Wanted: Service html code for FORM

[xTOPSECRETx]

I need a form ,

a simple ad free form, that I could use in my own template.

So people that are interested to post their .mobi domain, they submit it through the form with contact, etc!

anyone have one? im using dreamveawer

 

[Biggie]

here ya go


<form action="MAILTO:[email protected]" method="post" enctype="text/plain">

<h3>Blah blah blah blah blahT<br>Please complete the following information!</h3>
Name:<br>
<input type="text" name="name"
value="first/last
" size="20">
<br>
Address:<br>
<input type="text" name="address"
value="address" size="20">
<br>
City/State:<br>
<input type="text" name="city/state"
value="City/State" size="20">
<br>
Country/Zipode:<br>
<input type="text" name="country/zipcode"
value="Country/zipcode" size="20">
<br>
Phone:<br>
<input type="text" name="phone"
value="areacode+number" size="20">
<br>
E-Mail:<br>
<input type="text" name="mail"
value="e-mail adddress" size="20">
<br>
Comment:<br>
<input type="text" name="comment"
value="yourcomment" size="20">
<br><br>
<input type="submit" value="Send">
<input type="reset" value="Reset">

</form>

 

[xTOPSECRETx]

your the best thanks