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HUGHES / manish-db / 3 / cgi-mailer-1.9.6 / test / test.html 
<html>
 <head>
  <title>cgi-mailer test form
 </title>
</head>
 <body bgcolor="#FFFFFF">
  <!-- =============================================================== -->
  <hr>
  <h2>cgi-mailer test form: enter some values and select Submit.
 </h2>
   <!-- =============================================================== -->
  <hr>
  
  <form method="POST" action="/cgi-bin/cgi-mailer.pl">
  
   <!-- You may need to change the ACTION attribute above
        if cgi-mailer.pl is installed in a different place
        on your system -->
        
   <input type="HIDDEN" name="destination" value="">

   <!-- put your email address in the VALUE attribute above -->

   <input type="HIDDEN" name="subject" value="testing cgi-mailer">
   <input type="HIDDEN" name="header:x-no-archive" value="yes">
   <input type="HIDDEN" name="header:summary" value="foo, bar, baz">
   <input type="HIDDEN" name="header:keywords" value="foo">

   <input type="TEXT" name="one"   size="20">
   <input type="TEXT" name="two"   size="20">
   <input type="TEXT" name="three" size="20">
   <input type="TEXT" name="four"  size="20">

   <input type="SUBMIT" value="Submit">
   
 </form>
 
  <!-- =============================================================== -->
  <hr>

</body>
</html>