<html>
<head>
<title>A Simple E-Mail Survey</title>
</head>
<body bgcolor="yellow">
<h1>A Simple E-Mail Survey</h1><hr>
<form action="/servlet/FormServlet" method="POST">

<input name="E_Mail" type="hidden" value="SiegelJ@msx.umsl.edu">

<input type="hidden" name="Subject" value="Simple Mail with a Subject">

<input name="URLhead" type="hidden" value="/accounts/faculty/siegel/public_html/FormsTalk/simplemail/simplethanks.html">
<input type="hidden" name="from_address" value="simple_form@umsl.edu">
<input type="hidden" name="SMTPreturn" value="/accounts/faculty/siegel/public_html/FormsTalk/simplemail/simplemail_response.txt">

Your Name: <input name="TheName" type="text" value=" "> <p>
Do you like Forms?
<input type="radio" name="FormsQuestion" value="yes" >Yes
<input type="radio" name="FormsQuestion" value="no">No

<hr><center><input type=submit value="Submit This Survey">
</center>
</form>
</body>
</html>