<!-- This Script is from www.htmlfreecodes.com, Provided by: Mahmood Bina -->

<script language="javascript" type="text/javascript" src="http://manage.htmlfreecodes.com/site/config.js"></script>
<FORM action="mailto:you@yourdomain.com" method="post" enctype="text/plain">
<TABLE BORDER="0" CELLSPACING="0" CELLPADDING="4" WIDTH="90%">
<TR>
<TD width="30%"><DIV align="right">
<B>Name:</B>
</DIV>
</TD>
<TD width="70%">
<INPUT type="text" name="name" size="20">
</TD>
</TR>
<TR>
<TD><DIV align="right"><B>Email:</B></DIV>
</TD>
<TD>
<INPUT type="text" name="email" size="20">
</TD>
</TR>
<TR>
<TD><DIV align="right">
<B>Comment:</B>
</DIV>
</TD>
<TD><TEXTAREA name="comment" cols="30" wrap="virtual" rows="4"></TEXTAREA></TD>
</TR>
</TABLE>
<font face="Tahoma"><a target="_blank" href="http://allfreecodes.com/category/free-javascript-code/"><span style="font-size: 6pt; text-decoration: none">Free Javascript Code</span></a></font>