<form name="mail" action="http://www.siue.edu/cgi-bin/FormMail.pl" method="post">
<input name="recipient" type="hidden" value="jkerico@siue.edu,mtoohey@siue.edu" /><input name="subject" type="hidden" value="Web Suggestion" /><input name="sort" type="hidden" value="Name, Email, Request, Feedback" /><input name="required" type="hidden" value="Feedback" /><input name="redirect" type="hidden" value="http://www.siue.edu/lovejoylibrary/misc/reply.shtml" />
<table border="0" width="75%" cellspacing="3" cellpadding="3">
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<h2>Feedback Form</h2>
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<td colspan="2">
<p>The following form is to be used for submitting feedback to the Web Task Force. Your feedback may include any corrections needing fixed, announcements to be posted, or suggestions for improving usability. Approved changes will be made as soon as possible or as technically feasible. Any feedback sent is important to the task force and will be submitted for administrative approval. </p>
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<td colspan="2"></td>
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<tr>
<td width="40%">
<div align="right">Name:</div>
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<td width="60%"><input name="Name" size="50" type="text" value="" id="Name" /></td>
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<td>
<div align="right">Email:</div>
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<td><input name="Email" size="50" type="text" value="" id="Email" /></td>
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<tr>
<td>
<div align="right">Request Type:</div>
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<td><select name="Request" id="Request"><option>Announcement </option> <option> Correction </option> <option> Suggestion </option> </select></td>
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<td colspan="2">Type your feedback below <strong><span style="color:#FF0000;">(required)</span></strong>:</td>
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<td colspan="2"><textarea name="Feedback" rows="10" cols="80" id="Feedback"></textarea></td>
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<tr>
<td>
<div align="right"><input name="Submit" type="submit" value="Submit" /></div>
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<td><input name="Reset" type="reset" value="Clear Form" id="Reset" /></td>
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</table>
</form>