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Text File  |  1978-01-19  |  454b  |  9 lines
  1. <table border="3" cellspacing="3" cellpadding="3">
  2. <tr><th>Name:  </th><td><input name="name" size="40"><br> <br></td></tr>
  3. <tr><th>Address:  </th><td><input name="address" size="40"><br> <br></td></tr>
  4. <tr><th>Phone:  </th><td><input name="phone" size="40"><br> <br></td></tr>
  5. <tr><th>E-Mail:  </th><td><input name="email" size="40"><br> <br></td></tr>
  6. <tr><td colspan="2" align="center"><input type="submit" value="ok"> <br></td></tr>
  7. </table>
  8. </form>
  9.