Seminar Registration Form

<center><table border="0" cellpadding="2" cellspacing="0">

 <!-- REQUIRED: This form tag must appear exactly as follows: -->
 <form method="POST" action="http://fp1.formmail.com/cgi-bin/fm192">

 <!-- REQUIRED: Supply your plan, form processor and recipients -->
 <input type="hidden" name="_pid" value="77533">
 <input type="hidden" name="_fid" value="839OFQVC">
 <input type="hidden" name="recipient" value="1">

 <!-- OPTIONAL: The following two fields will appear in the From: line -->
 <tr><td><b>Your Name:</b> </td>
  <td><input type="text" name="realname" size=40></td></tr>
 <tr><td><b>Your E-Mail:</b> </td>
  <td><input type="text" name="email" size=40></td></tr>
 <tr><td><b>Message Subject:</b> </td>
  <td><input type="text" name="subject" size=40></td></tr>
 <!-- OPTIONAL: Any extra fields you include will appear in message body: -->
 <tr><td valign="top"><b>Your Comments:</b> </td>
  <td><textarea rows="4" cols="40" name="comments"></textarea></tr>

 <tr><td colspan="2" align="right">
  <input type="submit" value="Send Us Your Comments"></td></tr>
 </form>
</table></center>