<html><head></head><body  bgcolor="#FFFFFF" text="#000000" link="#0000FF" alink="#FF0000" vlink="#800080">
<form method=POST action=http://gillhov.tripod.com/cgi-bin>

<table border=0><tr><td align=right><b>naam</b></td>
<td><input type=text name=00naam size=25></td></tr>
<tr><td align=right><b>Adres</b></td>
<td><input type=text name=01Adres size=25></td></tr>
<tr><td align=right><b>Stad</b></td>
<td><input type=text name=02Stad size=25></td></tr>
<tr><td align=right><b>postcode</b></td>
<td><input type=text name=03postcode size=25></td></tr>
<tr><td align=right><b>tel</b></td>
<td><input type=text name=04tel size=25></td></tr>
<tr><td align=right><b>email*</b></td>
<td><input type=text name=05email* size=25></td></tr>
<tr><th colspan=2><b>Please enter any comments or more
detailed feedback here:</b></th></tr><tr><th colspan=2><textarea name=Message rows=5 cols=50></textarea></th>
</tr></table></dl>
<input type=hidden name=BodyTag value="&lt;body bgcolor=&quot;#FFFFFF&quot; text=&quot;#000000&quot; link=&quot;#0000FF&quot; alink=&quot;#FF0000&quot; vlink=&quot;#800080&quot;&gt;">
<input type=hidden name=FA value=SendMail>
<input type=hidden name=FormSubject value="Message from your web form">
<input type=submit value="Submit Form"></form>