<META HTTP-EQUIV="Content-type" CONTENT="text/html; charset=UTF-8"/> <form action="https://webto.salesforce.com/servlet/servlet.WebToCase?encoding=UTF-8" method="POST"> <input type="hidden" name="orgid" value="00D300000000Swd"/> <input type="hidden" name="retURL" value="http://support.companioncorp.com"/> <input type="hidden" name="debug" value="1" /> <input type="hidden" name="debugEmail" value="mvoseipka@companioncorp.com"/> <label for="name">Name</label> <br /><input id="name" maxlength="80" name="name" size="30" type="text" /><br /><br /> <label for="email">Email</label> <br /><input id="email" maxlength="80" name="email" size="30" type="text" /><br /><br /> <label for="phone">Phone</label> <br /><input id="phone" maxlength="40" name="phone" size="30" type="text" /><br /><br /> <label for="subject">Subject</label> <br /><input id="subject" maxlength="80" name="subject" size="30" type="text" /><br /><br /> <label for="description">Description</label> <br /><textarea name="description" rows="10" cols="70"></textarea><br /><br /> <input type="submit" name="submit"/> </form> |