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	    <table>
	    <tr>
	    	<input type="hidden" name="name_8" value="Name">
	    	<td>


<font face='Arial' size='2' color='#000000'>

Name:

</font>


</td>
	    	<td><input type="text" name="field_8" size="30"></td>
	    </tr> 
	    <tr>
	    	<input type="hidden" name="name_9" value="Email" >
	    	<td>


<font face='Arial' size='2' color='#000000'>

Email:

</font>


 &nbsp;</td>
	    	<td><input type="text" name="field_9" size="30"></td>
	    </tr> 
	    <tr>
	    	<input type="hidden" name="name_10" value="Comments">
		<td>


<font face='Arial' size='2' color='#000000'>

Comments:

</font>


 &nbsp;</td>
		<td><textarea name="field_10" rows="4" cols="40"></textarea></td>
	    </tr> 
	    <tr>
	    <td><br></td>
	    </tr>
	    <tr>
		<td colspan="2">
		<input type="submit" value="Submit Information" >
		</td>
	    </tr>
	    </table>
	</form>
    </td>
</tr>
</table>
</center>


<!-- EOF: ./personal-templates/simple/business/contact/html -->
</TD>
                                </TR>
                        </TABLE>

                </TD>
        </TR>
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</TD>
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</TABLE>
<!-- EOF: ./personal-templates/simple/business/layout/l32.layout -->

    
<!-- BOF: ./personal-templates/simple/themes.show.body -->


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</body>
<!-- BOF: ./personal-templates/simple/themes.show.end -->


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</html>


<!-- EOF: ./personal-templates/show.body -->