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<div id="feedback_form">
<h3>We want your feedback</h3>
<p>
If we can improve perl101.org in any way, please let us know with this form.
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<form method="#" enctype="application/x-www-form-urlencoded">
<input name="subject" id="subject" value="p101: [% htmlfile %]" type="hidden" />
<input name="return_link_url" id="return_link_url" value="http://perl101.org/[% htmlfile %]" type="hidden" />
<input name="return_link_title" id="return_link_title" value="Return to Perl 101" type="hidden" />
<table>
<tbody>
<tr>
<th align="right">Your name</th>
<td><input name="realname" id="realname" type="text"></td>
</tr>
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</tr>
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