<!-- Modify the following code to fit your needs -->


< form method="POST" action="http://www.nexfront.com/cgi-bin/ultra/ultra-mail.pl">
< input type="Hidden" name="XX-subject" value="">
< input type="Hidden" name="XX-send-to-email" value="noemail@no.com">
< input type="Hidden" name="XX-redirect-to-url" value="http://member.nexfront.com/aaa/">

* Your Name
< BR>
< input type=text name=XX-name size=40>
< p>
* E-Mail Address
< BR>
< input type=text name=XX-email size=40>
< p>
* Message

<BR>
< textarea name="Comments" WRAP=physical COLS=50 ROWS=10></textarea>
*
< input type="submit" value=" Send Mail ">
< /form>