tag:blogger.com,1999:blog-18567035250875341222024-03-14T00:25:30.112-07:00ContactMeranti Permai Indahhttp://www.blogger.com/profile/08412863509442144634noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-1856703525087534122.post-4197588004908496762008-04-19T09:25:00.000-07:002008-04-19T17:44:10.243-07:00Contact<div style="text-align: center;">Please Contact us<br /></div><form method="post" enctype="multipart/form-data" action="http://pub29.bravenet.com/emailfwd/senddata.php"><input name="usernum" value="2412448374" type="hidden"><table align="center" border="0" cellpadding="0" cellspacing="0"><br /><tbody><tr><br /><td><h3 style="border-bottom: 1px solid black;">Contact Form MPI</h3></td><br /></tr><br /><tr><br /><td><br /><label for="FirstLastName" style="float: left; width: 140px;">First and Last Name:</label><input name="FirstLastName" id="FirstLastName" value="" maxlength="" style="width: 200px;" type="text"><div style="clear: left; height: 20px;"> </div><br /><br /><label for="Email" style="float: left; width: 140px;">E-Mail Address:</label><input name="Email" id="Email" value="" maxlength="" style="width: 200px;" type="text"><div style="clear: left; height: 20px;"> </div><br /><br /><label for="Message" style="float: left; width: 140px;">Message:</label><textarea name="Message" id="Message" maxlength="" style="width: 200px; height: 200px;"></textarea><div style="clear: left; height: 20px;"> </div><br /><br /></td><br /></tr><tr><br /><td align="right"><br /><!-- YOU CAN MODIFY THE TEXT WITHIN VALUE="" TO MODIFY YOUR BUTTON TEXT--><br /><input value=" Submit " type="submit"> <input value=" Reset " type="reset"><br /></td><br /></tr><br /></tbody></table><br /></form>Meranti Permai Indahhttp://www.blogger.com/profile/08412863509442144634noreply@blogger.com0