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Below is a working example of a cgi form
The imformation collected is used by Web Monk Design
to improve the site and its performance.
We can design forms to fit your web site/business requirements.


Use the form below to answer the survey questions
and feel free to add any comments below.

We strive to constantly improve our service!
Your assistance is appreciated.
  • Your Email Address:

    (required, never sold..we don't like spam either)


  • Are you ready to place an order?


  • Would you like to be notified of special offers from this site?


  • Your Real Name:


  • Your area code & phone number w/best time to call
       if you would like to get started:


  • Did You Find The Information You Needed?


  • How Did You Like The Web Monk Site?


  • Would You recommend others to WebMonk?


  • What is your opinion of the cost for a basic web site?


  • Any other comments or questions go here:



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