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<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
<html>
<head>

<title> Enter Your Page Title Here </title>

<meta name="description" content="your web page description here">
<meta name="keywords" content="your keywords here for search engines (separated by commas)">

</head>
<body>
Type here to convey your message
<p></p>
<center>
<!-- Begin Contact Form -->


<!-- Be sure to put the form tag (and /form tag) outside of the <table></table> tags -->
<div class="ddfmwrap"><form class="ddfm" method="post" action="your_web_address/contact/mailer.php" enctype="multipart/form-data">

<table cellpadding="3">

<tr>
 <td>

<label for="fm_name">*Name</label>
 </td><td><input class="fmtext" type="text" name="fm_name" id="fm_name" value="" size="45" />
 </td>
</tr>

<tr>
 <td>
<label for="fm_email">*Email</label>
 </td><td><input class="fmtext" type="text" name="fm_email" id="fm_email" value="" size="45" />
 </td>

</tr>

<tr>
 <td>
<label for="fm_website">Website</label>
 </td><td><input class="fmtext" type="text" name="fm_website" id="fm_website" value="" size="45" />
 </td>
</tr>

<tr>
 <td>
<label for="fm_subject">*Subject</label>

 </td><td><input class="fmtext" type="text" name="fm_subject" id="fm_subject" value="" size="45" />
 </td>
</tr>


<tr>
 <td colspan="2">
<label for="fm_message">*Message</label>
 </td>
</tr>

<tr>

 <td colspan="2">
<textarea class="fmtextarea" name="fm_message" cols="60" rows="13" id="fm_message" wrap="soft"></textarea>
 </td>
</tr>

<tr>
 <td colspan="3">

<script>
				var RecaptchaOptions = {
			    theme : 'white'
				};
				</script><div class="recaptcha"><div class="recaptcha-inner"><script type="text/javascript" src="http://api.recaptcha.net/challenge?k=enter_your_reCaptcha_public_key_here"></script>

	<noscript>
  		<iframe src="http://api.recaptcha.net/noscript?k=enter_your_reCaptcha_public_key_here" height="300" width="500" frameborder="0"></iframe><br>
  		<textarea name="recaptcha_challenge_field" rows="3" cols="40"></textarea>
  		<input type="hidden" name="recaptcha_response_field" value="manual_challenge">
	</noscript></div></div>

<p><input type="hidden" name="MAX_FILE_SIZE" value="1000000" /></p>
<div class="submit"><input type="submit" name="form_submitted" value="Send Email" /></div>

<div class="credits"><font size="2">Script by </font> <a href="http://www.dagondesign.com" title="Dagon Design">
	<font size="2">Dagon Design</font></a></div>

 </td>
</tr>
</table>

</form>
</div>
<!-- End Contact Form -->

</center>
</body>
</html>

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