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<form name="TheForm" method="post" action="ContactUsAction.cfm" onSubmit="return formvalidate()">
<input type="Hidden" name="SiteID" value="1234">
<style type="text/css">td {padding: 5px;}</style>
<table>

  <tr><td align="right"><label for="name">Name:</label> </td><td> <input type="Text" id="name" name="name" size="30"></td><td></td></tr>

  <tr><td align="right">

  <label for="city">City:</label>* </td><td><input type="Text" id="city" name="city" size="30"></td>

</tr>
* </td><td>  <input type="Text" id="email" name="email" size="30"></td><td></td></tr>

   <tr><td align="right"><label for="phone">Phone:</label> </td><td>  <input type="Text" id="phone" name="phone" size="30"></td><td></td></tr>

  <tr><td colspan="2">
<label for="Question/Suggestion">Question/Suggestion</label>:*<br />
<textarea id="Question/Suggestion" name="comment" rows="6" cols="50"></textarea></p>
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