]Sub[/COLOR] Button1_KeyDown([COLOR=BLUE]ByVal[/COLOR] sender [COLOR=BLUE]As[/COLOR] [COLOR=BLUE]Object[/COLOR], [COLOR=BLUE]ByVal[/COLOR] e [COLOR=BLUE]As[/COLOR] System.Windows.Forms.KeyEventArgs) [COLOR=BLUE]Handles[/COLOR] Button1.KeyDown
  2.         [COLOR=BLUE]If[/COLOR] e.Alt = [COLOR=BLUE]True[/COLOR] [COLOR=BLUE]Then
  3. [/COLOR]            [COLOR=BLUE]If[/COLOR] e.KeyCode = Keys.X [COLOR=BLUE]Then
  4. [/COLOR]                MessageBox.Show(" you just pressed Alt & X")
  5.                 [COLOR=GREEN]'/// do your stuff to handle Alt & X here.
  6. [/COLOR]            [COLOR=BLUE]End[/COLOR] [COLOR=BLUE]If
  7. [/COLOR]        [COLOR=BLUE]End[/COLOR] [COLOR=BLUE]If
  8. [/COLOR]    [COLOR=BLUE]End[/COLOR] [COLOR=BLUE]Sub[/COLOR]
hope it helps.