<form name="Newletter" method="post" action="mailto:[email protected]"enctype="text/plain">

<p>Name:

<input type="text" placeholder="Forename" name="Foreman">

</p>

<p>Surname

<input type="text" placeholder="Surname" name="Surman">

</p>

<p>Email:

<input type="text" placeholder="Email Address" name="Email">

</p>

<input type="text" placeholder="Leave a comment" Name="Comment" Size="50">

                Click the checkbox to recieve emails from us.

                <input type="checkbox" name="Newsletter" value="yes">

</p>

<p>

<input type="submit" value="Submit">

<input type="reset" value="Reset">

</p>

</form>