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File: //old_home_backup/frenchlanguagelessons.co.uk/public_html/includes/contact_form2.php
<link href="../frenchlessons_contact.css" rel="stylesheet" type="text/css" />
<blockquote>
  <form action="contactus.php" method="post">  
    <table cellspacing="5" cellpadding="0" width="475" border="0">
      <tbody>
        <tr>
          
          <td width="131"><font color="#FF0000">*</font> Name:&nbsp;</td>
	      <td width="225">
          <input value="<?php if(isset($name)) { echo $name;} ?>" name="name" class="formField " tabindex="1" size="26" maxlength="80" /></td>
			    
      <td width="99" rowspan="6" >&nbsp;</td>
        </tr>
        
        <tr>
          <td ><font color="#FF0000">*</font> Telephone:</td>
          <td ><input value="<?php if(isset($telephone)) { echo $telephone;} ?>" name="telephone" class="formField" tabindex="2" size="26" maxlength="70" /></td>
        </tr>
        <tr>
          
          <td width="131"><font color="#FF0000">* </font>Email:&nbsp;</font></td>
          <td width="225">
          <input value="<?php if(isset($email)) { echo $email;} ?>" name="email" class="formField " tabindex="3" size="26" maxlength="80" /></td>
        </tr>
        
        <tr>
          <td width="131"><font color="#FF0000">*</font> Postcode:</font></td>
   	      <td width="225">
          <input value="<?php if(isset($postcode)) { echo $postcode;} ?>" name="postcode" class="formField " tabindex="5" size="26" maxlength="80" /></td>
        </tr>
        
        <tr>
          <td ><font color="#FF0000">*</font> French Level</td>
          <td ><label>
            <select name="language" class="smalltext" id="language">
              <option value="Unknown" selected="selected">French Level</option>
              <option>Beginner</option>
              <option>Post Beginner</option>
              <option>GCSE</option>
              <option>Intermediate</option>
              <option>Advanced</option>
              <option>Other</option>
            </select>
          </label></td>
        </tr>
        <tr>
          <td ><font color="#FF0000">*</font> Who is paying for the lessons</td>
	        <td ><label>
	          <select name="learning" class="smalltext" id="learning">
	            <option value="Unkown!">Reason for learning French</option>
	            <option>Holiday</option>
	            <option>Pleasure</option>
	            <option>Business</option>
	            <option>Relocation</option>
	            <option>School</option>
	            <option>Other</option>
                                                                                                                </select>
	        </label></td>
          </tr>
        
        <tr>
          <td colspan="3"><p>&nbsp;</p>
            <p><strong>Please  use this box to tell us more about your French enquiry.</font></strong><br />
              <br />
              <textarea name="enquiry" cols="50" rows="6" wrap="off" class="formField" tabindex="8"></textarea>
            </p></td>
           </tr>
        
        <tr>
          <td colspan="3"><p><br />
            
            <input class="button" tabindex="9" type="submit" value="submit" name="submit_form" />
            </p>
          <p>&nbsp;</p>           </td>
           </tr>
        <tr>
          <td height="89" colspan="3">Conversation Piece Ltd |&nbsp;The Warehouse Office Suites <br />
12 Ravensbury Terrace&nbsp;|&nbsp;London SW18 4RL | Tel:020 8337 1959 |<span class="copyright"><br />
</span></td>
        </tr>
      </tbody>
    </table>
  </form>
</blockquote>