<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> <P><STRONG>Comments:</STRONG> <TEXTAREA NAME = "comments" ROWS = "4" COLS = "36"></TEXTAREA> </P> <P><STRONG>Email Address:</STRONG> <INPUT NAME = "email" TYPE = "password" SIZE = "25"></P>
<P><STRONG>Things you liked:</STRONG><BR>
Site design <INPUT NAME = "things" TYPE = "checkbox" VALUE = "Design"> Links <INPUT NAME = "things" TYPE = "checkbox" VALUE = "Links"> Ease of use <INPUT NAME = "things" TYPE = "checkbox" VALUE = "Ease"> Images <INPUT NAME = "things" TYPE = "checkbox" VALUE = "Images"> Source code <INPUT NAME = "things" TYPE = "checkbox" VALUE = "Code"> </P>
<INPUT TYPE = "submit" VALUE = "Submit Your Entries"> <INPUT TYPE = "reset" VALUE = "Clear Your Entries"> </FORM>