<form action="http://response-o-matic.com/cgi-bin/rom.pl" method="post"> <input type="hidden" name="your_email_address" value="YOUR EMAIL ADDRESS"> <input type="hidden" name="your_name" value="YOUR NAME"> <input type="hidden" name="email_subject_line" value="EMAIL SUBJECT LINE"> <input type="hidden" name="thank_you_title" value="Thanks!"> <input type="hidden" name="return_link_url" value="YOUR SITE URL"> <input type="hidden" name="return_link_name" value="Take Me Home!"> <input type="text" name="visitor_name" value="name: "><br> <input type="text" name="visitor_email_address" value="email: "><br> <input type="text" name="homepage" value="http://"><br> <input type="text" name="comments" value="Comments: "><br> <input type="submit" name="send" value="Send!"> <font size=1>or <input type="reset" name="reset" value="Whoops!"></form> <style type="text/css"><!--input{ color: black;background:white; font-size: 11px;font-weight: regular; text-decoration: none;font-family: arial; text-align: left;border-width: 1px; border-style: solid;border-color: navy; }--></style>

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