<?xml version="1.0" encoding="UTF-8"?>

<form url="email.php"
 window="_self"
 method="POST"
 fontname="MS Sans Serif"
 width="350"
 height="400"
 bkcolor="0xFFFFFF"
 transparent="f"
 fontcolor="0x000000"
 outlinecolor="0xC0C0C0"
 themecolor="0x00CCFF"
 fontcolor2="#000000"
 bkcolor2="#FFFFFF"
 includeresults="false"
 emailuser="true"
 bcc=""
 cc=""
 reqmessage="One or More Fields are Required"
 transition="0"
 autoresponseincluderesults="t"
 autoresponseaddtotop="f"
 usephp="true"
 disableclicktoactiveprompt="true"
 extensions="*.txt;*.gif;*.jpg;*.jpeg;*.zip;*.doc;*.png;*.pdf;*.rtf"
>

<hidden
 name="subject"
 value="Multiclean Quotation Form"
></hidden>

<image
 image="pencil-logo.jpg"
 x="205"
 y="48"
></image>

<textinput
 name="Name"
 x="12"
 y="50"
 w="175"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
>
</textinput>

<textinput
 name="email"
 x="12"
 y="92"
 w="175"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 emailbox="true"
  restrict="email"
>
</textinput>

<textinput
 name="Subject"
 x="12"
 y="180"
 w="175"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<textarea
 name="Requirements"
 x="12"
 y="228"
 w="314"
 h="121"
 initvalue="Please enter your message here"
 wordwrap="true"
 bkcolor="0xFFFFFF"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></textarea>

<submitbutton
 name="Submit Button"
 x="12"
 y="355"
 w="185"
 h="20"
 label="Send Your  Message"
 fontname="@Arial Unicode MS"
 fontcolor="0x000080"
  fontsize="12"
></submitbutton>

<textinput
 name="Phone"
 x="12"
 y="137"
 w="175"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<label
 name="My Text 1"
 x="12"
 y="208"
 w="101"
 h="16"
 text="Your Message:*"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000080"
  fontsize="13"
></label>

<label
 name="My Text 2"
 x="12"
 y="161"
 w="61"
 h="16"
 text="Subject:*"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000080"
  fontsize="13"
></label>

<label
 name="My Text 3"
 x="12"
 y="75"
 w="139"
 h="16"
 text="Your E-Mail Address:*"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000080"
  fontsize="13"
></label>

<label
 name="My Text 4"
 x="12"
 y="34"
 w="83"
 h="16"
 text="Your Name:*"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000080"
  fontsize="13"
></label>

<label
 name="My Text 5"
 x="110"
 y="12"
 w="159"
 h="22"
 text="Contact Us Form"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000080"
  fontsize="19"
></label>

<label
 name="My Text 6"
 x="12"
 y="120"
 w="76"
 h="16"
 text="Telephone:"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000080"
  fontsize="13"
></label>

<label
 name="My Text 7"
 x="168"
 y="381"
 w="176"
 h="14"
 text="Fields marked with a * must be filled"
  fontname="Arial"
  fontcolor="0x000080"
  fontsize="11"
></label>

</form>