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PHP, 0.8KB
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<00323ec0-2881-4b41-a540-e44b7245a1c8@l14g2000pre.googlegroups.com>
Posted by: PJH | February 25, 2011 @ 3:31am
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<form action="mail2.php" method="post" id="KR Design Contact Form"> <table width="500" border="0" align="center" cellpadding="5"> <tr> <td><label for="fname"><span class="bulletpoints">First Name</span>*</label></td> <td><input name="fname" type="text" id="fname" tabindex="1" maxlength="20" /></td> </tr> <tr> <td><label for="lname"><span class="bulletpoints">Last Name</span>*</label></td> <td><input name="lname" type="text" id="lname" tabindex="2" maxlength="20" /></td> </tr> <tr> <td><label for="phone"><span class="bulletpoints">Telephone</span></label></td> <td><input name="phone" type="text" id="phone" tabindex="3" maxlength="10" /></td> </tr> <tr> <td><label for="email"><span class="bulletpoints">Email</span>*</label></td> <td><input name="email" type="text" id="email" tabindex="4" maxlength="50" /></td> </tr> <tr> <td> <label for="contact_options"></label></td> <td><select name="contact_options" id="contact_options" tabindex="5"> <option value="Contact">Contact KR Design About...</option> <option value="Graphics">Graphic Design</option> <option value="Marketing">Marketing</option> <option value="Promo Products">Promotional Products</option> <option value="Social Media">Social Media</option> <option value="Web">Web Design</option> <option value="Other">Other</option></select> </td> </tr> <tr> <td><label for="comments"><span class="bulletpoints">Comments</span></label></td> <td><textarea name="comments" id="comments" cols="45" rows="5" tabindex="6"></textarea></td> </tr> <tr> <td><label for="submit"></label></td> <td><input type="submit" name="submit" id="submit" value="Send Form" /></td> </tr> </table> </form>
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