<center>
<form name="form" method="post" action="mailto:****************************?SUBJECT=Submit ted from the site" enctype="text/plain" onSubmit="return true">
<table cellspacing=50><tr><td align=left valign=top>
<B><font color=mediumvioletred><u>?רתאב םכתא םיניינעמ םיאשונ וליא</u><BR><BR>
<input type="hidden" name="INTERESTS: " value="==============">
<INPUT TYPE="CHECKBOX" NAME="HTML" Value="Y" > HTML<BR>
<INPUT TYPE="CHECKBOX" NAME="DHTML" Value="Y" > DHTML<BR>
<INPUT TYPE="CHECKBOX" NAME="The JavaScript Guide" Value="Y" > The JavaScript Guide<BR>
<INPUT TYPE="CHECKBOX" NAME="Scripts & Applets (cut&paste)" Value="Y" > Scripts & Applets (cut&paste)<BR>
<INPUT TYPE="CHECKBOX" NAME="The Forum" Value="Y" > The Forum<BR>
<INPUT TYPE="CHECKBOX" NAME="The Editor's Help" Value="Y" > The Editor's Help<BR>
<INPUT TYPE="CHECKBOX" NAME="The Search Engine" Value="Y" > The Search Engine
</td><td align=right valign=top<
<b><font color=blue><u>?ילש רתאה לע םיבשוח םתא המ</u><BR><BR>
<input type="hidden" name="SITE'S QUALITY: " value="==============">
יתיארש בוט יכה רתאה
<INPUT TYPE="RADIO" NAME="Site quality:" Value="Best I've ever seen!"><BR>
דאמ בוט רתא
<INPUT TYPE="RADIO" NAME="Site quality:" Value="A very good site."><BR>
בוט רתא
<INPUT TYPE="RADIO" NAME="Site quality:" Value="This is a good site."><BR>
רופיש טעמל קוקז רתאה
<INPUT TYPE="RADIO" NAME="Site quality:" Value="The site needs some improvement..."><BR>
בוש ןאכל סנכא אל
<INPUT TYPE="RADIO" NAME="Site quality:" Value="You won't see me again!"><BR>
יתיארש עורג יכה רתאה
<INPUT TYPE="RADIO" NAME="Site quality:" Value="Worst site I've ever seen.">
</TD></tr><tr><TD align=center valign=top colspan=2>
<SELECT NAME="Surfer's age: ">
<OPTION>Below 10
<OPTION>10-13
<OPTION>14-17
<OPTION>18-21
<OPTION>22-25
<OPTION>26-29
<OPTION>30-33
<OPTION>34-37
<OPTION>Above 37
<OPTION SELECTED>Please select
</SELECT> <B><font color=brown>:טירפתה ךותמ םכלש ליגה תצובק תא ורחב אנ
</td></tr><tr><td align=center colspan=2>
<br clear=all><font color=darkmagenta><B>
Name:
<INPUT type="text" size=10 name="NAME">
Email:
<INPUT type="text" size=10 name="EMAIL "><BR><BR>
HomePage:
<INPUT type="text" size=10 name="URL">
<BR><BR><BR>
תירבעב םג רשפא) רחא רסמ לכ וא תושקב ,תורעה ןאכ ובתכ
<TEXTAREA ROWS=5 COLS=45 NAME="Message" WRAP=VIRTUAL title="Write your message here"></TEXTAREA>
</td></tr></table>
<input type="submit" name="submit" value="Submit">
<input type="reset" value="Reset">
</FORM></center