<HTML>
<HEAD>
<TITLE> - Forms</TITLE>
</HEAD>
<BODY>
<H2>Feedback Form</H2>
<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>
</BODY>
</HTML>