############### Code ############### 

<table width="400" border="0" align="center" cellpadding="3" cellspacing="1">
<tr>
<td><strong>Contact Form </strong></td>
</tr>
</table>

<table width="400" border="0" align="center" cellpadding="0" cellspacing="1">
<tr>
<td><form name="form1" method="post" action="send_contact.php">
<table width="100%" border="0" cellspacing="1" cellpadding="3">
<tr>
<td width="16%">Subject</td>
<td width="2%">:</td>
<td width="82%"><input name="subject" type="text" id="subject" size="50"></td>
</tr>
<tr>
<td>Detail</td>
<td>:</td>
<td><textarea name="detail" cols="50" rows="4" id="detail"></textarea></td>
</tr>
<tr>
<td>Name</td>
<td>:</td>
<td><input name="name" type="text" id="name" size="50"></td>
</tr>
<tr>
<td>Email</td>
<td>:</td>
<td><input name="customer_mail" type="text" id="customer_mail" size="50"></td>
</tr>
<tr>
<td>&nbsp;</td>
<td>&nbsp;</td>
<td><input type="submit" name="Submit" value="Submit"> <input type="reset" name="Submit2" value="Reset"></td>
</tr>
</table>
</form>
</td>
</tr>
</table>