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web-hack-mirror/mirror/1999/05/28/www.matrixmerchant.com/store/feedback.cfm

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<HTML>
<HEAD>
<TITLE>
HiP Owns You....
</TITLE>
</HEAD>
<meta http-equiv="pragma" content="no-cache">
<BODY bgcolor=#DAE4FE BACKGROUND="graphics/back.gif" text=black link=navy vlink=purple>
<TABLE BORDER=0 CELLPADDING=0 CELLSPACING=0>
<TR>
<TD WIDTH=140 VALIGN=top>
&nbsp;<BR>&nbsp;<BR>
<IMG SRC="graphics/merchant_menu.gif" BORDER=0 HSPACE=10 USEMAP="#menu"><P>
<p>
</TD>
<TD WIDTH=15>&nbsp;</TD>
<TD WIDTH=415 VALIGN=top>
<FONT SIZE=+1 FACE=ARIAL>Contact Us</FONT><P></FONT>
<! --- Display feedback form --->
<FONT SIZE=-1 FACE=ARIAL>
<P>
<FORM ACTION="feedback.cfm" METHOD="POST">
<TABLE BORDER=0 CELLPADDING=5 CELLSPACING=0>
<TR><TD VALIGN=TOP><FONT FACE=ARIAL SIZE=-1>Name:</FONT></TD><TD><INPUT TYPE="text" NAME="name" SIZE="30"></TD></TR>
<TR><TD VALIGN=TOP><FONT FACE=ARIAL SIZE=-1>Email Address:</FONT></TD><TD><INPUT TYPE="text" NAME="email" SIZE="20"></TD></TR>
<TR><TD COLSPAN=2 VALIGN=TOP><FONT FACE=ARIAL SIZE=-1>Message:</FONT><BR><TEXTAREA NAME="comments" COLS=40 ROWS=5 WRAP=ON></TEXTAREA></TD></TR>
<TR><TD COLSPAN=2 ALIGN=RIGHT VALIGN=TOP><INPUT TYPE="submit" VALUE="Send Message" name="send"></TD></TR>
</TABLE>
</FORM>
</FONT>
</TD>
</TR>
</TABLE>
<MAP NAME="menu">
<AREA SHAPE=RECT COORDS="1,10,50,30" HREF="index.cfm">
<AREA SHAPE=RECT COORDS="1,40,66,60" HREF="about.cfm">
<AREA SHAPE=RECT COORDS="1,73,76,90" HREF="feedback.cfm">
<AREA SHAPE=RECT COORDS="1,100,83,131" HREF="whatsnew.cfm">
<AREA SHAPE=RECT COORDS="1,148,90,165" HREF="merchant.cfm">
<AREA SHAPE=RECT COORDS="1,178,62,195" HREF="specials.cfm">
<AREA SHAPE=RECT COORDS="1,207,95,225" HREF="new.cfm">
<AREA SHAPE=RECT COORDS="1,238,90,257" HREF="search.cfm">
<AREA SHAPE=RECT COORDS="1,268,83,287" HREF="basket.cfm">
</MAP>
</BODY>
</HTML>