thomas here's the link
http://www.mindimaging.com/form1/info.php
the file i'm using is
http://www.mindimaging.com/form1/form1.html
which sends the two fields to:
http://www.mindimaginag.com/form1/form1.php
which is supposed to use form1.txt as it's dump file.
i'm getting the
[Tue Jul 18 10:28:38 2006] [error] [client <my IP>] Premature end of script headers: php-script, referer: http://www.mindimaging.com/form1/form1.html