ÿþ<form action="feedout.php" method="post">

<!-- DO NOT change ANY of the php sections -->

<?php

$ipi = getenv("REMOTE_ADDR"); 

$httprefi = getenv ("HTTP_REFERER");

$httpagenti = getenv ("HTTP_USER_AGENT");

?>

<input type="hidden" name="ip" value="<?php echo $ipi ?>" />

<input type="hidden" name="httpref" value="<?php echo $httprefi ?>" />

<input type="hidden" name="httpagent" value="<?php echo $httpagenti ?>" />

<h2 align="center">Góp ý - Liên hÇ</h2>

<p>

Chúng tôi hoan nghênh ý ki¿n 
óng góp cça các b¡n </p>

<p>Gßi 
¿n: <select name="attn" size="1">

<option value=" Ban Giám 
Ñc ">Ban Giám 
Ñc</option>

<option value=" Ng°
Ýi qu£n lý trang web ">Ng°
Ýi qu£n lý trang web</option>

</select>

<p>

 </p>

<br />

Tên cça b¡n: <input type="text" name="nameis" size="20" />     Email: <input type="text" name="visitormail" size="20" />



<p>

 </p>



<h3 align="center">NÙi dung</h3> 

<p align="center">

<textarea name="feedback" rows="10" cols="60"> </textarea>

</p>

<hr />

<p align="center">

<input type="submit" value="Gßi th°
" />

</p>

</form>