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BRIAN #1

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Jan 26th, 2015
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  1. <form name="contactform" method="post" action="send_form_email.php">
  2. <table width="450px">
  3. <tr>
  4. <td valign="top">
  5. <label for="first_name">Voornaam *</label>
  6. </td>
  7. <td valign="top">
  8. <input type="text" name="first_name" maxlength="50" size="30">
  9. </td>
  10. </tr>
  11. <tr>
  12. <td valign="top"">
  13. <label for="last_name">Achternaam *</label>
  14. </td>
  15. <td valign="top">
  16. <input type="text" name="last_name" maxlength="50" size="30">
  17. </td>
  18. </tr>
  19. <tr>
  20. <td valign="top">
  21. <label for="email">Email Address *</label>
  22. </td>
  23. <td valign="top">
  24. <input type="text" name="email" maxlength="80" size="30">
  25. </td>
  26. </tr>
  27. <tr>
  28. <td valign="top">
  29. <label for="telephone">TelefoonNummer</label>
  30. </td>
  31. <td valign="top">
  32. <input type="text" name="telephone" maxlength="30" size="30">
  33. </td>
  34. </tr>
  35. <tr>
  36. <td valign="top">
  37. <label for="comments">Reacties *</label>
  38. </td>
  39. <td valign="top">
  40. <textarea name="comments" maxlength="1000" cols="25" rows="6"></textarea>
  41. </td>
  42. </tr>
  43. <tr>
  44. <td colspan="2" style="text-align:center">
  45. <input type="submit" value="Submit"> <a href="http://h4114bvv.informatica-laz.nl/email_form.php">Email Form</a>
  46. </td>
  47. </tr>
  48. </table>
  49. </form>
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