<FORM ENCTYPE=
"text/plain" ACTION=
"mailto:adresa@example.com" method=
"post">
Meno: <
INPUT type=
"text" name=
"meno" value=
"" size=15 maxlength=30 align=
"left"><
BR>
Priezvisko: <
INPUT type=
"text" name=
"priezvisko" value=
"" size=15 maxlength=30 align=
"left"><
BR>
Adresa: <
INPUT type=
"text" name=
"adresa" value=
"" size=30 maxlength=45 align=
"left"><
BR>
Heslo: <
INPUT type=
"password" name=
"heslo" size=20 maxlength=30 align=
"left"><
BR>
<
INPUT type=
"submit" value=
" Poslať e-mail ">
<
INPUT type=
"reset" value=
" Zmazať formulár ">
</FORM>