Configuring webform.cgi help

[syberlink]

I need to configure some kind of webform. I am tring webform.cgi with no luck.

I will take any help or ideas. Thanks, Brad

Plesk 7.5.2
#!/usr/bin/perl
####################################
# FormMail Version 1.92
####################################
'/usr/sbin/sendmail -i -t';
@referers = ( 'syberlink.com', '68.178.151.115' );
@recipients = &fill_recipients(@referers);
push @recipients, '[email protected]', '[email protected]';