76 lines
2.3 KiB
HTML
76 lines
2.3 KiB
HTML
<html>
|
||
|
||
<head>
|
||
<meta name="GENERATOR" content="Microsoft FrontPage 5.0">
|
||
<meta name="ProgId" content="FrontPage.Editor.Document">
|
||
<meta http-equiv="Content-Type" content="text/html; charset=windows-1252">
|
||
<meta http-equiv="Content-Language" content="en-us">
|
||
<title>This page was mostly generated by FrontPage.</title>
|
||
</head>
|
||
|
||
<body>
|
||
|
||
|
||
<hr>
|
||
<p>Tell us what you think about our web site, our products, our organization, or
|
||
anything else that comes to mind. We welcome all of your comments and
|
||
suggestions.</p>
|
||
<FORM NAME="FormName" ACTION="formsubmit.asp" METHOD="POST">
|
||
<p><strong>What kind of comment would you like to send?</strong></p>
|
||
<dl>
|
||
<dd><input type="radio" name="MessageType" value="Complaint">Complaint
|
||
<input type="radio" name="MessageType" value="Problem">Problem
|
||
<input type="radio" checked name="MessageType" value="Suggestion">Suggestion
|
||
<input type="radio" name="MessageType" value="Praise">Praise</dd>
|
||
</dl>
|
||
<p><strong>What about us do you want to comment on?</strong></p>
|
||
<dl>
|
||
<dd><select name="Subject" size="1">
|
||
<option selected>Web Site</option>
|
||
<option>Company</option>
|
||
<option>Products</option>
|
||
<option>Store</option>
|
||
<option>Employee</option>
|
||
<option>(Other)</option>
|
||
</select> Other:
|
||
<input type="text" size="26" maxlength="256" name="SubjectOther"></dd>
|
||
</dl>
|
||
<p><strong>Enter your comments in the space provided below:</strong></p>
|
||
<dl>
|
||
<dd><textarea name="Comments" rows="5" cols="42"></textarea></dd>
|
||
</dl>
|
||
<p><strong>Tell us how to get in touch with you:</strong></p>
|
||
<dl>
|
||
<dd>
|
||
<table>
|
||
<tr>
|
||
<td>Name</td>
|
||
<td><input type="text" size="35" maxlength="256" name="Username"></td>
|
||
</tr>
|
||
<tr>
|
||
<td>E-mail</td>
|
||
<td><input type="text" size="35" maxlength="256" name="UserEmail"></td>
|
||
</tr>
|
||
<tr>
|
||
<td>Tel</td>
|
||
<td><input type="text" size="35" maxlength="256" name="UserTel"></td>
|
||
</tr>
|
||
<tr>
|
||
<td>FAX</td>
|
||
<td><input type="text" size="35" maxlength="256" name="UserFAX"></td>
|
||
</tr>
|
||
</table>
|
||
</dd>
|
||
</dl>
|
||
<p><input type="submit" value="Submit Comments">
|
||
<input type="reset" value="Clear Form"></p>
|
||
</form>
|
||
<hr>
|
||
<h5>Author information goes here.<br>
|
||
Copyright <20> 2001 [OrganizationName]. All rights reserved.<br>
|
||
.</h5>
|
||
|
||
</body>
|
||
|
||
</html>
|