Friday 25 November 2011

form order

<!-- Begin Response-O-Matic Form -->
<!-- DO NOT EDIT YOUR FORM HERE, PLEASE LOG IN AND EDIT AT RESPONSE-O-MATIC.COM -->
<form enctype="multipart/form-data" method="post" action="http://www.response-o-matic.com/mail.php" accept-charset="UTF-8">
    <div>
        <input type="hidden" name="acctid" id="acctid" value="jvgyrwlbp1t23y4q" />
        <input type="hidden" name="formid" id="formid" value="1023789" />
        <input type="hidden" name="required_vars" id="required_vars" value="name,email" />
    </div>
    <table cellspacing="5" cellpadding="5" border="0">
        <tr>
            <td valign="top">
                <strong>Name:</strong>
            </td>
            <td valign="top">
                <input type="text" name="name" id="name" size="40" value="" />
               
            </td>
        </tr>
        <tr>
            <td valign="top">
                <strong>Email Address:</strong>
            </td>
            <td valign="top">
                <input type="text" name="email" id="email" size="40" value="" />
               
            </td>
        </tr>
        <tr>
            <td colspan="2" align="center">
                <input type="submit" value=" Submit Form " />
            </td>
        </tr>
    </table>
</form>
<br><center><font face="Arial, Helvetica" size="1"><b>
This <a href="http://www.response-o-matic.com">HTML form</a> was created by Freedback.
</b></font></center>
<!-- End Response-O-Matic Form -->

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