<form action="http://java.tatousek.cz/scripts/free/form_mail.asp" method="post">
<input type="hidden" name="prijemce_email" value="prijemce@domena.cz">
<input type="hidden" name="predmet" value="Testovací WWW formulář">
<input type="hidden" name="url" value="http://www.domena.cz/stranka.html">
<input type="hidden" name="technicke_informace" value="ano">
<input type="hidden" name="hlavicka" value="ano">
<input type="hidden" name="polozka_01_nazev" value="Ulice">
<input type="hidden" name="polozka_02_nazev" value="Město">
<input type="hidden" name="polozka_03_nazev" value="PSČ">
<input type="hidden" name="polozka_04_nazev" value="Poznámky">
<div align="center">
<table>
<tr>
<td align="right">Jméno:</td>
<td><input type="text" size="30" name="odesilatel_jmeno"></td>
</tr>
<tr>
<td align="right">E-mail:</td>
<td><input type="text" size="30" name="odesilatel_email"></td>
</tr>
<tr>
<td align="right">Ulice:</td>
<td><input type="text" size="30" name="polozka_01_telo"></td>
</tr>
<tr>
<td align="right">Město:</td>
<td><input type="text" size="30" name="polozka_02_telo"></td>
</tr>
<tr>
<td align="right">PSČ:</td>
<td><input type="text" size="6" name="polozka_03_telo"></td>
</tr>
<tr>
<td align="right" valign="top">Poznámky:</td>
<td><textarea name="polozka_04_telo" cols="30" rows="5"></textarea></td>
</tr>
<tr>
<td align="center" colspan="2"><input type="submit" value="Odeslat"></td>
</tr>
</table>
</div>
</form>
