Here is the HTML for a simple example form.
Below that is the actual form.

<head><title>Form Page</title></head>
<strong><center>Form Page</center></strong>
Please fill in following form.<br><br>
<form method="POST" action="/cgi-bin/">
<input type=hidden name="recipient" value="Put_Email_Address_Here">
<input type=hidden name="subject" value="Put_Message_Subject_Here">
<input type=hidden name="redirect" value="/thankyou.htm">
Name: <input name="Name: " size=36>
E-mail address: <input type=text name="email" size=36>
Comments: <input name="Comments: " size=36>
<input type="submit" value="Send">
<input type="reset" value="Cancel">

Here is what the above form looks like.

Please fill in following form.

E-mail address: