pchechele
08-17-2001, 12:09 PM
I've recently moved my website to futurequest and I'm having a bit of a time configuring my submission page / cgi-script. I've attached the HTML and would greatly appreciate anyones feedback as to it's validity. Any suggestions or comments are welcome.
-----------------
<!-- saved from url=(0022)http://internet.e-mail -->
<!doctype html public "-//w3c//dtd html 4.0 transitional//en">
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
<meta name="GENERATOR" content="Microsoft FrontPage 4.0">
<title>Conscious Choices: Submit Your Questions</title>
</head>
<body bgcolor="#FFFFFF" link="#660000" vlink="#003366" alink="#FF9900" background="bg.gif">
[nbsp]
<table BORDER=0 CELLSPACING=0 CELLPADDING=0 WIDTH="600" >
<tr>
<td VALIGN=TOP ROWSPAN="2">
<table BORDER=0 CELLSPACING=2 CELLPADDING=0 WIDTH="150" >
<tr>
<td WIDTH="150"><a href="index.html"><img SRC="but_home.gif" ALT="home" BORDER=0 height=41 width=102></a></td>
</tr>
<tr>
<td><a href="meet.html"><img SRC="but_meet.gif" ALT="meet your counselor" BORDER=0 height=41 width=102></a></td>
</tr>
<tr>
<td><a href="faqs.html"><img SRC="but_faq.gif" ALT="frequently asked questions" BORDER=0 height=41 width=102></a></td>
</tr>
<tr>
<td><a href="link.html"><img SRC="but_link.gif" ALT="links" BORDER=0 height=41 width=102></a></td>
</tr>
</table>
</td>
<td WIDTH="174" HEIGHT="70"><img SRC="t_form.gif" height=70 width=174></td>
<td WIDTH="224" HEIGHT="70"><a NAME="#top"></a><img SRC="t_choice.gif" height=70 width=224></td>
<td WIDTH="52" HEIGHT="70"><img SRC="aspace.gif" height=1 width=52 align=CENTER></td>
</tr>
<tr>
<td VALIGN=TOP COLSPAN="3">[nbsp]
<br><font face="Verdana, Arial, Helvetica, sans-serif"><font size=-1>Please
<b>complete all fields</b>. When stating your questions/concerns please
provide me with as much background information as possible. Also state
what your <i><font color="#003333">desired outcome </font></i>would be.
Initial consultation is <b>free</b>...I will contact you in a day or two
letting you know if I'm able to work with you. Then we will negotiate fees
for subsequent email, ICQ chat sessions or phone consultations. Usual fees
for my services online are as follows: $25 US per email reply or $1.50 US
per minute of ICQ chat or phone session. Typically, I contract with my clients
for either a series of 5 email sessions for $100 or 30 days of unlimited email for $200.
For individuals under financial hardship alternative rates may be negotiable.
My preferred method of payment is by credit card (<b>Visa,</b> <b>MC,</b> <b>Amex</b>) but I will accept
checks and/or money orders on a limited basis.</font>
<center>
<form NAME="Submission Form" action="/cgi-sys/mailform" METHOD="POST"> <INPUT TYPE=hidden name="recipient" value="consciouschoices@cybertherapy.com"></center>
<center><table BORDER=0 CELLSPACING=3 CELLPADDING=3 WIDTH="450" >
<tr>
<td COLSPAN="2">[nbsp]
<center>
<br><b><font face="Georgia, Times New Roman, Times, serif"><font color="#003366">Your
Questions & Concerns</font></font></b></center>
</td>
</tr>
<tr>
<td COLSPAN="2">
<center><textarea name="questions and concern" rows=12 cols=50 ></textarea></center>
</td>
</tr>
<tr>
<td NOWRAP>
<div align=right><font face="Georgia, Times New Roman, Times, serif"><font color="#330000"><font size=-1>Name
on card:</font></font></font></div>
</td>
<td><input type="text" name="real name" value="" size=40 maxlength=42 ></td>
</tr>
<tr>
<td NOWRAP>
<div align=right><font face="Georgia, Times New Roman, Times, serif"><font color="#330000"><font size=-1>Credit
Card # :</font></font></font></div>
</td>
<td><input type="text" name="cc number" value="" size=40 maxlength=42 ></td>
</tr>
<tr>
<td NOWRAP>
<div align=right><font face="Georgia, Times New Roman, Times, serif"><font color="#330000"><font size=-1>Exp.
