All info will be kept confedential, all that will appear is what you want, you will be e-mailed when your link is posted.

<form action="/cgi-bin/homestead/mail.pl?pepsi_drinker" method="POST" >
<input type="hidden" name="subject" value="Submission for link">
<input type=text name="fname" size=40> Your first name<br>
<input type=text name="lname" size=40> Your last name<br>
<input type=text name="Handle" size=40> Your internet handle, if applicable<br>
<input type=text name="email" size=40> Your e-mail<br>    
<input type=text name="URL" size=40> Your URL(include http://)<br> 
<input type=text name="title" size=40> Your Homepage's title<br>
 
Is your site a:
     <SELECT name="Single-line ListBox example">
     <OPTION value="Personal HomePage">Personal HomePage</OPTION>
     <OPTION value="Commercial HomePage">Commercial HomePage</OPTION>
     <OPTION value="Search Engine">Search Engine</OPTION>
     <OPTION value="Chat Room">Chat Room Page</OPTION>
     </SELECT><br>
Comments for your link or info about which i may need to know:<br>
     <textarea name="Multi-Line Text Box" cols=50 rows=10 wrap=physical>
     </textarea>   <br>
   
<input type="submit">
     <input type="reset">
     </form>
<img src="/cgi-bin/counter">
<a href="/southbeach/7135/">Home</a>
<a href="http://www.icount.com/1846491515.stats">
<img src="http://www.icount.com/1846491515.cgif"></a>

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