<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01//EN">
<html>
<head>
<style>
body { color: dimgray; font-size: 80%; font-family: sans-serif }
textarea { font-family: sans-serif }
input.click { cursor: pointer }
table#perfect { background-color: gainsboro; border: solid black 1px;
padding: 7px; margin-left: auto; margin-right: auto }
table#perfect caption { color: yellow; background-color: black;
font-size: 110%; font-weight: bold; padding: 3px;
margin-left: auto; margin-right: auto }
table#perfect th { text-align: right; font-weight: bold }
table#perfect div { text-align: center; margin-top: 6px }
table#perfect span { float: right; font-size: 65% }
table#perfect a { color: darkslategray; text-decoration: none }
</style>
<script>
if (navigator.userAgent.indexOf('Safari') != -1)
document.writeln("<style>table#perfect caption { margin-right: -16px }</style>");
</script>
</head>
<body>
<form method=post action="feedback.php">
<table id=perfect>
<caption>Send Us a Message</caption>
<tr><th>Message:</th>
<td><textarea name=message rows=3 cols=35></textarea></td></tr>
<tr><th>Name:</th>
<td><input type=text name=name size=25></td></tr>
<tr><th>E-Mail:</th>
<td><input type=text name=email size=30></td></tr>
<tr><th></th><td><div>
<span><br>Powered by
<a href="http://www.centerkey.com/php">PERFECT</a></span>
<input type=submit value="Submit" class=click></div></td></tr>
</table>
</form>
</body>
</html>