    <html>
    <head>
    <title>Mailform example</title>
    <meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
    </head>
    <body>
    <form name="formmail"  action="/cgi-bin/formmail/formmail.cgi" method="post">
    <input type=hidden name="recipient" value="postmaster@hemorrhoidstreatmentscenter.com">
    <p><b>Subject:</b><br>
    <input type=text name="subject" size="45" value=""></p><br>
    <p><b>Your Name:</b><br>
    <input type=text name="realname" size="45" value=""></p><br>
    <p><b>Your Email Address:</b><br>
    <input type=text name="email" size="45" value=""></p><br>
    <p><b>Comments:</b><br>
    <textarea name="body" rows="10" cols="60" wrap="virtual"></textarea></p><br>
    <p><input type="submit" value="Send Email"> <input type="reset" value="Reset Form"></p>
    </form>
    </body>
    </html>