<html>
<head>
<title>Simple E-mail Feedback Form</title>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
</head>

<body bgcolor="#FFFFFF">
<form method="post" action="send_simpleform.php">
<p>Your name:
<input type="text" name="sender_name" size="30">
</p>
<p>Your e-mail address:
<input type="text" name="sender_email" size="30">
</p>
<p>Message:<br>
<textarea name="message" cols="30" rows="5" wrap="VIRTUAL"></textarea>
</p>
<p>
<input type="submit" name="Submit" value="Send the e-mail.">
</p>
</form>
</body>
</html>