<FORM METHOD=POST ACTION="verwerk.php">
<TABLE>
<TR>
<TD width="50%">
Naam:
</TD>
<TD width="50%">
<INPUT TYPE="text" NAME="naam" value="">
</TD>
</TR>
<TR>
<TD width="50%">
E-mail:
</TD>
<TD width="50%">
<INPUT TYPE="text" NAME="email" value="">
</TD>
</TR>
<TR>
<TD>
</TD>
<TD>
<TEXTAREA NAME="reactie" ROWS="5" COLS="20" value="Uw reactie...."></TEXTAREA>
</TD>
</TR>
</TABLE>
<INPUT TYPE="submit" NAME="submit" value="Verstuur">
</FORM>