Code:
<!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>

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