welcome at the mailform for www.mozambique.startkabel.nl
since this is a dutch hosted site, here is the translation:
naam = name.
onderwerp = subject.
niet van toepassing = not applicable.
site toevoegen = I want to add a new site.
adverteren = I want to advertise on this site.
reactie/opmerking = I want to leave a message.
dode link rapporteren = I want to report a dead link.
anders..... = other.....
bericht = message.
verzenden = send.