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Apr 18th, 2014
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  1. <form name="DCyesform" method="post" action="DCyesform.php">
  2. <table width="450px">
  3. </tr>
  4. <tr>
  5.  <td valign="top">
  6.   <label for="first_name"STYLE="color: #B7E1EF; font-family: American Typewriter">First Name</label>
  7.  </td>
  8.  <td valign="top">
  9.   <input  type="text" name="first_name" maxlength="50" size="30">
  10.  </td>
  11. </tr>
  12.  
  13. <tr>
  14.  <td valign="top"">
  15.   <label for="last_name"STYLE="color: #B7E1EF; font-family: American Typewriter">Last Name</label>
  16.  </td>
  17.  <td valign="top">
  18.   <input  type="text" name="last_name" maxlength="50" size="30">
  19.  </td>
  20. </tr>
  21. <tr>
  22.  <td valign="top">
  23.   <label for="email"STYLE="color: #B7E1EF; font-family: American Typewriter">Email Address</label>
  24.  </td>
  25.  <td valign="top">
  26.   <input  type="text" name="email" maxlength="80" size="30">
  27.  </td>
  28.  
  29. </tr>
  30. <tr>
  31.  <td valign="top">
  32.   <label for="telephone"STYLE="color: #B7E1EF; font-family: American Typewriter">Telephone Number</label>
  33.  </td>
  34.  <td valign="top">
  35.   <input  type="text" name="telephone" maxlength="30" size="30">
  36.  </td>
  37. </tr>
  38. <tr>
  39.  <td colspan="2" style="text-align:center">
  40.   <input type="submit" STYLE="font-family: American Typewriter" value="Submit">  
  41.  </td>
  42. </tr>
  43. </table>
  44. </form>
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