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Wednesday 15 October 2014

Contact Us Form


<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>Contact Us Form</title>
<link rel="stylesheet" type="text/css" href="css/main-css.css"  />
<link href="css/visual-form-builder.min.css" rel="stylesheet" type="text/css" />
<style type="text/css">
<!--
body {
margin: 0px;
background-color:#d9d9d9;
}
-->
</style>
<script type="text/javascript" src="js/jquery.js"></script>
</head>

<body>
<div id="mainContainer-center">
  <div class="visual-form-builder vfb-form-1">
    <fieldset id="item-vfb-1" class="vfb-fieldset vfb-fieldset-1 enquiry-now ">
      <div class="vfb-legend">
        <h3>Contact Us</h3>
      </div>
      <ul class="vfb-section vfb-section-1">
        <li id="item-vfb-5" class="vfb-item vfb-item-text  ">
          <label class="vfb-desc" for="vfb-5">Full Name <span class="vfb-required-asterisk">*</span></label>
          <input name="ctl00$MainContent$txtFullName" type="text" id="MainContent_txtFullName" class="vfb-text  vfb-medium  required" required="">
        </li>
        <li id="item-vfb-7" class="vfb-item vfb-item-phone  ">
          <label class="vfb-desc" for="vfb-7">Phone/Mobile Number <span class="vfb-required-asterisk">*</span></label>
          <input name="ctl00$MainContent$txtMobileNumber" type="text" id="MainContent_txtMobileNumber" class="vfb-text  vfb-medium  required" required="">
        </li>
        <li id="item-vfb-8" class="vfb-item vfb-item-email  ">
          <label class="vfb-desc" for="vfb-8">Email <span class="vfb-required-asterisk">*</span></label>
          <input name="ctl00$MainContent$txtEmail" type="text" id="MainContent_txtEmail" class="vfb-text  vfb-medium  required" required="">
        </li>
        <li id="item-vfb-10" class="vfb-item vfb-item-textarea  ">
          <label class="vfb-desc" for="vfb-10">Message <span class="vfb-required-asterisk">*</span></label>
          <div>
            <textarea name="ctl00$MainContent$txtMessage" rows="2" cols="20" id="MainContent_txtMessage" class="vfb-textarea  vfb-medium  required"></textarea>
          </div>
        </li>
        <li id="item-vfb-4" class="vfb-item vfb-item-submit">
          <input type="submit" name="ctl00$MainContent$btnSubmit" value="Submit" id="MainContent_btnSubmit" class="vfb-submit">
        </li>
      </ul>
      <p>&nbsp;</p>
    </fieldset>
  </div>
</div>
</body>
</html>

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