Date :</font></font></font></div>
</td>
<td><input type="text" name="exp date" value="" size=40 maxlength=42 ></td>
</tr>
<tr>
<td NOWRAP>
<div align=right><font face="Georgia, Times New Roman, Times, serif"><font color="#330000"><font size=-1>email
address :</font></font></font></div>
</td>
<td><input type="text" name="email" value="" size=40 maxlength=42 ></td>
</tr>
<tr>
<td COLSPAN="2">
<center><input type="submit" name="Feedback" value="Submit" ><input type="reset" name="Clear" value="Clear" ></center>
</td>
</tr>
</table></center>
<center><input type="hidden" name="recipient" value="consciouschoices@cybertherapy.com"><input type="hidden" name="subject" value="Cybertherapy Form Submitted"><input type="hidden" name="redirect" value="https://xcybertherapy.MerchantQuest.net/cgi-ssl/confirm.html"><input type="hidden" name="env_report" value="REMOTE_HOST,REMOTE_ADDR,HTTP_USER_AGENT"><input type="hidden" name="required" value="real name,cc number,exp date,email,questions and concern"></form>
<br><font face="Georgia, Times New Roman, Times, serif"><font size=-1>||
<a href="#top">top</a> || <a href="index.html">home</a>|| <a href="meet.html" target="">meet
your counselor</a> || <a href="faqs.html">faqs</a> || <a href="link.html">links</a>
||[nbsp]</font></center>
</td>
</tr>
</table>
<a href="http://www.ismho.org/webpsych/"><img SRC="wpsylogo.GIF" BORDER=0 height=42 width=90></a>
<br><font face="Verdana, Arial, Helvetica, sans-serif"><font color="#FFFFFF"><font size=-1>revised</font></font></font>
<font face="Verdana, Arial, Helvetica, sans-serif"><font color="#FFFFFF"><font size=-1>2-9-01</font></font></font></br>
</body>
</html>
-----------------
<!-- saved from url=(0022)http://internet.e-mail -->
<!doctype html public "-//w3c//dtd html 4.0 transitional//en">
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
<meta name="GENERATOR" content="Microsoft FrontPage 4.0">
<title>Conscious Choices: Submit Your Questions</title>
</head>
<body bgcolor="#FFFFFF" link="#660000" vlink="#003366" alink="#FF9900" background="bg.gif">
[nbsp]
<table BORDER=0 CELLSPACING=0 CELLPADDING=0 WIDTH="600" >
<tr>
<td VALIGN=TOP ROWSPAN="2">
<table BORDER=0 CELLSPACING=2 CELLPADDING=0 WIDTH="150" >
<tr>
<td WIDTH="150"><a href="index.html"><img SRC="but_home.gif" ALT="home" BORDER=0 height=41 width=102></a></td>
</tr>
<tr>
<td><a href="meet.html"><img SRC="but_meet.gif" ALT="meet your counselor" BORDER=0 height=41 width=102></a></td>
</tr>
<tr>
<td><a href="faqs.html"><img SRC="but_faq.gif" ALT="frequently asked questions" BORDER=0 height=41 width=102></a></td>
</tr>
<tr>
<td><a href="link.html"><img SRC="but_link.gif" ALT="links" BORDER=0 height=41 width=102></a></td>
</tr>
</table>
</td>
<td WIDTH="174" HEIGHT="70"><img SRC="t_form.gif" height=70 width=174></td>
<td WIDTH="224" HEIGHT="70"><a NAME="#top"></a><img SRC="t_choice.gif" height=70 width=224></td>
<td WIDTH="52" HEIGHT="70"><img SRC="aspace.gif" height=1 width=52 align=CENTER></td>
</tr>
<tr>
<td VALIGN=TOP COLSPAN="3">[nbsp]
<br><font face="Verdana, Arial, Helvetica, sans-serif"><font size=-1>Please
<b>complete all fields</b>. When stating your questions/concerns please
provide me with as much background information as possible. Also state
what your <i><font color="#003333">desired outcome </font></i>would be.
