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<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">

<title>, Email us!!!</title>

<style type="text/css">


body,td,th {

            font-family: TremorITC TT;

            font-size: 24px;

            color: FC7D10;

            font-weight: bold;


body {

            background-color: #fbb630;









  <h1 align="center">Supergus Handyman Service</h1>





<form method=post action="">

<font face="arial, helvetica">

<b>Your name:</b><br>

<input type="text" name="Name" size="27">



<b>Your email address:</b><br>

<input type="text" name="URL" size="27">



<b>Your phone number:</b><br>

<input type="text" name="URL" size="27">



<b>What best describes the work needed ?</b><br>

<input type="radio" name="Visit" value="Interior">Interior<br>

<input type="radio" name="Visit" value="Exterior">Exterior<br>

<input type="radio" name="Visit" value="Painting">Painting<br>

<input type="radio" name="Visit" value="Flooring">Flooring<br>

<input type="radio" name="Visit" value="Bathroom">Bathroom<br>

<input type="radio" name="Visit" value="Kitchen">Kitchen<br>

<input type="radio" name="Visit" value="plumbing">Plumbing<br>

<input type="radio" name="Visit" value="electrical">Electrical<br>

<input type="radio" name="Visit" value="Lawn, gardening & landscape">Lawn, gardening & landscape<br>

<input type="radio" name="Visit" value="Honey Do List">Honey Do lists<br>

<input type="radio" name="Visit" value="Other">Other<br>



<b>Please describe what type of projects below:</b>


<textarea cols="40" rows="10" name="Comments"></textarea>



<input type="submit" value="Send">

<input type="reset" value="Clear the form">


<!-- Option 1 -->

<input type="hidden" name="subject" value="Survey Results">


<!-- Option 2 -->

<input type="hidden" name="required_fields" value="Name,URL">


<!-- Option 3

<input type="hidden" name="next_url" value="">






<a href="">Back to</a>



<a href=""Back to</a>

<h3 align="center">copyright 2007, SUPERGUS HANDYMAN SERVICES</h3></center>



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