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, and 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 e-mail 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