<form name='contact-form'> <div>Your Name : </div> <input class='contact-form-name' id='ContactForm1_contact-form-name' name='name' size='30' type='text' value=''/> <div>Your Email: <em>(required)</em></div> <input class='contact-form-email' id='ContactForm1_contact-form-email' name='email' size='30' type='text' value=''/> <div>Your Message: <em>(required)</em></div> <textarea class='contact-form-email-message' id='ContactForm1_contact-form-email-message' name='email-message' rows='5'></textarea> <p></p> <input class='contact-form-button contact-form-button-submit' id='ContactForm1_contact-form-submit' type='button' value='Send'/> <div style='text-align: center; max-width: 450px; width: 100%'> <p class='contact-form-error-message' id='ContactForm1_contact-form-error-message'></p> <p class='contact-form-success-message' id='ContactForm1_contact-form-success-message'></p> </div> </form>
