1 Copy and paste the following form and edit the bold words:
<FORM action="http://www.response-o-matic.com/cgi-bin/rom.pl" method="POST">
<INPUT TYPE="hidden" NAME="your_email_address" VALUE="YOUR EMAIL ADDRESS">
<INPUT TYPE="hidden" NAME="your_name" VALUE="YOUR NAME">
<INPUT TYPE="hidden" NAME="email_subject_line" VALUE="SUBJECT">
<INPUT TYPE="hidden" NAME="required_fields" VALUE="visitor_email_address">
<INPUT TYPE="hidden" NAME="thank_you_title" VALUE="THANK YOU MESSAGE">
<INPUT TYPE="hidden" NAME="return_link_url" VALUE="YOUR PAGE URL">
<INPUT TYPE="hidden" NAME="return_link_name" VALUE="BACK TO MY SITE">
<INPUT TYPE="hidden" NAME="background_color" VALUE="COLOR">
<INPUT TYPE="hidden" NAME="text_color" VALUE="COLOR">
<INPUT TYPE="hidden" NAME="link_color" VALUE="COLOR>
<INPUT TYPE="hidden" NAME="visited_link_color" VALUE="COLOR">
<INPUT TYPE="hidden" NAME="active_link_color" VALUE="COLOR">
<input name="name" size=25 value="NAME">
<input name="from" size=25 value="VISTOR E-MAIL">
<input name="url" size=25 value="http://">
<TEXTAREA NAME="comment" COLS=25 ROWS=5 WRAP=VIRTUAL></TEXTAREA>
<input type=submit value="SEND" target=_blank> <input type="reset" name="reset" value="CLEAR">
</form>