html

<form name="contactform" method="post" action="send_form_email.php">
 <h1>Proof of Concept</h1>
<table width="450px">

<tr>

 <td valign="top">

  <label for="name">Name </label>

 </td>

 <td valign="top">

  <input  type="text" name="name" maxlength="50" size="30">

 </td>

</tr>

<tr>

 <td valign="top">

  <label for="company">Company </label>

 </td>

 <td valign="top">

  <input  type="text" name="company" maxlength="50" size="30">

 </td>

</tr>

<tr>

 <td valign="top">

  <label for="email">Email Address </label>

 </td>

 <td valign="top">

  <input  type="text" name="email" maxlength="80" size="30">

 </td>

</tr>

<tr>

 <td valign="top">

  <label for="telephone">Telephone Number</label>

 </td>

 <td valign="top">

  <input  type="text" name="telephone" maxlength="30" size="30">

 </td>

</tr>

<tr>

 <td valign="top">

  <label for="comments">Product Details</label>

 </td>

 <td valign="top">

  <textarea  name="comments" maxlength="1000" cols="25" rows="6"></textarea>

 </td>

</tr>

<tr>

 <td colspan="2" style="text-align:center">

  <input type="submit" value="Submit">

 </td>

</tr>

</table>

</form>