File: //home/webmarketingplus.co.uk/public_html/includes/contact_form.php
<form action="../contact1.php" method="post">
<table width="70%" border="0" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td width="605"><font color="#FF0000" size="2">* </font><font size="2">Name:</font></td>
<td width="484" class="heading">
<input value="<?php if(isset($name)) { echo $name;} ?>" name="name" class="formField " tabindex="8" size="26" maxlength="80" /></td>
</tr>
<tr>
<td><font color="#FF0000" size="2">* </font><font size="2">Email: </font> </font></td>
<td class="heading">
<font size="2">
<input value="<?php if(isset($email)) { echo $email;} ?>" name="email" class="formField " tabindex="14" size="26" maxlength="80" />
</font></td>
</tr>
<tr>
<td><font color="#FF0000" size="2">* </font><font size="2">Telephone: </font></td>
<td class="heading"> <font size="2">
<input value="<?php if(isset($telephone)) { echo $telephone;} ?>" name="telephone" class="formField" tabindex="12" size="26" maxlength="70" />
</font></td>
</tr>
<tr>
<td ><font size="2"><img src="../images/spacer.png" alt="" width="11" height="1" />Company:</font> </font></td>
<td class="heading" ><font size="2">
<input value="<?php if(isset($company)) { echo $company;} ?>" name="company2" class="formField " tabindex="9" size="26" maxlength="80" />
</font></td>
</tr>
<tr>
<td> </td>
<td class="heading"> </td>
</tr>
<tr>
<td><font size="2">How did you hear about Web Marketing Plus?</font> </font></td>
<td class="heading"><font size="2">
<select class="altdouble" name="hear_about">
<option value="" selected="selected">Please select one </option>
<option value="Google">Google</option>
<option value="Recommendation">Recommendation </option>
<option value="Capital">Radio Ad</option>
</select>
<br />
</font></td>
</tr>
<tr>
<td height="21" colspan="2"> </td>
</tr>
<tr>
<td height="194" colspan="2"><p><font size="2">Please use this box to tell us more about your website</font><br />
<br />
<font size="2">
<textarea name="enquiry" cols="40" rows="8" class="rightTxt1" id="enquiry" style="WIDTH: 85%"></textarea>
<br />
<br />
<input name="send" type="submit" value="submit" />
</font></td>
</tr>
</tbody>
</table>
</form>