<TABLE width="95%" cellpadding=0 cellspacing=0 border=0>
 <TR>
  <TD valign=top bgcolor="#006666"><IMG src="images/slc.gif" width=13 height=16 alt="" align=top><FONT size=4 color="#FFFFFF" face="arial,helvetica"><B><?php echo $form_title?></B></FONT></TD>
 </TR>
</TABLE>
<TABLE border=0 cellspacing=0 cellpadding=1>
<TR><TD> </TD></TR>
<TR>
 <TD align=right>Name</TD>
 <TD><INPUT type=text name=username VALUE="<?php echo $username?>"></TD>
</TR>
<TR>
 <TD align=right>Email</TD>
 <TD><INPUT NAME="useraddress" VALUE="<?php echo $useraddress?>" SIZE=50></TD>
</TR>
<TR>
 <TD align=right>Subject</TD>
 <TD><INPUT TYPE="text" NAME="subject" VALUE="<?php echo $subject?>" SIZE=50 MAXLENGTH=50></TD>
</TR>
<TR>
 <TD align=right valign=top>Comment</TD>
 <TD>
  <TEXTAREA wrap=virtual name=body id="body" rows=10 cols=50><?php echo $body?></TEXTAREA><BR>
  (Use the Preview Button! Check those URLs! Don't forget the http://!)
 </TD>
</TR>
</TABLE>
