- <HTML>
- <HEAD>
- <TITLE>Contact Us</TITLE>
- </HEAD>
- <FORM ACTION="/cgi-bin/emailform.cgi"
METHOD="POST" ENCTYPE="x-www-form-urlencoded">
- <P><TABLE WIDTH="800" BORDER="0"
CELLSPACING="0" CELLPADDING="0">
- <TR>
- <TD WIDTH="82%" VALIGN="TOP" ALIGN="CENTER"><BASEFONT
SIZE=2>
- <DL>
- <DT><CENTER><FONT SIZE="+3">Contact Us </FONT></CENTER>
- <DT><CENTER> </CENTER>
- <DT><CENTER>
- <TABLE BORDER="0" CELLPADDING="5"
WIDTH="604" CELLSPACING="2">
- <TR>
- <TD><BASEFONT SIZE=2>
- <DL>
- <DD>Thanks you for your visit.
We'd like to hear from you.
- </DL>
- </TD>
- </TR>
- <TR>
- <TD><BASEFONT SIZE=2>
- <DL>
- <DT><HR ALIGN=LEFT>
- <DD><FONT COLOR="#ff0000">Please make
sure you correctly enter
- your email address. We can't respond to you without it.</FONT>
- </DL>
- </TD>
- </TR>
- <TR>
- <TD><BASEFONT SIZE=2>
- <P><!-- --------------------- Start Form ------------------------------
--><INPUT
- TYPE="hidden" NAME="recipient" VALUE="your-email@yourdomain.com">
- <INPUT TYPE="hidden" NAME="subject"
VALUE="Site Feedback/Question">
- <INPUT TYPE="hidden" NAME="required"
VALUE="email,Comments">
- <INPUT TYPE="hidden" NAME="redirect"
VALUE="http://yourdomain.com/thanks.htm"></P>
- <DL>
- <DD>Your Name: <INPUT TYPE="text" NAME="Name"
SIZE="27">
- <DD>Your Email: <INPUT TYPE="text"
NAME="email" SIZE="27">
- <FONT COLOR="#ff0000" SIZE="-1">{required}</FONT>
- <DD>
- <DD>Please choose one of the following:
- <DD><INPUT TYPE="radio" NAME="Contact-Type"
VALUE="General Feedback">
- General Feedback
- <DD><INPUT TYPE="radio" NAME="Contact-Type"
VALUE="General Question"
- CHECKED="1"> General Question
- <DD>
- <DD>Please enter your comments here: <FONT COLOR="#ff0000"
SIZE="-1">{required}</FONT>
- <DD><TEXTAREA NAME="Comments" ROWS="7"
COLS="74"
- ></TEXTAREA>
- <DD>
- <DD><CENTER><INPUT TYPE="submit"
VALUE="Submit Feedback">
- <INPUT TYPE="reset" VALUE="Clear
Form"></CENTER>
- </DL>
- </TD>
- </TR>
- </TABLE><!-- --------------------- End Form ------------------------------
--></CENTER>
- </DL>
- </TD>
- </TR>
- </TABLE>
- </FORM>
- </BODY>
- </HTML>
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