Name:
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<form enctype="multipart/form-data" method="post" action="http://www.response-o-matic.com/mail.php" accept-charset="UTF-8">
<div>
<input type="hidden" name="acctid" id="acctid" value="6idzlp9nwjhyreo5" />
<input type="hidden" name="formid" id="formid" value="905397" />
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<table cellspacing="5" cellpadding="5" border="0">
<tr>
<td valign="top">
<strong>Name:</strong>
</td>
<td valign="top">
<input type="text" name="name" id="name" size="40" value="" />

</td>
</tr>
<tr>
<td valign="top">
<strong>Email Address:</strong>
</td>
<td valign="top">
<input type="text" name="email" id="email" size="40" value="" />

</td>
</tr>
<tr>
<td valign="top">
<strong>Message</strong>
</td>
<td valign="top">
<textarea name="field-172eda9bab8b434" id="field-172eda9bab8b434" rows="6" cols="40"></textarea>

</td>
</tr>
<tr>
<td colspan="2" align="center">
<input type="submit" value=" Submit Form " />
</td>
</tr>
</table>
</form>
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Name:
Email Address:
Message

This contact form was created by Freedback.
NAME
tEMAIL ADDRESS
tMESSAGE
Double click to editEmail - ali@purebengals.co.uk    Tel - 01405 818017