Stuff

<form method="post" action="http://www.professionaleyehomeinspection.com/sub.php" name="Form">
<input type="hidden" name="recipients" value="infoNXB25Vn2itivedesigns.com" />
 <input type="hidden" name="env_report" value="REMOTE_HOST,REMOTE_ADDR,HTTP_USER_AGENT,AUTH_TYPE,REMOTE_USER">
<input type="hidden" name="good_url" value="http://www.professionaleyehomeinspection.com/thank_you.php" />
<table border="0">
<tr>
<td>
<b>On-Line</b>
</td>
</tr>
<tr>
<td>&nbsp;</td>
</tr>
<tr>
<td>
<b>Subject:</b><br/>
<input type=text name="subject" size="45" value="">
</td>
</tr>
<tr>
<td>
<b>Your Name:</b><br/>
<input type=text name="realname" size="45" value=""></td></tr>
<tr>
<td>
<b>Your Email Address</b>:<br/>
<input type=text name="email" size="45" value=""></td></tr><tr>
<td>
<b>Comments:</b><br/>
<textarea name="body" rows="10" cols="34" wrap="virtual"></textarea><br/></td></tr>
<tr>
<td align="center">
<input type="submit" value="Send Email"><input type="reset" value="Reset Form">
</td>
</tr>
</table>
</form>