Free Forms - which you can customize

Home-Work Connection

Free Form

Here is your customized form!
It is important to understand that this is a template provided to you as a starting point. Feel free to add or subtract or change things to meet your own needs. Very little of the form is mandatory. Typically, any field that you add will be e-mailed to you exactly as you expect.

Important Note: If you are using a web page editor, it must allow you to enter "raw" HTML directly. There are many web page editors available; we don't necessarily know how to work each and every one, so consult your editor's documentation. (Personally, we use Microsoft FrontPage 98).

Be sure to go through the html below and replace
REPLACE_THIS@WITH_YOUR_ADDRESS with your email address.
Also replace http://yourwebsite.com with the real URL of your website

TO SEE A DEMO OF THIS FORM CLICK HERE
Copy the HTML below and place it into your web page:

<form method=post action=http://www.note.com/success/public/freeform/mailto.cgi>

<input type=hidden size=0 name=to
value="REPLACE_THIS@WITH_YOUR_ADDRESS">

<input type=hidden size=0 name=subject
value="Guestbook">

<input type=hidden size=0 name=form
value="http://yourwebsite.com">

<input type=hidden size=0 name=admin
value="REPLACE_THIS@WITH_YOUR_ADDRESS">

<input type=hidden size=0 name=audience
value="general">

<h2>Thank you for visiting ...</h2>
Your full name: <input name=name size=40><br>

Your email address: (e.g.: <em>you@aol.com</em>)
<input name=from size=30><p>

Your company: <input name=company size=50><p>
Your phone number (with country, city, area codes):
<input name=phone size=15><p>
<table border=0>
<tr><td align=right valign=top>Address:</td>
<td align=left><input name=address1 size=50><br>
<input name=address2 size=50></td></tr>
<tr><td align=right>City/Town:</td>
<td align=left><input name=city size=20>
State/Prov.: <input name=state size=2>
Post./Zip Code: <input name=zip size=10></td></tr>
<tr><td align=right>Country:</td>
<td align=left><input name=country size=10></td></tr>
</table>
<p>
<input name="text1"><br>

What are your thoughts on ...<br>
<textarea name=body rows=10 cols=60></textarea><p>

<table width=100% border=0 cellpadding=0 cellspacing=0>
<tr><td align=left valign=bottom><img width=88 height=1 alt=.
src=http://www.note.com/success/public/freeform/cleardot.gif
border=0></td><td align=center valign=top><input type=submit
value="Send to ...">
    <input type=reset>
<br><font size=1>
<a href=http://www.note.com/success/public/freeform/?tagline/REPLACE_THIS@WITH_YOUR_ADDRESS
target=_top>FREE feedback form powered by FreeForm</a></font><br>
 </td><td align=right valign=bottom><a target=_top
href=http://www.note.com/success/public/freeform/?button/REPLACE_THIS@WITH_YOUR_ADDRESS><img
src=http://www.note.com/success/public/freeform/ff_micro.gif
alt=FreeForm border=0 width=88 height=31></a></td></tr></table>
</form>


Legalese
No implied warranties: If it works for you, great! If it doesn't, we aren't responsible for any losses. (Hey, it's free, ok?) We reserve the right to terminate the service at any time, or refuse access to individual abusers. Here's the formal legalese:
BECAUSE THE PROGRAM IS LICENSED FREE OF CHARGE, THERE IS NO WARRANTY FOR THE PROGRAM, TO THE EXTENT PERMITTED BY APPLICABLE LAW. EXCEPT WHEN OTHERWISE STATED IN WRITING THE COPYRIGHT HOLDERS AND/OR OTHER PARTIES PROVIDE THE PROGRAM "AS IS" WITHOUT WARRANTY OF ANY KIND, EITHER EXPRESSED OR IMPLIED, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. THE ENTIRE RISK AS TO THE QUALITY AND PERFORMANCE OF THE PROGRAM IS WITH YOU.
IN NO EVENT UNLESS REQUIRED BY APPLICABLE LAW OR AGREED TO IN WRITING WILL ANY COPYRIGHT HOLDER, OR ANY OTHER PARTY WHO MAY MODIFY AND/OR REDISTRIBUTE THE PROGRAM AS PERMITTED ABOVE, BE LIABLE TO YOU FOR DAMAGES, INCLUDING ANY GENERAL, SPECIAL, INCIDENTAL OR CONSEQUENTIAL DAMAGES ARISING OUT OF THE USE OR INABILITY TO USE THE PROGRAM (INCLUDING BUT NOT LIMITED TO LOSS OF DATA OR DATA BEING RENDERED INACCURATE OR LOSSES SUSTAINED BY YOU OR THIRD PARTIES OR A FAILURE OF THE PROGRAM TO OPERATE WITH ANY OTHER PROGRAMS), EVEN IF SUCH HOLDER OR OTHER PARTY HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES.