Unnamed

<html>
<head>
<script language="javascript">
function feedback_onclick(FeedbackForm)

	{
		var frmsubmit;
		frmsubmit=true;
		var firstnamesubmit="";
		var secondnamesubmit="";
		var emailsubmit="";
		var commentsubmit="";
		if(FeedbackForm.FirstName=="")
			{
				firstnamesubmit=" First Name ";
				frmsubmit=false;
			}
		if(FeedbackForm.LastName=="")
			{
				secondnamesubmit=" Second Name ";
				frmsubmit=false;
			}
		if(FeedbackForm.Email=="")
			{
				emailsubmit=" Email ";
				frmsubmit=false;
			}
		if(FeedbackForm.Comments="")
			{
				commentsubmit=" Comment ";
				frmsubmit=false;
			}
		if(frmsubmit==false)
			{
				alert("You must fill in the"+firstnamesubmit+secondnamesubmit+emailsubmit+commentsubmit+" sections");
			}
		if(frmsubmit=true)
			{
				FeedbackForm.submit(FeedbackForm);
			}
	}
</script>
</head>
				
				
<body bgcolor="#000000">
<font color="#ffffff"> 


If you have any suggestions regarding this website please fill in and submit the following form (* notifies required fields):

<br></br>
<br></br>

<form name="FeedbackForm">
<table border="0">
<tr>
<td><font color="#ffffff"> First Name: </font></td><td><input type="text" name="FirstName"  size="20"><font color="#ffffff"> *</font></td>
</tr>
<tr>
<td><font color="#ffffff"> Last Name:  </font></td><td><input type="text" name="LastName"  size="20"><font color="#ffffff"> *</font></td>
</tr>
<tr>
<td><font color="#ffffff"> Email Address: </font> </td><td><input type="text" name="Email" size="40"><font color="#ffffff"> *</font></td>
</tr>
<tr>
<td><font color="#ffffff"> Profession:  </font></td><td><input type="text" name="Profession" size="20"></td>
</tr>
<tr>
<td><font color="#ffffff"> Marital Status:  </font></td><td><input type="radio" name="Marrage" value="Married"><font color="#ffffff">  Married</font><input type="radio" name="Marrage" value="Un-Married"> <font color="#ffffff"> Un-Married</font></td>
</tr>
<tr>
<td><font color="#ffffff"> Age range of children (if any): </font></td>
<td><font color="#ffffff"> Under 12</font>
<input type="checkbox" name="Childage" value="Under12" />
<font color="#ffffff"> Between 12 and 16</font>
<input type="checkbox" name="Childage" value="12to16" />
<font color="#ffffff"> Over 16 </font>
<input type="checkbox" name="Childage" value="Over16" />
</td>
</tr>
<tr>
<td><font color="#ffffff">Comments:  </font></td><td><textarea name="Comments" rows="10" cols="60"></textarea><font color="#ffffff"> *</font></td>
</table>
<br></br>
<input type="button" name="Submit" value="submit" language="javascript" onclick="feedback_onclick(FeedbackForm)"><input type="reset" value="Clear">

</form> 

Alternativly, to send an email directly to the creator of this website please click <a href="mailto:nicholasadrew@amadeupemail.com?subject=Website%20Feedback">
Here</a>


</font>
</body>
</html>