<table border="0" width="100%" id="table1" cellspacing="1" cellpadding="2">
<tr><td width="15%">Your name <font color="red">*</font>:</td><td><input type="text" name="f4" size="15" style="width:25%;" maxlength="70"> </td></tr>
<tr><td width="15%">Your Email <font color="red">*</font>:</td><td><input type="text" name="f1" size="30" style="width:25%;" maxlength="70"> </td></tr>
<tr><td width="15%">Website address:</td><td><input type="text" name="f5" size="30" style="width:45%;" maxlength="70"> </td></tr>
<tr><td width="15%">Your Browser:</td><td><select size="1" name="f2"><option>Internet Exlorer&nbsp</option> <option>Firefox</option> <option>Opera</option> <option>Other</option></select></td></tr>
<tr><td width="15%">Country:</td><td><input type="text" name="f3" size="30" style="width:25%;" maxlength="70"> </td></tr>
<tr><td width="15%">Your occupation/profession:</td><td><input type="text" name="f6" size="30" style="width:35%;" maxlength="70"> </td></tr>

<tr><td width="15%">&nbsp</td><td>&nbsp</td></tr>

<tr><td width="15%">URL of error/bug:</td><td><input type="text" name="f7" size="30" style="width:95%;" maxlength="70"> </td></tr>


<tr><td width="15%">Error describtion:</td><td><textarea rows="7" name="f9" cols="30" style="width:95%;"></textarea> </td></tr>
<tr><td colspan="2" align="center"><br /><input type="submit" value="&laquo; Send report &raquo;"></td></tr>
</table>