<!--
function showform(){
	document.write("<form method='POST' action='contact_submit.php'> <div class='table_box'> <div class='lightblue_stripe'>Clickz Contact Form</div> <table width='100%' class='packages' cellpadding='0' cellspacing='0'> <tr class='blue_row'> <td width='25%'><strong>First Name*</strong></td> <td><input type='text' name='first_name' id='first_name' size='25' /></td> </tr> <tr> <td valign='top'><strong>Last Name*</strong></td> <td><input type='text' name='last_name' id='last_name' size='25' /></td> </tr> <tr> <td><strong>Email*</strong></td> <td><input type='text' name='email' id='email' size='25' /></td> </tr> <tr> <td><strong>Phone</strong></td> <td><input type='text' name='phone' maxlength='3' size='3' value='' /> - <input type='text' name='phone2' maxlength='3' size='3' value=''/> - <input type='text' name='phone3' maxlength='4' size='4' value='' /></td> </tr> <tr> <td><strong>I prefer to be contact via:</strong></td> <td><input name='contact_by' type='radio' value='email' checked>Email <input type='radio' name='contact_by' value='phone'>Phone</td> </tr> <tr> <td><strong>Best time to contact via phone:</strong></td> <td><select name='call_time' id='call_time'> <option value='0100'>1:00 AM</option> <option value='0200'>2:00 AM</option> <option value='0300'>3:00 AM</option> <option value='0400'>4:00 AM</option> <option value='0500'>5:00 AM</option> <option value='0600'>6:00 AM</option> <option value='0700'>7:00 AM</option> <option value='0800'>8:00 AM</option> <option value='0900'>09:00 AM</option> <option value='1000' selected>10:00 AM</option> <option value='1100'>11:00 AM</option> <option value='1200'>12:00 PM</option> <option value='1300'>1:00 PM</option> <option value='1400'>2:00 PM</option> <option value='1500'>3:00 PM</option> <option value='1600'>4:00 PM</option> <option value='1700'>5:00 PM</option> <option value='1800'>6:00 PM</option> <option value='1900'>7:00 PM</option> <option value='2000'>7:00 PM</option> <option value='2100'>9:00 PM</option> <option value='2200'>10:00 PM</option> <option value='2300'>11:00 PM</option> <option value='2400'>12:00 AM</option> </select></td> </tr> <tr> <td valign='top'><strong>Your questions or comments:</strong></td> <td><textarea cols='44' rows='12' name='message'></textarea></td> </tr> <tr> <td rowspan=2><strong>Captcha Verification*</strong></td><td><img src='image.php'> Enter the letters you see in the field below</td></tr><tr><td><input type='text' name='captcha' size='10'></td></tr> <tr> <td colspan='2'>* Indicates a required field.</td> </tr> <tr> <td>&nbsp;</td> <td><input type='submit' name='Submit' value='Submit Form'></td> </tr> </table> </div> </form> ");
}
-->
