<P>Please fill out this form to help us improve our site.</P> <FORM METHOD = "POST" ACTION = "/cgi-bin">
<INPUT TYPE = "hidden" NAME = "recipient" VALUE = "d@d.com"> <INPUT TYPE = "hidden" NAME = "subject" VALUE = "Feedback Form"> <INPUT TYPE = "hidden" NAME = "redirect" VALUE = "main.html">
<P><STRONG>Name:</STRONG> <INPUT NAME = "name" TYPE = "text" SIZE = "25"></P> <INPUT TYPE = "submit" VALUE = "Submit Your Entries"> <INPUT TYPE = "reset" VALUE = "Clear Your Entries"> </FORM>