# $ApsCVS: www/feedback.wml,v 1.7 2000/09/05 19:28:15 andreas Exp $
#use wml::tmpl::lbpage file=$(ROOT)/feedback.html
<page_title name="Feedback Page">

<tbox bdwidth=1 bdcolor=<get-var col_news_border> bgcolor=<get-var col_filelist_bg> bdspace=10>
<form action="http://www.apsfilter.org/cgi-bin/FormMail.pl" method="POST">
<p>
<input type="hidden" name="recipient" value="$(FEEDBACK)">
<input type="hidden" name="email" value="no.email.entered@apsfilter.org">
<input type="hidden" name="sort" value=
"order:realname,email,subject,message"><input type="hidden" name=
"env_report" value=
"REMOTE_HOST,REMOTE_ADDR,REMOTE_USER,HTTP_USER_AGENT"><input type=
"hidden" name="redirect" value="$(MYURL)/index.html">
<b>E-mail address</b>
<br>
<input type="text" size="35" name="email" value="">
<br>
<b>Full name</b>
<br>
 <input type="text" size="35" maxlength="30" name="realname" value="">
<br>
<b>Subject</b>
<br>
 <input type="text" size="35" maxlength="30" name="subject" value="">
<br>
<b>Message</b>
<br>
<textarea name="message" rows="10" cols="33">Message...</textarea></p>

<table width="100%"><tr>
<td align="left" valign="center"><input type="submit" value="Send message"></td>
<td align="right" valign="center"><input type="reset" value="Clear Form"></td></tr></table>
</form>
</tbox>

<p>
  Feedback mails are being sent to <mlapschat>.
</p>

# vim: set ft=html: