Please complete the form below to contact webrite creations, alternatively<br />
  call 0845 009 4474.
  <form action="page.php?type=p&page=thankyou" method="post">
      <table>
        <!---->
        <tr>
          <td width="160px">Name<span class="required"> *</span></td>
          <td><input class="contacttext" type="text" name="name" style="width:200px"/></td>
          <td>&nbsp;</td>
        </tr>
        <tr>
          <td>Company </td>
          <td><input class="contacttext" type="text" name="company" style="width:200px"/></td>
          <td>&nbsp;</td>
        </tr>
        <tr>
          <td>Telephone Number </td>
          <td><input class="contacttext" type="text" name="telephone" style="width:200px"/></td>
          <td>&nbsp;</td>
        </tr>
        <tr>
          <td>Email Address<span class="required"> *</span></td>
          <td><input class="contacttext" type="text" name="email" style="width:200px"/></td>
          <td>&nbsp;</td>
        </tr>
        <tr>
          <td>Method of Contact </td>
          <td><select name="method" style="width:200px" class="contacttext">
              <option value="Telephone">Telephone</option>
              <option value="Email" selected="selected">Email</option>
          </select></td>
          <td>&nbsp;</td>
        </tr>
        <tr>
          <td valign="top">Message <span class="required">*</span></td>
          <td><textarea name="message" cols="1" rows="4" class="contacttext" style="width:200px"></textarea>
          </td>
          <td>&nbsp;</td>
        </tr>
        <tr>
          <td>Enter the security code <span class="required">*</span><br />
              <img src="captcha_image.php" /></td>
          <td valign="top"><input class="contacttext" type="text" name="captcha_input" size="15" /></td>
          <td height="33"></td>
        </tr>
        <tr>
          <td><span class="required">*</span> - Required Field</td>
          <td><input type="hidden" name="comp" value="Webrite Creations" />
              <input type="submit" name="Submit" value="Submit" />
            &nbsp;&nbsp;&nbsp;
            <input type="reset" name="reset" value="Reset" />
          </td>
          <td>&nbsp;</td>
        </tr>
      </table>
  </form>
</div>