<?xml version="1.0" encoding="UTF-8"?>

<form url="contact_form_large.php"
 window="_self"
 method="POST"
 fontname="MS Sans Serif"
 width="400"
 height="438"
 bkcolor="0xFFFFFF"
 transparent="f"
 fontcolor="0x000000"
 outlinecolor="0x000000"
 themecolor="0xFFFF99"
 fontcolor2="#000000"
 bkcolor2="#FFFFFF"
 includeresults="false"
 emailuser="true"
 verifymessage="The E-Mail address you entered does not match !"
 reqmessage="One or More Fields are Required !"
 invalidemailmsg="is an invalid address, please correct it."
 transition="0"
 autoresponseincluderesults="t"
 autoresponseaddtotop="f"
 usephp="true"
 disableclicktoactiveprompt="true"
 extensions="*.txt;*.gif;*.jpg;*.jpeg;*.zip;*.doc;*.png;*.pdf;*.rtf"
>

<hidden
 name="thankyoupage"
 value="http://www.putyourfamilyfirst.co.uk/thanks.html"
></hidden>

<hidden
 name="subject"
 value="Thank you for your interest (PYFF)"
></hidden>

<textinput
 name="First Name"
 x="224"
 y="4"
 w="175"
 h="22"
 initvalue=""
 maxchars="25"
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 editable="true"
>
</textinput>

<textinput
 name="Last Name"
 x="224"
 y="28"
 w="175"
 h="22"
 initvalue=""
 maxchars="25"
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 editable="true"
>
</textinput>

<textinput
 name="My Input Box 1"
 x="224"
 y="52"
 w="175"
 h="22"
 initvalue=""
 maxchars="25"
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 emailbox="true"
 editable="true"
  restrict="email"
>
</textinput>

<textinput
 name="Phone Number"
 x="224"
 y="76"
 w="175"
 h="22"
 initvalue=""
 maxchars="25"
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 editable="true"
>
</textinput>

<textinput
 name="My Input Box 2"
 x="224"
 y="100"
 w="175"
 h="22"
 initvalue=""
 maxchars="25"
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 editable="true"
>
</textinput>

<combobox
 name="Select from"
 x="224"
 y="124"
 bkcolor="0xFFFFFF"
 fontcolor="0x000000"
 isemail="true"
 w="174"
 h="20">
  <item name="Please Select"></item>
  <item name="Morning"></item>
  <item name="Afternoon"></item>
  <item name="Evening"></item>
  <item name="Anytime"></item>
  <item name="Right now!"></item>
</combobox>

<combobox
 name="Please select"
 x="224"
 y="146"
 bkcolor="0xFFFFFF"
 fontcolor="0x000000"
 isemail="false"
 w="175"
 h="20">
  <item name="Please Select"></item>
  <item name="18 - 22"></item>
  <item name="23 - 30"></item>
  <item name="31 - 44"></item>
  <item name="45 - 55"></item>
  <item name="Over 55"></item>
  <item name="Prefer not to say"></item>
</combobox>

<textinput
 name="County  Area"
 x="224"
 y="168"
 w="175"
 h="22"
 initvalue=""
 maxchars="25"
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 editable="true"
>
</textinput>

<combobox
 name="Country"
 x="223"
 y="192"
 bkcolor="0xFFFFFF"
 fontcolor="0x000000"
 isemail="false"
 w="176"
 h="20">
  <item name="Please Select"></item>
  <item name="England"></item>
  <item name="Ireland"></item>
  <item name="N. Ireland"></item>
  <item name="Netherlands"></item>
  <item name="Scotland"></item>
  <item name="Wales"></item>
  <item name="Other"></item>
</combobox>

<combobox
 name="Income"
 x="224"
 y="215"
 bkcolor="0xFFFFFF"
 fontcolor="0x000000"
 isemail="false"
 w="175"
 h="20">
  <item name="Please Select"></item>
  <item name="£5,000 - £10,000 per month"></item>
  <item name="£2,000 - £5,000 per month"></item>
  <item name="£500 - £2,000 per month"></item>
  <item name="Under £500"></item>
</combobox>

<combobox
 name="Start up"
 x="224"
 y="240"
 bkcolor="0xFFFFFF"
 fontcolor="0x000000"
 isemail="false"
 w="174"
 h="20">
  <item name="Please Select"></item>
  <item name="£60 - £120"></item>
  <item name="£120 - £200"></item>
  <item name="£200 - £300"></item>
  <item name="Over £300"></item>
  <item name="No Limit"></item>
  <item name="Under £60"></item>
</combobox>

<textarea
 name="Comments"
 x="4"
 y="280"
 w="391"
 h="120"
 initvalue=""
 wordwrap="true"
 editable="true"
 bkcolor="0xFFFFFF"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></textarea>

<submitbutton
 name="Submit Button"
 x="144"
 y="408"
 w="100"
 h="20"
 label="Submit"
 fontname="Arial"
 fontcolor="0x000000"
  fontsize="12"
></submitbutton>

<label
 name="My Text 1"
 x="149"
 y="8"
 w="68"
 h="16"
 text="First Name"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 2"
 x="149"
 y="31"
 w="67"
 h="16"
 text="Last Name"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 3"
 x="127"
 y="56"
 w="89"
 h="16"
 text="Email Address"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 4"
 x="125"
 y="80"
 w="90"
 h="16"
 text="Phone Number"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 5"
 x="110"
 y="103"
 w="105"
 h="16"
 text="Alternative Phone"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 6"
 x="116"
 y="128"
 w="99"
 h="16"
 text="Best time to call"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 7"
 x="152"
 y="148"
 w="63"
 h="16"
 text="Age range"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 8"
 x="131"
 y="171"
 w="84"
 h="16"
 text="County / Area"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 9"
 x="166"
 y="195"
 w="49"
 h="16"
 text="Country"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 10"
 x="121"
 y="216"
 w="94"
 h="16"
 text="Desired Income"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 11"
 x="72"
 y="242"
 w="141"
 h="16"
 text="Start up budget / Ability"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 12"
 x="120"
 y="264"
 w="145"
 h="16"
 text="Comments or Questions"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

</form>