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<html><div><p> <form id="emf-form" enctype="multipart/form-data" method="post" action="http://www.emailmeform.com/builder/form/fMAqW8U7fC"; name="emf-form"> <table style="text-align:left;" cellpadding="2" cellspacing="0" border="0" bgcolor="transparent"> <tr> <td style="" colspan="2"> <font face="Verdana" size="2" color="#EBEBEB"><b style="font-size:20px;">Contact Richelle at "Photo's by Richelle"</b><br /> <br /></font> </td> </tr> <tr valign="top"> <td style="" align=""> <font face="Verdana" size="2" color="#EBEBEB"><b>Name</b></font> <span style="color:red;"><small>*</small></span> </td> </tr> <tr> <td style=""> <input id="element_0" name="element_0" value="" size="30" class="validate[required]" type="text" /> <div style="padding-bottom:8px;color:#ebebeb;"></div> </td> </tr> <tr valign="top"> <td style="" align=""> <font face="Verdana" size="2" color="#EBEBEB"><b>Phone Number</b></font> </td> </tr> <tr> <td style=""> <table cellpadding='0' cellspacing='0' border='0'> <tr> <td style='padding-left:0px;'> <input maxlength='3' style='width:30px;' value='' id='element_1_1' name='element_1[]' type='text' class='validate[optional,custom[onlyNumber],length[3,3]]' /><br /> <font face="Verdana" size="2" color="#EBEBEB">###</font> </td> <td style='padding-top:5px;padding-left:3px;' valign='top'> <font face="Verdana" size="2" color="#EBEBEB">-</font> </td> <td style='padding-left:3px;'> <input maxlength='3' style='width:30px;' value='' id='element_1_2' name='element_1[]' type='text' class='validate[optional,custom[onlyNumber],length[3,3]]' /><br /> <font face="Verdana" size="2" color="#EBEBEB">###</font> </td> <td style='padding-top:5px;padding-left:3px;' valign='top'> <font face="Verdana" size="2" color="#EBEBEB">-</font> </td> <td style='padding-left:3px;'> <input maxlength='4' style='width:40px;' value='' id='element_1_3' name='element_1[]' type='text' class='validate[optional,custom[onlyNumber],length[4,4]]' /><br /> <font face="Verdana" size="2" color="#EBEBEB">####</font> </td> </tr> </table> <div style="padding-bottom:8px;color:#ebebeb;"></div> </td> </tr> <tr valign="top"> <td style="" align=""> <font face="Verdana" size="2" color="#EBEBEB"><b>Email</b></font> <span style="color:red;"><small>*</small></span> </td> </tr> <tr> <td style=""> <input id="element_2" name="element_2" class="validate[required,custom[email]]" value="" size="30" type="text" /> <div style="padding-bottom:8px;color:#ebebeb;"></div> </td> </tr> <tr valign="top"> <td style="" align=""> <font face="Verdana" size="2" color="#EBEBEB"><b>Subject</b></font> <span style="color:red;"><small>*</small></span> </td> </tr> <tr> <td style=""> <input id="element_3" name="element_3" value="" size="30" class="validate[required]" type="text" /> <div style="padding-bottom:8px;color:#ebebeb;"></div> </td> </tr> <tr valign="top"> <td style="" align=""> <font face="Verdana" size="2" color="#EBEBEB"><b>Message</b></font> <span style="color:red;"><small>*</small></span> </td> </tr> <tr> <td style=""> <textarea id="element_4" name="element_4" cols="60" rows="10" class="validate[required]"> </textarea> <div style="padding-bottom:8px;color:#ebebeb;"></div> </td> </tr> <tr> <td colspan="2" align="center"> <input name="element_counts" value="5" type="hidden" /> <input name="embed" value="forms" type="hidden" /><input value="Send email" type="submit" /><input value="Clear" type="reset" /> </td> </tr> </table> </form> </p> </div> </html>