<?xml version="1.0" encoding="UTF-8"?>

<form url="form_question.php"
 window="_self"
 method="POST"
 fontname="MS Sans Serif"
 width="1200"
 height="840"
 bkcolor="0x000000"
 transparent="f"
 fontcolor="0x000000"
 outlinecolor="0xFFFFFF"
 themecolor="0xFFFF99"
 fontcolor2="#000000"
 bkcolor2="#FFFFFF"
 includeresults="false"
 emailuser="false"
 verifymessage="The E-Mail address you entered does not match !"
 reqmessage="One or More Fields are Required !"
 invalidemailmsg="is an invalid address, please correct it."
 transition="2"
 autoresponseincluderesults="f"
 autoresponseaddtotop="f"
 usephp="true"
disableclicktoactiveprompt="false"
 extensions="*.txt;*.gif;*.jpg;*.jpeg;*.zip;*.doc;*.png;*.pdf;*.rtf;*.html;*.docx;*.xslx"
>

<hidden
 name="thankyoupage"
 value="http://www.lawsden.com/servlet/StoreFront"
></hidden>

<hidden
 name="subject"
 value=""
></hidden>

<image
 image="main image 607 511.png"
 x="0"
 y="0"
 bk="true"
></image>

<image
 image="right_border.png"
 x="750"
 y="75"
></image>

<image
 image="left_border.png"
 x="200"
 y="75"
></image>

<textinput
 name="Input Box"
 x="225"
 y="150"
 w="274"
 h="22"
 initvalue=""
 maxchars="25"
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 editable="true"
>
</textinput>

<textinput
 name="E-Mail"
 x="225"
 y="225"
 w="274"
 h="22"
 initvalue=""
 maxchars="25"
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 emailbox="true"
 editable="true"
  restrict="email"
>
</textinput>

<textinput
 name="Telephone"
 x="225"
 y="300"
 w="275"
 h="22"
 initvalue=""
 maxchars="25"
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 editable="true"
>
</textinput>

<textarea
 name="Message"
 x="225"
 y="375"
 w="549"
 h="145"
 initvalue=""
 wordwrap="true"
 editable="true"
 bkcolor="0xFFFFFF"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></textarea>

<submitbutton
 name="Reset Button"
 x="225"
 y="525"
 w="125"
 h="31"
 label="Submit"
 fontname="Arial"
 fontcolor="0x000000"
 image="submit form.png"
  fontsize="12"
></submitbutton>

<label
 name="My Text 1"
 x="450"
 y="50"
 w="247"
 h="28"
 text="Questions / Comments"
 fontbold="bold"
 fontitalic="italic"
  fontname="Cambria"
  fontcolor="0xFFFF99"
  fontsize="23"
></label>

<label
 name="My Text 2"
 x="225"
 y="125"
 w="44"
 h="19"
 text="Name"
  fontname="Cambria"
  fontcolor="0xFFFF99"
  fontsize="16"
></label>

<label
 name="My Text 6"
 x="300"
 y="75"
 w="7"
 h="15"
 text=""
  fontname="Times New Roman"
  fontcolor="0x352C20"
  fontsize="13"
></label>

<label
 name="My Text 4"
 x="225"
 y="200"
 w="40"
 h="15"
 text="E-Mail"
  fontname="Cambria"
  fontcolor="0xFFFF99"
  fontsize="13"
></label>

<label
 name="My Text 3"
 x="225"
 y="575"
 w="270"
 h="19"
 text="Response Via Email and/or Telephone"
  fontname="Cambria"
  fontcolor="0xFFFFFF"
  fontsize="16"
></label>

<label
 name="My Text 5"
 x="225"
 y="275"
 w="77"
 h="19"
 text="Telephone"
  fontname="Cambria"
  fontcolor="0xFFFF99"
  fontsize="16"
></label>

<label
 name="My Text 8"
 x="225"
 y="350"
 w="63"
 h="19"
 text="Message"
  fontname="Cambria"
  fontcolor="0xFFFF99"
  fontsize="16"
></label>

<captcha
 name="My Captcha 1"
 x="830"
 y="408"
 w="133"
 h="100"
 text="Enter Key Here:"
 fnt="Arial"
 fntclr="0x000000"
 fntsize="11"
 bkbdrcolor="0x000000"
 bkfillclr="0xFFFFFF"
 bkdobdr="t"
 bkbdrsolid="t"
 bkdobk="t"
 bkfillalpha="100"
 message="Incorrect key!"
></captcha>

</form>
