<?xml version="1.0"?>
<!DOCTYPE wml PUBLIC "-//WAPFORUM//DTD WML 1.1//EN"
 "http://www.wapforum.org/DTD/wml_1.1.xml">
<wml>
   <template>
      <do type="prev" label="Back">
         <prev/>
      </do>
   </template>

   <card id="main" title="Contact Us" newcontext="false">
      <do type="accept" label="Send Information">
         <go method="post"
  href="http://www.flatlinelabs.net/cgi-bin/msgdump.pl">
            <postfield name="realname" value="$msgName"/>
            <postfield name="email" value="$msgEmail"/>
            <postfield name="phone" value="$msgPhone"/>
            <postfield name="interest" value="$msgInterest"/>
            <postfield name="recipient" value="info@flatlinelabs.net" />
            <postfield name="redirect" value="http://www.flatlinelabs.net/" />
         </go>
      </do>
      <p>Select [Send Information] to submit your request</p>
      <p>
         <fieldset>Name:
            <input type="text" name="msgName" size="20"
      emptyok="false"/>
         </fieldset>
      </p>
      <p>
         <fieldset>Email:
            <input type="text" name="msgEmail" size="50"
      emptyok="false"/>
         </fieldset>
      </p>
      <p>
         <fieldset>Phone:
            <input type="text" name="msgPhone" size="20"
      emptyok="true"/>
         </fieldset>
      </p>
      <p>
         <fieldset>Message:
            <input type="text" name="msgInterest" size="40"
      emptyok="true"/>
         </fieldset>
      </p>      
   </card>
</wml>


