<P class=MsoNormal><font size="2" color="#0000FF"><b>
</b></font></P>
<p class=MsoNormal align=center style='text-indent:6.5pt;
mso-char-indent-count:.5'><b>
<font color="#0000FF" size="5"><span style='font-family:標楷體;
'>歡迎您留下資料及需求,我們會立即與您聯絡</span></font></b></p>
<FORM name=email action=mailto:
123@123.com.tw?SUBJECT=電子報表單回覆 method=post
encType=text/plain>
<div align="center">
<center>
<TABLE width=566 height="127" style="border-collapse: collapse" bordercolor="#111111" cellpadding="0" cellspacing="0">
<TR>
<input type="hidden" value="代發電子報表單回覆" name="SOB">
<TD width=352 bgColor=#000080 height=25>
<P align=center><font size="2" face="新細明體" color="#FFFFFF">姓名</font></P></TD>
<TD width=572 bgColor=#000080 height=25>
<FONT size=2 face="新細明體" color="#FFFFFF">
<b>
<INPUT
size=30 name=收件人></b></FONT></TD></TR>
<TR>
<TD width=352 bgColor=#000080 height=25>
<P align=center><font size="2" face="新細明體" color="#FFFFFF"> 聯絡電話</font></P></TD>
<TD width=572 bgColor=#000080 height=25>
<FONT size=2 face="新細明體" color="#FFFFFF">市內</FONT><b><FONT size=4 face="新細明體" color="#FFFFFF"><INPUT size=27
name=電話（市內）></FONT></b><FONT face="新細明體" color="#FFFFFF" size="2">行動<b><INPUT size=28 name=行動></b></FONT></TD></TR>
<TR>
<TD width=352 bgColor=#000080 height=26>
<P align=center><font size="2" face="新細明體" color="#FFFFFF">Email</font></P></TD>
<TD width=572 bgColor=#000080 height=26>
<FONT size=2 face="新細明體" color="#FFFFFF">
<b>
<INPUT
size=31 name=Email></b></FONT></TD></TR>
<tr>
<TD width=352 bgColor=#000080 height=26>
<P align=center><font size="2" face="新細明體" color="#FFFFFF">地址</font></P></TD>
<TD width=572 bgColor=#000080 height=26>
<FONT size=2 face="新細明體" color="#FFFFFF"><b><INPUT
size=67 name=地址></b></FONT></TD>
</tr>
<tr>
<TD width=352 bgColor=#000080 height=5>
<P align=center><font face="新細明體" size="2" color="#FFFFFF">商品描述</font></P>
<P align=center><font face="新細明體" size="2" color="#FFFFFF">及</font></P>
<P align=center><font face="新細明體" size="2" color="#FFFFFF">廣告用辭</font></P>
<P align=center> </P></TD>
<TD width=572 bgColor=#000080 height=5>
<font face="新細明體" color="#FFFFFF">
<b>
<textarea rows="12" name="商品描述及廣告辭" cols="66"></textarea></b></font><p></p>
<p><b><FONT size=2 face="新細明體" color="#FFFFFF">
</FONT></b></TD>
</tr>
</TABLE>
</center>
</div>
<p class="MsoNormal" align="center" style="text-indent: 6.5pt; mso-char-indent-count: .5">
<input type="submit" value="送出" name="B1"><input type="reset" value="重新設定" name="B2"></p>
</form>
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