<div><form method=”post”>
<div id=”centercontent”>
<table style=”font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 13px;” border=”0″ cellspacing=”5″ cellpadding=”5″ width=”97%”>
<tbody>
<tr>
<td colspan=”4″ height=”30″ align=”left” valign=”top”>
<h1><a href=”#”>Contact Spanishreconquista.com</a></h1>
</td>
</tr>
<tr>
<td align=”right”></td>
<td colspan=”3″ height=”30″ align=”left” valign=”top”><span>Contact by using this form.</span></td>
</tr>
<tr>
<td align=”right”></td>
<td align=”right”></td>
<td width=”5%” align=”right”></td>
<td align=”left”>All fields are required except the telephone and comment fields.</td>
</tr>
<tr>
<td width=”5%” align=”right”></td>
<td width=”24%” align=”right”>Full Name:</td>
<td width=”5%” align=”right”></td>
<td width=”71%” align=”left”><input name=”flname” size=”25″ type=”text” /></td>
</tr>
<tr>
<td align=”right”></td>
<td align=”right”>Email:</td>
<td width=”5%” align=”right”></td>
<td align=”left”><input name=”email” size=”25″ type=”text” /></td>
</tr>
<tr>
<td align=”right”></td>
<td align=”right”>Telephone:</td>
<td width=”5%” align=”right”></td>
<td align=”left”><input name=”telephone” size=”25″ type=”text” /></td>
</tr>
<tr>
<td align=”right”></td>
<td align=”right” valign=”top”>Message:</td>
<td width=”5%” align=”right” valign=”top”></td>
<td align=”left”><textarea cols=”30″ rows=”3″ name=”comment”></textarea></td>
</tr>
<tr>
<td align=”right”></td>
<td align=”right” valign=”top”></td>
<td width=”5%” align=”right” valign=”top”></td>
<td align=”left”><img src=”captcha.php” alt=”captcha” /></td>
</tr>
<tr>
<td align=”right”></td>
<td align=”right” valign=”top”>Enter the code:</td>
<td width=”5%” align=”right” valign=”top”></td>
<td align=”left”><input name=”code” size=”25″ type=”text” /></td>
</tr>
<tr>
<td align=”right”></td>
<td align=”right”></td>
<td width=”5%” align=”right”></td>
<td align=”left”><input name=”submit” type=”submit” value=” Send ” /> <input name=”sd” type=”hidden” value=”spanishreconquista.com” /></td>
</tr>
</tbody>
</table>
</div>
</form></div>