<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>Untitled Document</title>
<style type="text/css">
<!--
.style2 {color: #FF0000}
.style3 { font-family: Arial, Helvetica, sans-serif;
font-size: 14px;
color: #2A1FAA;
}
.style7 { font-family: Arial, Helvetica, sans-serif;
font-size: 16px;
}
#form1 input {
margin-right: 40px;
}
#formwrap {
font: 14px Arial, Helvetica, sans-serif;
color: #000000;
width: 550px;
border: 1px solid #FFEAB3;
margin-right: auto;
margin-left: auto;
}
#Layer3 #rightcolumn {
font: 14px Arial, Helvetica, sans-serif;
float: right;
width: 157px;
margin-left: 5px;
border: 1px solid #DEDEE0;
background: #E6FFFF;
}
.style2 {color: #FF0000}
#Layer3 #formwrap #form1 input {
margin-right: 40px;
}
.style3 {
font-family: Arial, Helvetica, sans-serif;
font-size: 14px;
color: #2A1FAA;
}
-->
</style>
</head>
<body>
<div id="formwrap">Content for New Div Tag Goes Here
<form action="sales_contact_form_process.php" method="post" enctype="multipart/form-data" name="form1" target="_self" id="form1">
<table width="100%" cellspacing="5" cellpadding="3">
<tr>
<td colspan="2" bgcolor="#FFEFC6"><span class="style3">All fields marked with " </span><span class="style7"><font color="#ff0000">* </font></span><span class="style3">" are required.</span> </td>
</tr>
<tr>
<td bgcolor="#FFF3D5">Name:</td>
<td align="left" bgcolor="#FFF3D5"><input name="Name" type="text" id="Name" size="40" />
<span class="style2">*</span></td>
</tr>
<tr>
<td bgcolor="#FFF3D5">Email:</td>
<td bgcolor="#FFF3D5"><input name="Email" type="text" id="Email" size="40" />
<span class="style2">*</span></td>
</tr>
<tr>
<td bgcolor="#FFF3D5">Address:</td>
<td bgcolor="#FFF3D5"><input name="Address" type="text" id="Address" value="" size="40" /></td>
</tr>
<tr>
<td bgcolor="#FFF3D5">Country:</td>
<td bgcolor="#FFF3D5"><select name="Country" id="Country">
<option value="">Please, select your country</option>
<option>Afghanistan</option>
<option>Albania</option>
<option>Algeria</option>
<option>American Samoa</option>
<option>Andorra</option>
<option>Angola</option>
<option>Anguilla</option>
<option>Antarctica</option>
<option>Antigua and Barbuda</option>
<option>Argentina</option>
<option>Armenia</option>
<option>Aruba</option>
<option>Australia</option>
<option>Austria</option>
<option>Azerbaijan</option>
<option>Bahamas</option>
<option>Bahrain</option>
<option>Bangladesh</option>
<option>Barbados</option>
<option>Belarus</option>
<option>Belgium</option>
<option>Belize</option>
<option>Benin</option>
<option>Bermuda</option>
<option>Bhutan</option>
<option>Bolivia</option>
<option>Bosnia and Herzegovina</option>
<option>Botswana</option>
<option>Bouvet Island</option>
<option>Brazil</option>
<option>British Indian Ocean Territory</option>
<option>Brunei</option>
<option>Bulgaria</option>
<option>Burkina Faso</option>
<option>Burundi</option>
<option>Cambodia</option>
<option>Cameroon</option>
<option>Canada</option>
<option>Cape Verde</option>
<option>Cayman Islands</option>
<option>Central African Republic</option>
<option>Chad</option>
<option>Chile</option>
<option>China</option>
<option>Christmas Island</option>
<option>Cocos ( Keeling ) Islands</option>
<option>Colombia</option>
<option>Comoros</option>
<option>Congo</option>
<option>Cook Islands</option>
<option>Costa Rica</option>
<option>Côte d ' Ivoire</option>
<option>Croatia ( Hrvatska )</option>
<option>Cuba</option>
<option>Cyprus</option>
<option>Czech Republic</option>
<option>Congo ( DRC )</option>
<option>Denmark</option>
<option>Djibouti</option>
<option>Dominica</option>
<option>Dominican Republic</option>
<option>East Timor</option>
<option>Ecuador</option>
<option>Egypt</option>
<option>El Salvador</option>
<option>Equatorial Guinea</option>
<option>Eritrea</option>
<option>Estonia</option>
<option>Ethiopia</option>
<option>Falkland Islands ( Islas Malvinas )</option>
<option>Faroe Islands</option>
<option>Fiji Islands</option>
<option>Finland</option>
<option>France</option>
<option>French Guiana</option>
<option>French Polynesia</option>
<option>French Southern and Antarctic Lands</option>
<option>Gabon</option>
<option>Gambia</option>
<option>Georgia</option>
<option>Germany</option>
<option>Ghana</option>
<option>Gibraltar</option>
<option>Greece</option>
<option>Greenland</option>
<option>Grenada</option>
<option>Guadeloupe</option>
<option>Guam</option>
<option>Guatemala</option>
<option>Guinea</option>
<option>Guinea-Bissau</option>
<option>Guyana</option>
<option>Haiti</option>
<option>Heard Island and McDonald Islands</option>
<option>Honduras</option>
<option>Hong Kong SAR</option>
<option>Hungary</option>
