{include file="site_header.tpl"}
<font class="tdtext">We welcome your feedback messages regarding this
website.</font><br>
<form action="feedback.php?send=yes" name="data" method="post">
    <table width="91%" border="0" cellspacing="2" cellpadding="4">
                      <tr valign="middle"> 
                        <td width="100%" valign="top"><font class="subheader">Your feedback message:</font><br><br><textarea rows="8" name="text" cols="35"></textarea></td>
                      </tr>
                      <tr valign="middle"> 
                        <td width="100%" valign="top">
                          <input type="submit" value="Submit" name="submit"></td>
                      </tr>
                    </table>
</form>
{include file="site_footer.tpl"}