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Our Sample Email Form

If you would like to try this form on your page, copy and paste the coding we have included below the form onto your own page. Play around with the various options and coding until you get a better feel for how forms work.

What's your name? 

Where are you from? 

Your e-mail address? 

How do you eat pizza? 
With a fork. 
With your hands. 
I don't. 

Check the fruit you eat, uncheck the ones you don't: 

Select your favorite color: 

Your Comments Please? 


If you want to get an email form that is processed for you, drop over to Bravenet Web Services and get one there.

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