File: D:/web/thestaintons/webspace/biofeedback/feedback.htm
<html>
<head>
<meta http-equiv="Content-Type"
content="text/html; charset=iso-8859-1">
<meta name="FORMATTER" content="Microsoft FrontPage 2.0">
<meta name="GENERATOR" content="Microsoft FrontPage 2.0">
<title>Feedback</title>
</head>
<body bgcolor="#FFFFA4">
<table width="100%" height="100%" border="0" cellpadding="5" cellspacing="0"
bgcolor="#FFFFA4">
<tr>
<td align="center" valign="top" width="200"
bgcolor="#000000">a<img src="Miami_Logo_Blue.gif"
width="222" height="55"></td>
<td height="80"><h1>Feedback</h1>
</td>
</tr>
<tr>
<td width="200" bgcolor="#000000"><a href="Index.htm#top"><font
color="#FFFFA4">Back To Start</font></a></td>
<td rowspan="9" valign="top">
<form name="Contact Form" method="post" action="feedback.asp" onSubmit="MM_validateForm('Email','','RisEmail');return document.MM_returnValue">
<table width="100%" border="0" cellspacing="2" cellpadding="0" bordercolor="#3074B8">
<tr>
<td width="123" class="write" valign="middle" align="right">
Name: </td>
<td width="655">
<input type="text" name="Name" size="32" class="form">
</td>
</tr>
<tr>
<td width="123" class="write" valign="middle" align="right" height="8">Email:
</td>
<td width="655" height="4">
<input type="text" name="Email" size="32" class="form">
</td>
</tr>
<tr>
<td width="123" class="write" valign="middle" align="right" height="16">City: </td>
<td width="655" height="4">
<input type="text" name="City" size="25" class="form">
</td>
</tr>
<tr>
<td width="123" class="write" align="right" height="2" valign="middle">
Tel: </td>
<td width="655" height="2">
<input type="text" name="Tel" size="25" class="form">
</td>
</tr>
<tr>
<td width="123" rowspan="2" align="right" valign="top" class="write"> Feedback: </td>
<td width="655" class="forms" height="44" valign="top">
<textarea name="Enquiry" cols="40" rows="8" class="form"></textarea>
</td>
</tr>
<tr>
<td width="655" class="write" height="2">
<p>
<input type="submit" name="Submit" value="Submit">
<input type="reset" name="Reset" value="Reset">
</p>
</td>
</tr>
</table>
</form></td>
</tr>
<tr>
<td width="200" bgcolor="#000000"> </td>
</tr>
<tr>
<td width="200" bgcolor="#000000"> </td>
</tr>
<tr>
<td width="200" bgcolor="#000000"> </td>
</tr>
<tr>
<td width="200" bgcolor="#000000"> </td>
</tr>
<tr>
<td width="200" bgcolor="#000000"> </td>
</tr>
<tr>
<td width="200" bgcolor="#000000"> </td>
</tr>
<tr>
<td width="200" bgcolor="#000000"> </td>
</tr>
<tr>
<td width="200" bgcolor="#000000"> </td>
</tr>
</table>
</body>
</html>