#!/usr/local/bin/php
       <p>Fill out the form and we will get back to you as soon as
possible! :</p>

         <form action="doContact.php" method="post">
         Name    :<input type="text" name="Name"><br>
         Email   :<input type="text" name="Email"><br>
         <input type="hidden" name="For" value="Chairman"
/><strong>For the Attention of: Chairman</strong><br
/><br />         Comments:<br />
            <textarea name="Comments" rows="6" cols="25"></textarea><br />
            <input type="submit" value="Send Comments" />
          </p>
        </form>