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<!-- Free Form #3 -->


Street Address

Home Phone
Business Phone
Fax Number

Best Time and Place to Call Select One: (USA PST)

I Found This Site Through:

Search Engines
News Groups
Referred By Friend
Classified Ad
Other (briefly state below)

Click here to send us your information.

Click here to clear the form and start over.


Copy and paste the html code below in the black area. If you are using the Page Wizard log into the members main menu and go to the web site manager and paste the html to the introduction or conclusion input area boxes. If your doing your own html, you know what to do. Be sure to change the areas in red or you will not get all your inquiries, and create your own page that says thank you with your own information on it.

<form action="http://cgi.freeyellow.com/cgi-shl/formmail.pl"

<input type="hidden" name="content" value=" "><input

type="hidden" name="recipient" value="youre-mail@your-isp.com"><input

type="hidden" name="redirect"


type="hidden" name="subject" value="Form #3"><blockquote>



<p align="left">&nbsp;</p>

<p><font face="Arial"><input type="text"

size="40" name="email"> <strong>E-Mail</strong><br>

<input type="text" size="40" maxlength="256"

name="LastName"><strong> Name</strong> <br>

<input type="text" size="40" maxlength="256"

name="Address"><strong> Street Address</strong> <br>

<input type="text" size="40" maxlength="256"

name="City"><strong> City</strong> <br>

<input type="text" size="40" maxlength="256"

name="State"><strong> State</strong> <br>

<input type="text" size="40" maxlength="256"

name="Zip"><strong> Zip</strong> <br>

<input type="text" size="40" maxlength="256"

name="Occupation"><strong> Occupation</strong> </font></p>

<p><font face="Arial"><input type="text"

size="22" maxlength="256" name="Home Phone"><strong>

Home Phone</strong> <br>

<input type="text" size="22" maxlength="256"

name="Business Phone"><strong> Business Phone</strong>


<input type="text" size="22" maxlength="256"

name="Fax Number"><strong> Fax Number</strong> <br>


<p><font face="Arial"><strong>Best Time and Place

to Call Select One:</strong> (USA PST)<br>

<select name="TIME" size="1">

<option>12:00 am</option>

<option>1:00 am</option>

<option>2:00 am</option>

<option>3:00 am</option>

<option>4:00 am</option>

<option>5:00 am</option>

<option>6:00 am</option>

<option>7:00 am</option>

<option>8:00 am</option>

<option>9:00 am</option>

<option>10:00 am</option>

<option>11:00 am</option>

<option>12:00 pm</option>

<option>1:00 pm</option>

<option>2:00 pm</option>

<option>3:00 pm</option>

<option>4:00 pm</option>

<option>5:00 pm</option>

<option>6:00 pm</option>

<option>7:00 pm</option>

<option>8:00 pm</option>

<option>9:00 pm</option>

<option>10:00 pm</option>

</select> <strong>at</strong> <select

name="Best Place To Call" size="1">

<option>Home Phone</option>

<option>Business Phone</option>

</select> </font></p>

<p><font face="Arial"><b>I Found This Site



<dd><font face="Arial"><input type="checkbox"


<dd><font face="Arial"><input type="checkbox"

name="Search Engines" align="left"><b>Search



<dd><font face="Arial"><input type="checkbox"


Groups" align="left"><b>

News Groups</b><br>


<dd><font face="Arial"><input type="checkbox"

name="Referred By Friend" align="left"><b>Referred

By Friend</b><br>


<dd><font face="Arial"><input type="checkbox"

name="Classified Ad" align="left"><b>Classified



<dd><font face="Arial"><b>Other (briefly

state below)</b><br>


<dd><font face="Arial"><textarea

name="Other Comments" rows="3" cols="50"

align="left"></textarea> </font></dd>


<p><font face="Arial"><input type="submit"

value="Submit Form"><b>Click here to send us your


<p><font face="Arial"><input type="reset"

value="Clear Form"> <b>Click here to clear the

form and start over.</b> </font></p>






The first red code is for you to insert your e-mail address@freeyellow.com...

The second red area is for you to change it so they go to your thankyou page, so simply create a page and name it thankyou.html As soon as someone fills out the form they will be taken to Your thank you page, so maybe say something like "Thanks for giving us your input. Click here to go back to the main page. You get the idea.

The third red area is for you to change the subject of the message. As an example you may want to put From My Free Yellow page, and everytime someone sends through this form, it will say in the subject field From My Free Yellow page. It's up to you.

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