<html> <head> <link rel='stylesheet' type='text/css' href='style.css'> </head> <body> <div align="center"> <h3>Add Contact</h3> <form action="process.php" method="POST"> <table align="center"> <tr> <td> <table cellpadding=3 align="left"> <tr> <td align="right">Name: *</td> <td><input type="text" name="name" style="width:250px;"></td> </tr> <tr> <td align="right">First Name: *</td> <td><input type="text" name="fname" style="width:250px;"></td> </tr> <tr> <td align="right">Company:</td> <td><input type="text" name="company" style="width:250px;"></td> </tr> <tr> <td align="right">Address:</td> <td><input type="text" name="address" style="width:250px;"></td> </tr> <tr> <td align="right">City:</td> <td><input type="text" name="city" style="width:250px;"></td> </tr> <tr> <td align="right">State:</td> <td><input type="text" name="state" style="width:250px;"></td> </tr> <tr> <td align="right">Postal Code:</td> <td><input type="text" name="plz" style="width:100px;"></td> </tr> <tr> <td align="right">Country:</td> <td><input type="text" name="country" style="width:250px;"></td> </tr> </table> </td> <td valign="top"> <table cellpadding=3 align="left"> <tr> <td align="right">Phone:</td> <td><input type="text" name="phone" style="width:250px;"></td> </tr> <tr> <td align="right">Fax:</td> <td><input type="text" name="fax" style="width:250px;"></td> </tr> <tr> <td align="right">Mobile:</td> <td><input type="text" name="mobile" style="width:250px;"></td> </tr> <tr> <td align="right">Office Phone:</td> <td><input type="text" name="oficephone" style="width:250px;"></td> </tr> <tr> <td align="right">Email Address:</td> <td><input type="text" name="email" style="width:250px;"></td> </tr> <tr> <td align="right">Website:</td> <td><input type="text" name="website" style="width:250px;"></td> </tr> </table> </td></tr></table> Annotations:<br> <textarea cols="55" rows="7" name="annotations"></textarea> <br> <input type="submit" value=" Register Data"> <input type="reset" value="Reset"></td></tr></table> </form> * = required field <br> <br> ©2008-2009 - Free Service by <a href="http://www.rootserver.lu" target="_blank">Rootserver.lu</a> </body> </html> </table> </form>