<?php
/*Servo Recipe*/
/*Recipe Name: Simple Contact Form*/
/*Recipe Description: This is a simple HTML contact form, you can use it to follow the 'Bed & Breakfast' example in the manual, or to base your own forms on.*/
/*Servo Recipe*/
?>

<html>
<body>

<form name="htmlform" method="post" action="submit_contact.php">
<table width="450px">
</tr>
<tr>
 <td valign="top">
  <label for="first_name">First Name *</label>
 </td>
 <td valign="top">
  <input  type="text" name="first_name" maxlength="50" size="30">
 </td>
</tr>
 
<tr>
 <td valign="top"">
  <label for="last_name">Last Name *</label>
 </td>
 <td valign="top">
  <input  type="text" name="last_name" maxlength="50" size="30">
 </td>
</tr>
<tr>
 <td valign="top">
  <label for="email">Email Address *</label>
 </td>
 <td valign="top">
  <input  type="text" name="email" maxlength="80" size="30">
 </td>
 
</tr>
<tr>
 <td valign="top">
  <label for="telephone">Telephone Number</label>
 </td>
 <td valign="top">
  <input  type="text" name="telephone" maxlength="30" size="30">
 </td>
</tr>
<tr>
 <td valign="top">
  <label for="comments">Comments *</label>
 </td>
 <td valign="top">
  <textarea  name="comments" maxlength="1000" cols="25" rows="6"></textarea>
 </td>
 
</tr>
<tr>
 <td colspan="2" style="text-align:center">
  <input type="submit" value="Submit">  
 </td>
</tr>
</table>
</form>

</body>
</html> 