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![](http://www.blogger.com/%3C!--%20123ContactForm.com%20script%20begins%20here%20--%3E%20%20%3Ccenter%3E%20%20%3Cstyle%20type=%22text/css%22%3E%20.focus%20%7B%20background:%20#FEF1C1; } .class123-label { font-family: Verdana; font-size: small; color: #000000;} .class123-sidebyside { float:left; margin:0 5px 0 0;} .class123-twocol { float:left; width:45%; margin:0 5px 0 0;} .class123-threecol { float:left; width:30%; margin:0 5px 0 0;} .class123-likert_style_li { display:inline-block; vertical-align:middle; text-align:center; top:0px; padding:2px; width:64px; height:50px; margin:0px; margin-right:1px; margin-bottom:1px; font:11px/18px verdana; background:#ddd; zoom:1; *display:inline; } .class123-likert_style_li2 { display:inline-block; vertical-align:middle; text-align:center; top:0px; padding:2px; width:64px; height:50px; margin:0px; margin-right:1px; margin-bottom:0px; font:12px/18px verdana; background:#fff; zoom:1; *display:inline; border-top:1px solid #ddd; } .fontbold { font-weight: bold; } .fontitalic { font-style: italic; } .requiredspan { font-family: Verdana; font-size:10px; color:#f00; } </style> <script type="text/javascript"> <!-- function InputActions(field,id) { var i=1; var lid="none"; for (i=1;i<=100;i++) { lid='row'+i; lidsec='rowsec'+i; if (document.getElementById(lid) != null) { if (lid==id) { document.getElementById(lid).className='focus'; if (document.getElementById(lidsec) != null) document.getElementById(lidsec).className='focus'; } else { document.getElementById(lid).className=''; if (document.getElementById(lidsec) != null) document.getElementById(lidsec).className=''; } } } } //--> </script><form class="form" action="http://www.123contactform.com/contact-form-celotehonline-156366.html" method="post" enctype="multipart/form-data"> <input type="hidden" name="action" value="verify"/><table style="min-width: 250px;" cellpadding="4"> <tr id="row1"><td style="text-align:left; " valign="top"> <label class="class123-label fontbold" id="id123-title870273" for="id123-control870273">Your Name :</label><span class="requiredspan customspan" title="Required field">*</span></b></td> <td align="left" style=""><input id="id123-control870273" name="control870273" onclick="InputActions(this,'row1');" onkeyup="InputActions(this,'row1');" onchange="" type="text" value="" size="20"/> </td></tr> <tr id="row2"><td style="text-align:left; " valign="top"> <label class="class123-label fontbold" id="id123-title870274" for="id123-control870274">Your Email :</label><span class="requiredspan customspan" title="Required field">*</span></b></td> <td align="left" style=""><input id="id123-control870274" name="control870274" onclick="InputActions(this,'row2');" onkeyup="InputActions(this,'row2');" onchange="" type="text" value="" size="20"/> </td></tr> <tr id="row3"><td style="text-align:left; " valign="top"> <label class="class123-label fontbold" id="id123-title870275" for="id123-control870275">Subject :</label><span class="requiredspan customspan" title="Required field">*</span></b></td> <td align="left" style=""><input id="id123-control870275" name="control870275" onclick="InputActions(this,'row3');" onkeyup="InputActions(this,'row3');" onchange="" type="text" value="" size="20"/> </td></tr> <tr id="row4"><td style="text-align:left; " valign="top"> <label class="class123-label fontbold" id="id123-title870276" for="id123-control870276">Message :</label><span class="requiredspan customspan" title="Required field">*</span></b></td> <td align="left" style=""><input id="id123-control870276" name="control870276" onclick="InputActions(this,'row4');" onkeyup="InputActions(this,'row4');" onchange="" type="text" value="" size="50"/> </td></tr> <tr id="row5"><td style="text-align: left;" valign="top"><label class="class123-label" for="id123-captcha" id="verifno">Verification No.:</label><span class="requiredspan customspan" title="Required field">*</span></td> <td align="left" valign="top"><input id="id123-captcha" onclick="InputActions(this,'row5');" onkeyup="InputActions(this,'row5');" name="txtNumber" type="text" value="" size="16"/></td></tr> <tr><td align="right"><a title="Don't know why you have to enter this verification number? Click here!" href="http://www.123contactform.com/faq.html#q1" onclick="window.open('http://www.123contactform.com/faq.html#q1','_blank','width=740, height=90, left=' + (screen.width/2-370) + ', top=250');return false;"><img border="0" src="http://www.123contactform.com/img/help_icon.gif" alt="contact form faq"/></a></td> <td align="left"><img alt="verification image" src="http://www.123contactform.com/random.php"/></td> </tr> <tr><td></td><td align="left"><input type="submit" class="class123-button" id="id123-button-send" value="Send email"/></td></tr> </table> <div style="height:1px; display: none; visibility: hidden;"> <input type="text" name="email"/> </div> <input type="hidden" name="usage" value="e"/> </form> <p align=center><font size="1" face="Verdana" color="#000000"><a href="http://www.123contactform.com">Email form</a> generated by 123ContactForm</font></p></center> <!-- 123ContactForm.com script ends here -->){kind=link}
