{HEADER}
<script language="javascript">
function Submitform()
	{
	if  (document.sub.email.value=='') alert("Invalid Email Address");
	else 
		{
		if ( ((document.sub.email.value.indexOf('@',1))==-1)||(document.sub.email.value.indexOf('.',1))==-1 )
					alert("Invalid Email Address");
					 
		else 	document.sub.submit();
		}
	}
</script>
<table width="780" height="80%" border="0" align="center" cellpadding="0" cellspacing="0">
	<tr>
		<td background="./img/bg.jpg" valign="top" align="center">
			<div style="padding: 10px; width: 600px; font-size: 14px; color: #000000;" align="center">
				{CONTENT}
				<table  cellspacing="2" cellpadding="5" align="center">
					<tr>
						<td  colspan=2>Contact Us</td>
					</tr>
					<form action="contact_us_send.php" method="post"  name="sub">
					<tr>
						<td align=right width="30%"><strong>First Name:</strong><span class="star">*</span></td>
						<td align=center ><input type="text" name="first_name" size="30"></td>
					</tr>
					<tr>
						<td align=right><strong>Last Name:</strong><span class="star">*</span></td>
						<td align=center ><input type="text" name="last_name" size="30"></td>
					</tr>
					<tr>
						<td align=right><strong>Email Address:</strong><span class="star">*</span></td>
						<td align=center ><input type="text" name="email" size="30"></td>
					</tr>
					<tr>
						<td align=right><strong>Phone Number:</strong></td>
						<td align=center ><input type="text" name="phone" size="30"></td>
					</tr>
					<tr>
						<td align=right><strong>Comment:</strong><span class="star">*</span></td>
						<td align=center >
						<textarea cols="30" rows="5" name="comment"></textarea></td>
					</tr>
					<tr>
						<td colspan=2 align=center >
						<input type="button" value=" Send " onclick=Submitform()></td>
					</tr>
				</table>
				<input type="hidden" name="send" value="on">
				</form>
			</div>
		</td>
	</tr>
</table>
{FOOTER}