<
form
name
=
"htmlform"
method
=
"post"
action
=
"html_form_send.php"
>
<
table
width
=
"450px"
>
</
tr
>
<
tr
>
<
td
valign
=
"top"
>
<
label
for
=
"first_name"
>First Name *</
label
>
</
td
>
<
td
valign
=
"top"
>
<
input
type
=
"text"
name
=
"first_name"
maxlength
=
"50"
size
=
"30"
>
</
td
>
</
tr
>
<
tr
>
<
td
valign
=
"top"
">
<
label
for
=
"last_name"
>Last Name *</
label
>
</
td
>
<
td
valign
=
"top"
>
<
input
type
=
"text"
name
=
"last_name"
maxlength
=
"50"
size
=
"30"
>
</
td
>
</
tr
>
<
tr
>
<
td
valign
=
"top"
>
<
label
for
=
"email"
>Email Address *</
label
>
</
td
>
<
td
valign
=
"top"
>
<
input
type
=
"text"
name
=
"email"
maxlength
=
"80"
size
=
"30"
>
</
td
>
</
tr
>
<
tr
>
<
td
valign
=
"top"
>
<
label
for
=
"telephone"
>Telephone Number</
label
>
</
td
>
<
td
valign
=
"top"
>
<
input
type
=
"text"
name
=
"telephone"
maxlength
=
"30"
size
=
"30"
>
</
td
>
</
tr
>
<
tr
>
<
td
valign
=
"top"
>
<
label
for
=
"comments"
>Comments *</
label
>
</
td
>
<
td
valign
=
"top"
>
<
textarea
name
=
"comments"
maxlength
=
"1000"
cols
=
"25"
rows
=
"6"
></
textarea
>
</
td
>
</
tr
>
<
tr
>
<
td
colspan
=
"2"
style
=
"text-align:center"
>
</
td
>
</
tr
>
</
table
>
</
form
>
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