Contact Me - Larry-Lindell

Contact Me

<form id="emf-form" enctype="multipart/form-data" method="post" action="http://www.emailmeform.com/builder/form/guEdmNkZ4Mtp15l" name="emf-form">
  <table style="text-align:left;" cellpadding="2" cellspacing="0" border="0" bgcolor="transparent">
    <tr>
      <td style="" colspan="2">
        <font face="Verdana" size="2" color="#ffffff"><b style="font-size:20px;">Contact Me</b><br />
        <br /></font>
      </td>
    </tr>
    <tr valign="top">
      <td id="td_element_label_0" style="" align="">
        <font face="Verdana" size="2" color="#ffffff"><b>Name</b></font> <span style="color:red;"><small>*</small></span>
      </td>
    </tr>
    <tr>
      <td id="td_element_field_0" style="">
        <input id="element_0" name="element_0" value="" size="30" class="validate[required]" type="text" />
        <div style="padding-bottom:8px;color:#ffffff;"></div>
      </td>
    </tr>
    <tr valign="top">
      <td id="td_element_label_1" style="" align="">
        <font face="Verdana" size="2" color="#ffffff"><b>Phone</b></font>
      </td>
    </tr>
    <tr>
      <td id="td_element_field_1" style="">
        <input id="element_1" name="element_1" class="validate[optional,custom[telephone]]" value="" size="30" type="text" />
        <div style="padding-bottom:8px;color:#ffffff;"></div>
      </td>
    </tr>
    <tr valign="top">
      <td id="td_element_label_2" style="" align="">
        <font face="Verdana" size="2" color="#ffffff"><b>Email</b></font> <span style="color:red;"><small>*</small></span>
      </td>
    </tr>
    <tr>
      <td id="td_element_field_2" style="">
        <input id="element_2" name="element_2" class="validate[required,custom[email]]" value="" size="30" type="text" />
        <div style="padding-bottom:8px;color:#ffffff;"></div>
      </td>
    </tr>
    <tr valign="top">
      <td id="td_element_label_3" style="" align="">
        <font face="Verdana" size="2" color="#ffffff"><b>Subject</b></font> <span style="color:red;"><small>*</small></span>
      </td>
    </tr>
    <tr>
      <td id="td_element_field_3" style="">
        <input id="element_3" name="element_3" value="" size="30" class="validate[required]" type="text" />
        <div style="padding-bottom:8px;color:#ffffff;"></div>
      </td>
    </tr>
    <tr valign="top">
      <td id="td_element_label_4" style="" align="">
        <font face="Verdana" size="2" color="#ffffff"><b>Message</b></font> <span style="color:red;"><small>*</small></span>
      </td>
    </tr>
    <tr>
      <td id="td_element_field_4" style="">
        <textarea id="element_4" name="element_4" cols="60" rows="10" class="validate[required]">
</textarea>
        <div style="padding-bottom:8px;color:#ffffff;"></div>
      </td>
    </tr>
    <tr>
      <td colspan="2" align="right">
        <input name="element_counts" value="5" type="hidden" /> <input name="embed" value="forms" type="hidden" /><input value="Send email" type="submit" /><input value="Clear" type="reset" />
      </td>
    </tr>
  </table>
</form>

larrylindell@me.com


Prints can be purchased directly from this website, but I would prefer to hear from you directly to know exactly what you want.  Then I can print it myself, sign it and  make it personally yours.

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