<html>
<head>
<title> Find out more about PoshPari ethnic designs </title>
</head>
<body bgcolor="#000000" text="silver">
<form action="inquiries.php" method="post">
<input type=hidden name="subject" VALUE="Inquiries Form Submitted">
<input type="hidden" name="form_name" value="inquiry">
<table cellspacing=3 cellpadding=0 width=621 align=center border=0>
<tr valign=center align=middle>
<td class=detailsNormalText colspan=2 height=25 width="619" align=center>
<font size="3" face="Futura Lt BT" color="#CC6600">
<b><font color=#CC6600>Personal Information</font></b>
</td></tr>
<tr>
<td width="296">First Name</td>
<td>
<input type="text" name="first">
</td>
</tr>
<tr>
<td width="296">Last Name</td>
<td>
<input type="text" name="last">
</td>
</tr>
<tr>
<td width="296">Email</td>
<td>
<input type="text" name="email">
</td>
</tr>
<tr>
<td width="296">Phone #</td>
<td>
<input type="text" name="phone">
</td>
</tr>
<tr>
<td width="296">Country</td>
<td>
<input type="text" name="country">
</td>
</tr>
<tr>
<td width="296">Comments</td>
<td>
<textarea rows=6 cols=50 name="user_comment">
</textarea>
</td>
</tr>
<tr>
<td colspan=2>
<input type="submit"> <input type="reset">
</td>
</tr>
</table>
</form>
</body>
</html>