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Server: Apache/2.4.58 (Ubuntu)
System: Linux ns3133907 6.8.0-86-generic #87-Ubuntu SMP PREEMPT_DYNAMIC Mon Sep 22 18:03:36 UTC 2025 x86_64
User: cssnetorguk (1024)
PHP: 8.2.28
Disabled: NONE
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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:&nbsp;</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: &nbsp;</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>&nbsp;</td>
		  <td class="heading">&nbsp;</td>
	  </tr>
		<tr>
        	<td><font size="2">How did you hear about Web Marketing Plus?</font>&nbsp;</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">&nbsp;</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>