<?xml version="1.0" encoding="UTF-8"?>

<form url="form_template.php"
 window="_self"
 method="POST"
 fontname="MS Sans Serif"
 width="500"
 height="500"
 bkcolor="0xFFFFFF"
 outlinecolor="0xFFFFFF"
 fontcolor="0x000000"
 themecolor="0xFFFF99"
 fontcolor2="#000000"
 bkcolor2="#FFFFFF"
 includeresults="false"
 emailuser="false"
 reqmessage="One or More Fields are Required"
 autoresponse="">

<hidden
 name="mailto"
 value=""
></hidden>

<hidden
 name="subject"
 value=""
></hidden>

<label
 name="My Text 1"
 x="4"
 y="2"
 w="160"
 h="19"
 text="www.mosdirect.com"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="16"
></label>

<label
 name="My Text 2"
 x="8"
 y="22"
 w="159"
 h="16"
 text="Martin's Office Supply, Inc."
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 3"
 x="272"
 y="10"
 w="176"
 h="19"
 text="Form Name Goes Here"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="16"
></label>

</form>
