<html>
<head>
<style type="text/css">
td {
font-family: tahoma;
}
input {
width: 300px;
}
textarea {
height: 55px;
width: 300px;
}
</style>
</head>
<body>
<center>
<table border="1" cellspacing="0" cellpadding="0" width="356">
<tr>
<td width="614">
<table width="574" border="0" width="100" cellspacing="0" cellpadding="0" height="238">
<tr>
<td width="257" valign="top" align="left" height="25"> Navn</td>
<td width="11" valign="top" align="left" height="25">: </td>
<td width="300" valign="top" align="left" height="25"><input type="text" name="Navn"></td>
</tr>
<tr>
<td width="257" valign="top" align="left" height="25"> Alder</td>
<td width="11" valign="top" align="left" height="25">: </td>
<td width="300" valign="top" align="left" height="25"><input type="text" name="Alder"></td>
</tr>
<tr>
<td width="257" valign="top" align="left" height="25"> Email</td>
<td width="11" valign="top" align="left" height="25">: </td>
<td width="300" valign="top" align="left" height="25"><input type="text" name="Email"></td>
</tr>
<tr>
<td width="257" valign="top" align="left" height="24"> Hjemmeside</td>
<td width="11" valign="top" align="left" height="24">: </td>
<td width="300" valign="top" align="left" height="24"><input type="text" name="Hjemmeside"></td>
</tr>
<tr>
<td width="257" valign="top" align="left" height="25"> Hvor har du fundet siden?</td>
<td width="11" valign="top" align="left" height="25">: </td>
<td width="300" valign="top" align="left" height="25"><input type="text" name="Fundet"></td>
</tr>
<tr>
<td width="257" valign="top" align="left" height="57"> Hvad vil du ikke se på denne side?</td>
<td width="11" valign="top" align="left" height="57">: </td>
<td width="300" valign="top" align="left" height="57"><textarea name="NejTak" rows="4" cols="34"></textarea></td>
</tr>
<tr>
<td width="257" valign="top" align="left" height="57"> Hvad vil du se på denne side?</td>
<td width="11" valign="top" align="left" height="57">: </td>
<td width="300" valign="top" align="left" height="57"><textarea name="JaTak" rows="4" cols="34"></textarea></td>
</tr>
</table>
</td>
</tr>
</table>
</center>
</body>
</html>
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