Forms Example 
This form use's cgi or a pearl script to take the contents of the form and mail them to a specified e-mail address in a format that is easy to read. If you have any feedback please fill out the form below.

Filling out the form below
will send form details directly to me!
What's your name?
(Required)
Your e-mail address?
(Required)
What is the business you like to put on the web ?

Do you have an existing web site?
Yes
No

If so , what is it's URL?

Do you want your own Domain name ?
Yes
No

How many Search Engines would you want your Web-Page submitted to?
Top 10
Top 20
Top 30
Top 50
Top 100
All

Roughly how many pages do you think you would require ?

What sort of a web page are you after?
Personal.
Business.
Leisure.
Other.
Describe.


What would you want included in your page:

Not Sure? Ipix viewer
Forms SVG
Flash Movies Frames
Shockwave Quick Time Movies
Graphics Other
Animation's  
Java Script  
Java Applets  
Dynamic HTML = (DHTML)  

Select Your Australian State


Your Comments Please?


This Information will help me determine the basics of the site that you want created.

I will return you e-mail as soon as possible. Thank-you for your submission