<FORM METHOD="POST" ACTION="http://www.teletouchpaging.com/sendpage/sendpage.dll">
<TABLE CELLPADDING=2 CELLSPACING=2>
<tr><TD bgcolor="#f0f0cc"><b><font face="Arial" size="-1">Your
name:</font></b></td>
<TD bgcolor="#f0f0cc" align="right"><INPUT NAME="Subject" SIZE=20></td>
</tr><tr>
<td bgcolor="#f0f0cc" colspan="2"><b><font
face="Arial" size="-1">Message:</font></b></td>
</tr><tr>
<td bgcolor="#f0f0cc" colspan="2">
<textarea name="Message" cols="50" rows="5" wrap="virtual"></textarea></td>
</tr><tr>
<TD bgcolor="#f0f0cc" align="left"><font size="-2">(
<a href="http://www.teletouchpaging.com">Paging by Teletouch Paging, LP</a>)</font>
</td>
<td bgcolor="#f0f0cc" align="right">
<INPUT TYPE="SUBMIT" VALUE="Send">
</td>
</tr>
</table>
<
!-- Replace the "5555555555" with your pager number -->
<INPUT TYPE="HIDDEN" NAME="To" VALUE="5555555555">
<!-- Replace the "http://www.yoursite.com" with the URL or web
page
you wish your visitors to be taken to after submitting the form -->
<INPUT TYPE="HIDDEN" NAME="PassURL" VALUE="http://www.yoursite.com">
<INPUT TYPE="HIDDEN" NAME="MailTemplate" VALUE="PageMail.txt">
<INPUT TYPE="HIDDEN" NAME="ResponseTemplate" VALUE="PageResponse.HTM">
<INPUT TYPE="HIDDEN" NAME="NoSuchUserTemplate" VALUE="NoSuchUser.HTM">
</FORM>