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File: D:/web/thestaintons/webspace/back.htm
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<title>Feedback Form</title>

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<p><img src="images/circleb.gif" width="100" height="100"> </p>

<h1>Feedback Form</h1>

<p>| Tel 01926 311775.| fax 01926 470948.| e-mail
neil@web-space.co.uk.|</p>

<p>&nbsp;</p>

<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 method="POST" action="_vti_bin/shtml.dll/back.htm" webbot-action="--WEBBOT-SELF--">
    <!--webbot bot="SaveResults" u-file="_private/feedback.txt" s-format="TEXT/TSV" s-label-fields="TRUE" s-builtin-fields="Date Time REMOTE_NAME REMOTE_USER HTTP_USER_AGENT" s-form-fields startspan --><input TYPE="hidden" NAME="VTI-GROUP" VALUE="0"><!--webbot bot="SaveResults" endspan i-checksum="43374" --><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><pre>Name     <input type="text" size="35" maxlength="256" name="UserName">
E-mail   <input type="text" size="35" maxlength="256" name="UserEmail">
Tel      <input type="text" size="35" maxlength="256" name="UserTel">
FAX      <input type="text" size="35" maxlength="256" name="UserFAX"> </pre>
        </dd>
    </dl>
    <dl>
        <dd><input type="checkbox" name="ContactRequested" value="ContactRequested"> Please contact me as soon
            as possible regarding this matter.</dd>
    </dl>
    <p><input type="submit" value="Submit Comments"> <input type="reset" value="Clear Form"></p>
</form>

<hr>

<h5>webspace design<br>
Copyright � 1997 web-space. All rights reserved.<br>
Revised: <!--webbot bot="TimeStamp" s-type="EDITED" s-format="%B %d, %Y" startspan -->January 17, 1997<!--webbot bot="TimeStamp" endspan i-checksum="32571" -->.</h5>
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