here is what i have so far:
Code:
<html>
<head><title>Escalation Form</title></head>
<body bgcolor="#FFFFCC">
<form action="myEmailAddy@nowhere.com?subject=ESCALATION REQUEST" method="post" enctype="text/plain">
<table>
<tr>
<td>
<h2>ESCALATION REQUEST</H2>
CSR:<INPUT NAME="CSR " TYPE="text" SIZE=20 MAXLENGTH=20><BR />
<br />
Date:<INPUT NAME="Date " TYPE="text" SIZE=15 MAXLENGTH=15><BR />
Account #:<INPUT NAME="Account# " TYPE="text" SIZE=15 MAXLENGTH=15><BR />
Sub Name:<INPUT NAME="Customer Name " TYPE="text" SIZE=20 MAXLENGTH=20><BR />
Contact Name: <INPUT NAME="-Contact Name " TYPE="text" SIZE=10 MAXLENGTH=15><BR />
Contact TN:<INPUT NAME="-Contact TN " TYPE="text" SIZE=10 MAXLENGTH=15><BR />
Time of Call:<INPUT NAME="Time of Call " TYPE="text" SIZE=10 MAXLENGTH=10><BR /><br />
Customer Concern/Details:<br /><TEXTAREA NAME="Customer Concerns " ROWS=5 COLS=45></TEXTAREA><BR>
</td></tr>
<tr><td align=center>
<INPUT TYPE="submit" value="Send Email" style="color: #ffffff; background-color: blue">
</td>
</tr>
</table>
</FORM>
<body>
</html>
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