<!DOCTYPE form SYSTEM 'FormMail-2.0.dtd'><body>
<form name="example3" >

<!--I really want your email address -->

<validate name="email" public="Your email address" vtype="email">

<mail name="mail1" >
  <to>lle5@uic.edu
  <reply-to>$email
  <Subject> FormMail 2.0 comments
  
    $fm_date
         location is: $fm_ip    
         web form: $fm_referer
         name is: $name
         department is: $department         
         telephone is: $telephone         
         email is: $email         
         message is: $message
   </mail>



<response name="r0" >
<![CDATA[
<html><head><title>Thankyou</title></head><body>
<h2> Thank-You </h2>

<P> You will be notified by e-mail for conformation. :-)
<p>
   -Clinical Research Center: Education
</body></html>
]]>
</response>

</form>
