--------------------------------------------------------------------
              S I M P L E   F O R M   F E E D B A C K
--------------------------------------------------------------------

Name:     [comments_name]
Email:    [comments_email]
Location: [comments_location]

Homebrewer:       [comments_homebrewer]
Brewery Designer: [comments_designer]
Draught Board:    [comments_db]
Interested in Joining [comments_join]

Comments:
[comments_text]

--------------------------------------------------------------------