<form method="get" action="/cgi-bin/FormMail.cgi">
<input type="hidden" name="recipient" value="info@fhc-montage.dk">
<td><input type="Text" size="30" name="Navn"></td>
</tr>
<tr>
<td valign="top">Dit Telefon Nr:</td>
<td><input type="Text" size="30" name="Telefon"></td>
</tr>
<tr>
<td valign="top">Din E-mail adresse:</td>
<td><input type="Text" size="30" name="e-mail"></td>
</tr>
<tr>
<td valign="top">Motager for din mail:</td>
<td>
<select name="Modtager">
<option> Censureret (Lager og værktøj)
<option> Censureret(Kontor og Administrtion)
<option> Censureret(Web og IT)
<option> Censureret(Alt Øvrigt)
</td>
</tr>
<tr>
<td valign="top">Din mail.</td>
<td><textarea name="Mail" rows="5" cols="25" ></textarea></td>
</tr>
<tr>
<td><input type="submit" name="Submit" value="Send" class="button"> <input type="reset" name="Submit2" value="Slet alt" class="button" ><input type="hidden" name="recipient" value="fhc-rustfri@vip.cybercity.dk"> <input type="hidden" name="sort" value="order:Navn,Telefon,e-mail,Modtager,Mail"> <input type="hidden" name="subject" value="Mail fra FHC-Montage.dk"> <input type="hidden" name="redirect" value="
http://www.fhc-montage.dk/mainframe.html"> <input type="hidden" name="required"></input></td>
</tr>
</table>
</td>
</tr>
</table>
</form></select>