<option>Iceland</option>
<option>India</option>
<option>Indonesia</option>
<option>Iran</option>
<option>Iraq</option>
<option>Ireland</option>
<option>Israel</option>
<option>Italy</option>
<option>Jamaica</option>
<option>Japan</option>
<option>Jordan</option>
<option>Kazakhstan</option>
<option>Kenya</option>
<option>Kiribati</option>
<option>Korea</option>
<option>Kuwait</option>
<option>Kyrgyzstan</option>
<option>Laos</option>
<option>Latvia</option>
<option>Lebanon</option>
<option>Lesotho</option>
<option>Liberia</option>
<option>Libya</option>
<option>Liechtenstein</option>
<option>Lithuania</option>
<option>Luxembourg</option>
<option>Macao SAR</option>
<option>Macedonia, Former Yugoslav Republic of</option>
<option>Madagascar</option>
<option>Malawi</option>
<option>Malaysia</option>
<option>Maldives</option>
<option>Mali</option>
<option>Malta</option>
<option>Marshall Islands</option>
<option>Martinique</option>
<option>Mauritania</option>
<option>Mauritius</option>
<option>Mayotte</option>
<option>Mexico</option>
<option>Micronesia</option>
<option>Moldova</option>
<option>Monaco</option>
<option>Mongolia</option>
<option>Montserrat</option>
<option>Morocco</option>
<option>Mozambique</option>
<option>Myanmar</option>
<option>Namibia</option>
<option>Nauru</option>
<option>Nepal</option>
<option>Netherlands</option>
<option>Netherlands Antilles</option>
<option>New Caledonia</option>
<option>New Zealand</option>
<option>Nicaragua</option>
<option>Niger</option>
<option>Nigeria</option>
<option>Niue</option>
<option>Norfolk Island</option>
<option>North Korea</option>
<option>Northern Mariana Islands</option>
<option>Norway</option>
<option>Oman</option>
<option>Pakistan</option>
<option>Palau</option>
<option>Panama</option>
<option>Papua New Guinea</option>
<option>Paraguay</option>
<option>Peru</option>
<option>Philippines</option>
<option>Pitcairn Islands</option>
<option>Poland</option>
<option>Portugal</option>
<option>Puerto Rico</option>
<option>Qatar</option>
<option>Reunion</option>
<option>Romania</option>
<option>Russia</option>
<option>Rwanda</option>
<option>Samoa</option>
<option>San Marino</option>
<option>São Tomé and Prìncipe</option>
<option>Saudi Arabia</option>
<option>Senegal</option>
<option>Serbia and Montenegro</option>
<option>Seychelles</option>
<option>Sierra Leone</option>
<option>Singapore</option>
<option>Slovakia</option>
<option>Slovenia</option>
<option>Solomon Islands</option>
<option>Somalia</option>
<option>South Africa</option>
<option>South Georgia and the South Sandwich Islands</option>
<option>Spain</option>
<option>Sri Lanka</option>
<option>St. Helena</option>
<option>St. Kitts and Nevis</option>
<option>St. Lucia</option>
<option>St. Pierre and Miquelon</option>
<option>St. Vincent and the Grenadines</option>
<option>Sudan</option>
<option>Suriname</option>
<option>Svalbard and Jan Mayen</option>
<option>Swaziland</option>
<option>Sweden</option>
<option>Switzerland</option>
<option>Syria</option>
<option>Taiwan</option>
<option>Tajikistan</option>
<option>Tanzania</option>
<option>Thailand</option>
<option>Togo</option>
<option>Tokelau</option>
<option>Tonga</option>
<option>Trinidad and Tobago</option>
<option>Tunisia</option>
<option>Turkey</option>
<option>Turkmenistan</option>
<option>Turks and Caicos Islands</option>
<option>Tuvalu</option>
<option>Uganda</option>
<option>Ukraine</option>
<option>United Arab Emirates</option>
<option>United Kingdom</option>
<option>United States</option>
<option>United States Minor Outlying Islands</option>
<option>Uruguay</option>
<option>Uzbekistan</option>
<option>Vanuatu</option>
<option>Vatican City</option>
<option>Venezuela</option>
<option>Viet Nam</option>
<option>Virgin Islands ( British )</option>
<option>Virgin Islands</option>
<option>Wallis and Futuna</option>
<option>Yemen</option>
<option>Zambia</option>
<option>Zimbabwe</option>
</select>
<span class="style2">*</span></td>
</tr>
<tr>
<td bgcolor="#FFF3D5">Zip Code: </td>
<td bgcolor="#FFF3D5"><input name="ZipCode" type="text" id="ZipCode" size="40" /></td>
</tr>
<tr>
<td bgcolor="#FFF3D5">Phone:</td>
<td bgcolor="#FFF3D5"><input name="Phone" type="text" id="Phone" size="40" /></td>
</tr>
<tr>
<td bgcolor="#FFF3D5">Message:</td>
<td bgcolor="#FFF3D5"><textarea name="Message" cols="30" rows="5"></textarea>
<span class="style2"> *</span></td>
</tr>
<tr>
<td colspan="2" align="center" bgcolor="#FFEFC6"><input type="submit" name="Submit" value="Submit" />
<input type="reset" name="Submit2" value="Reset" /></td>
</tr>
<tr>
<td colspan="2"> </td>
</tr>
</table>
</form>
</div>
</body>
</html>