#!/usr/bin/perl print "Content-type: text/html\n\n"; require './cgi-lib.pl'; &ReadParse(*form_data); print qq?
Please tell us how you heard about Farco:
---------- Choose an Option ---------- Search - Google Search - Other Ad - Google Ad - DSP Resource Guide Referral - Dontronics Referral - Saelig Referral - Acme Systems Friend or colleague Existing customer Other
YES - I'd like to be kept up to date. NO - I'm not interested.