Here the code for the form (just standard at the moment)
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"
"
http://www.w3.org/TR/REC-html40/loose.dtd">
<html>
<head>
<style type="text/css">
body, td { font-family: Verdana, Helvetica, sans-serif; font-size: 10pt;}
A { color : #2E3197; text-decoration : none; }
A:Hover { color : #C00; text-decoration : underline;}
.sm {font-size: 8pt;}
.tiny {font-size: 4pt;}
.heading {font-size: 13pt;font-weight: 700; color: #2E3197;}
.lbl { font-size: 9pt; font-weight: 700;}
td.error {
background-color: #FFC;
padding-right: 5pt;
padding-left: 5pt;
padding-top: 3pt;
padding-bottom: 3pt;
border-width:1px;
border-style:solid;
border-color: #996;
font-weight: 700;
color: #F00;
}
td.trow {
padding-right: 2pt;
padding-left: 2pt;
border-style:solid;
border-bottom-width:2px;
border-right-width: 0px;
border-left-width:1px;
border-top-width:0;
border-color: #FFF;
background-color: #CCC;
text-align: center;
font-size : 8pt;
font-weight: 700;
}
td.orow {
padding-right: 4pt;
padding-left: 4pt;
padding-top: 2pt;
padding-bottom: 1pt;
border-width:1px;
border-style:solid;
border-top-width:0;
border-bottom-width:0;
border-right-width:0;
font-size : 8pt;
border-color: #FFF;
}
td.erow {
padding-right: 4pt;
padding-left: 4pt;
padding-top: 2pt;
padding-bottom: 1pt;
border-width:1px;
border-style:solid;
border-top-width:0;
border-bottom-width:0;
border-right-width:0;
font-size : 8pt;
border-color: #FFF;
}
td.omsg {
background-color: #E8E8CF;
padding-right: 3pt;
padding-left: 3pt;
padding-top: 2pt;
padding-bottom: 2pt;
border-width:1px;
border-style:solid;
border-color: #FFF;
}
td.cmsg {
background-color: #E8DCCF;
padding-right: 3pt;
padding-left: 3pt;
padding-top: 2pt;
padding-bottom: 2pt;
border-width:1px;
border-style:solid;
border-color: #FFF;
}
</style>
<title></title>
</head>
<body>
<center>
<table width=700 cellpadding=0 cellspacing=0>
<tr>
<td align=left><span class=sm><font color="#AAAAAA"><b></b></font></span></td>
<td align=right class=sm>
<a href="">Home</a> | <a href="/TTX1/ttx.cgi?cmd=ticket&sid=">Tickets</a> | <a href="/TTX1/ttx.cgi?cmd=newticket&sid=">Contact us</a> | <a href="/TTX1/ttx.cgi?cmd=login&sid=&style=">Login</a>
</td>
</table>
<table width=700 cellpadding=0 cellspacing=0>
<tr>
<td class=heading align=left nowrap>Contact Customer Service</td>
</tr>
</table>
<br class=tiny>
<table width=700 cellpadding=0 cellspacing=0>
<tr>
<td style="background-color: #CCC;"><img src="./dot.gif" width=700 height=2></td>
</tr>
</table>
<table width=700 cellspacing=0 cellpadding=0 bgcolor="#CFDCE8">
<tr>
<td align=center><br class=tiny>
<form method=post action="/TTX1/ttx.cgi">
<input type=hidden name=cmd value=newticket>
<input type=hidden name=sid value=>
<input type=hidden name=do value=1>
<input type=hidden name=tid value=>
<input type=hidden name=form value=>
<table cellspacing=0 cellpadding=3>
<tr>
<td align=right class=lbl>Name<font color=red><sup>*</sup></font></td>
<td align=left><input type=text size=25 name=name value="Dunkin Dounuts"></td>
</tr>
<tr>
<td align=right class=lbl>Email<font color=red><sup>*</sup></font></td>
<td align=left><input type=text size=25 name=email value="david@%%%%%%%%%%%%"></td>
</tr>
<tr>
<td align=right class=lbl>Subject<font color=red><sup>*</sup></font></td>
<td align=left><input type=text size=40 name=subject value=""></td>
</tr>
<tr>
<td colspan=2 align=left><span class=lbl>Problem</span><br class=tiny>
<textarea name=problem wrap=virtual cols=50 rows=10></textarea>
</tr>
<tr>
<td colspan=2 align=right>
<input type=submit value=Submit>
<!-- <input type=submit name=cancel value=Cancel> -->
<br><br class=tiny>
</td>
</tr>
</form>
</table>
</td>
</tr>
</table>
<table width=700 cellpadding=0 cellspacing=0>
<tr>
<td style="background-color: #CCC;"><img src="./dot.gif" width=700 height=2></td>
</tr>
<tr>
<td><img src="./dot.gif" width=700 height=2></td>
</tr>
<tr>
<td align=left class=sm><font color="777777">Powered by <a href="
http://www.troubleticketexpress.com"
style="color : #777;">Trouble Ticket Express</a> rev. 2.24.431</font> </td>
</tr>
</table>
</center>
</body>
</html>
