rendered paste body<form action="/includes/form/mailer.php" method="post" name="form1" id="form1" onsubmit="MM_validateForm('from','','RisEmail','subject','','R','verif_box','','R','message','','R');return document.MM_returnValue">
Full name:<br />
<input name="name" type="text" id="name" style="padding:2px; border:1px solid #CCCCCC; width:180px; height:14px; font-family: Arial, Helvetica, sans-serif;font-size:12px;" value="<?php echo $_GET['name'];?>"/>
<br />
<br />
E-mail Address:<br />
<input name="from" type="text" id="from" style="padding:2px; border:1px solid #CCCCCC; width:180px; height:14px; font-family: Arial, Helvetica, sans-serif;font-size:12px;" value="<?php echo $_GET['from'];?>"/>
<br />
<br />
Phone number (for testimonial verification purposes only):<br />
<input name="phone" type="text" id="phone" style="padding:2px; border:1px solid #CCCCCC; width:180px; height:14px;font-family: Arial, Helvetica, sans-serif; font-size:12px;" value="<?php echo $_GET['phone'];?>"/>
<br />
<br />
Domain name:<br />
<input name="domain" type="text" id="subject" style="padding:2px; border:1px solid #CCCCCC; width:180px; height:14px;font-family: Arial, Helvetica, sans-serif; font-size:12px;" value="<?php echo $_GET['domain'];?>"/>
<br />
<br />
Testimonial (a <em>brief</em> summary of your experience with us):<br />
<textarea name="message" cols="6" rows="5" id="message" style="padding:2px; border:1px solid #CCCCCC; width:300px; height:100px; font-family: Arial, Helvetica, sans-serif; font-size:12px;"><?php echo $_GET['message'];?></textarea>
<br /><br />
<input name="Submit" type="submit" style="margin-top:10px; display:block; border:1px solid #000000; width:100px; height:20px;font-family: Arial, Helvetica, sans-serif; font-size:12px; padding-left:2px; padding-right:2px; padding-top:0px; padding-bottom:2px; line-height:14px; background-color:#EFEFEF;" value="Submit"/>
</form>