<html> <head> <title>Pushpa Kushwaha</title> <body> <center>Feedback Form</center> <a href="mailto:pushpa2001kushwahagmail.com"><font color="red">For DIRECT Mail Click Here</font></a> <form action="" method="get"> <fieldset> <legend>Form</legend> <table> <tr> <td><lable>Name:</lable></td> <td align="left"><input type ="text"> </tr> <tr> <td><lable>Address:</lable></td> <td align="left"><input type ="text"></td> </tr> <tr> <td align="right">Feedback/Suggestions:</td> <td align="left"><input type ="text"></td> </tr> <tr> <td></td> <td align="left"><input type="submit" value="submit"></td> </tr> </table> </fieldset> </form> <form> <table> <tr> <td align="right">First Name:</td> <td align="left"><input type="text" name="first" /></td> </tr> <tr> <td align="right">Last Name:</td> <td align="left"><input type="text" name="last" /></td> </tr> <tr> <td align="right">Email:</td> <td align="left"><input type="text" name="email" /></td> </tr> </table> </form> </body> </head> </html>