fisa comanda

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=90 BGCOLOR="#006699" TEXT="#080000" background="13c085a3.jpg"> <div> <FONT SIZE="5" COLOR="#FFFFFF" FACE="Arial" ><B>VIComputers</B></FONT><B>    </B><B> |     </B><A HREF="index.htm" TARGET="_top" TITLE="VIComputers"><U><B>home</B></U></A></div> <div>                                                   </div> <div> </div> </td> </tr><tr> <td valign="top" width=210 BGCOLOR="#FFFFFF" TEXT="#080000" background="13dd2e83.jpg"> <bR> </td> <td valign="top" height=390 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <I>fisa comanda</I></div> <bR> <bR> <bR> <DIV ALIGN="LEFT"></DIV> <div>  <form name="frm_contact" method="post" action="http://www1.dr.myx.net/forms_data.html"> <input type="hidden" name="domain" value="vicomputers"> <input type="hidden" name="formular" value="Contactati-ma"> Nume:<br><input type="text" name="nume" size="40"><br> Telefon:<br><input type="text" name="telefon" size="40"><br> Adresa e-mail:<br><input type="text" name="email" size="40"><br> Comanda:<br><textarea name="comentarii" cols="36" rows="5"></textarea><br> <input type="submit" name="submit" value="Trimite"> </form>  </div> </td> </tr></table></body>