Initial consultation is <b>free</b>...I will contact you in a day or two
letting you know if I'm able to work with you. Then we will negotiate fees
for subsequent email, ICQ chat sessions or phone consultations. Usual fees
for my services online are as follows: $25 US per email reply or $1.50 US
per minute of ICQ chat or phone session. Typically, I contract with my clients
for either a series of 5 email sessions for $100 or 30 days of unlimited email for $200.
For individuals under financial hardship alternative rates may be negotiable.
My preferred method of payment is by credit card (<b>Visa,</b> <b>MC,</b> <b>Amex</b>) but I will accept
checks and/or money orders on a limited basis.</font>
<center>
<form NAME="Submission Form" action="/cgi-sys/mailform" METHOD="POST"> <INPUT TYPE=hidden name="recipient" value="consciouschoices@cybertherapy.com"></center>
<center><table BORDER=0 CELLSPACING=3 CELLPADDING=3 WIDTH="450" >
<tr>
<td COLSPAN="2">[nbsp]
<center>
<br><b><font face="Georgia, Times New Roman, Times, serif"><font color="#003366">Your
Questions & Concerns</font></font></b></center>
</td>
</tr>
<tr>
<td COLSPAN="2">
<center><textarea name="questions and concern" rows=12 cols=50 ></textarea></center>
</td>
</tr>
<tr>
<td NOWRAP>
<div align=right><font face="Georgia, Times New Roman, Times, serif"><font color="#330000"><font size=-1>Name
on card:</font></font></font></div>
</td>
<td><input type="text" name="real name" value="" size=40 maxlength=42 ></td>
</tr>
<tr>
<td NOWRAP>
<div align=right><font face="Georgia, Times New Roman, Times, serif"><font color="#330000"><font size=-1>Credit
Card # :</font></font></font></div>
</td>
<td><input type="text" name="cc number" value="" size=40 maxlength=42 ></td>
</tr>
<tr>
<td NOWRAP>
<div align=right><font face="Georgia, Times New Roman, Times, serif"><font color="#330000"><font size=-1>Exp.
Date :</font></font></font></div>
</td>
<td><input type="text" name="exp date" value="" size=40 maxlength=42 ></td>
</tr>
<tr>
<td NOWRAP>
<div align=right><font face="Georgia, Times New Roman, Times, serif"><font color="#330000"><font size=-1>email
address :</font></font></font></div>
</td>
<td><input type="text" name="email" value="" size=40 maxlength=42 ></td>
</tr>
<tr>
<td COLSPAN="2">
<center><input type="submit" name="Feedback" value="Submit" ><input type="reset" name="Clear" value="Clear" ></center>
</td>
</tr>
</table></center>
<center><input type="hidden" name="recipient" value="consciouschoices@cybertherapy.com"><input type="hidden" name="subject" value="Cybertherapy Form Submitted"><input type="hidden" name="redirect" value="https://xcybertherapy.MerchantQuest.net/cgi-ssl/confirm.html"><input type="hidden" name="env_report" value="REMOTE_HOST,REMOTE_ADDR,HTTP_USER_AGENT"><input type="hidden" name="required" value="real name,cc number,exp date,email,questions and concern"></form>
<br><font face="Georgia, Times New Roman, Times, serif"><font size=-1>||
<a href="#top">top</a> || <a href="index.html">home</a>|| <a href="meet.html" target="">meet
your counselor</a> || <a href="faqs.html">faqs</a> || <a href="link.html">links</a>
||[nbsp]</font></center>
</td>
</tr>
</table>
<a href="http://www.ismho.org/webpsych/"><img SRC="wpsylogo.GIF" BORDER=0 height=42 width=90></a>
<br><font face="Verdana, Arial, Helvetica, sans-serif"><font color="#FFFFFF"><font size=-1>revised</font></font></font>
<font face="Verdana, Arial, Helvetica, sans-serif"><font color="#FFFFFF"><font size=-1>2-9-01</font></font></font></br>
</body>
</html>