<?xml version="1.0" encoding="UTF-8"?>

<form url="callback_2011.php"
 window="_self"
 method="POST"
 fontname="MS Sans Serif"
 width="200"
 height="95"
 bkcolor="0xF8F8F8"
 transparent="f"
 fontcolor="0x000000"
 outlinecolor="0xF5F5F5"
 themecolor="0x99CC00"
 fontcolor2="#000000"
 bkcolor2="#FFFFFF"
 includeresults="false"
 emailuser="false"
 verifymessage="The E-Mail address you entered does not match !"
 reqmessage="Please fill in all fields."
 invalidemailmsg="does not appear to be a valid e-mail address. Would you like to change it?"
 transition="0"
 autoresponseincluderesults="t"
 autoresponseaddtotop="t"
 usephp="true"
disableclicktoactiveprompt="false"
 extensions=""
>

<hidden
 name="thankyoupage"
 value="http://www.quantitysurveyor.ie/requestprocessed.html"
></hidden>

<hidden
 name="subject"
 value="Callback Request Form from Quantity surveyor.ie"
></hidden>

<image
 image="form_back.jpg"
 x="0"
 y="0"
 bk="true"
></image>

<textinput
 name="Name"
 x="48"
 y="5"
 w="151"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Lucida Sans Unicode"
  fontcolor="0x000000"
 required="true"
 editable="true"
>
</textinput>

<textinput
 name="Phone Number"
 x="47"
 y="36"
 w="152"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Lucida Sans Unicode"
  fontcolor="0x000000"
 editable="true"
>
</textinput>

<submitbutton
 name="submitbutton1"
 x="112"
 y="66"
 w="87"
 h="25"
 label="Send Form"
 fontname="Trebuchet MS"
 fontcolor="0x000000"
 image="submitcircularroundsmall.png"
  fontsize="12"
></submitbutton>

<label
 name="My Text 9"
 x="0"
 y="36"
 w="45"
 h="16"
 text="Phone:"
  fontname="Arial"
  fontcolor="0x808080"
  fontsize="13"
></label>

<label
 name="My Text 2"
 x="4"
 y="6"
 w="42"
 h="16"
 text="Name:"
  fontname="Arial"
  fontcolor="0x808080"
  fontsize="13"
></label>

</form>