MB Communication - Online Accessoires Store - Delivery All Over Pakistan - For Order Call or SMS Now at 0300-8265122
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    <table width="450px">

     

    <tr>

     

     <td valign="top">

     

      <label for="first_name">First Name *</label>

     

     </td>

     

     <td valign="top">

     

      <input  type="text" name="first_name" maxlength="50" size="30">

     

     </td>

     

    </tr>

     

    <tr>

     

     <td valign="top"">

     

      <label for="last_name">Last Name *</label>

     

     </td>

     

     <td valign="top">

     

      <input  type="text" name="last_name" maxlength="50" size="30">

     

     </td>

     

    </tr>

     

    <tr>

     

     <td valign="top">

     

      <label for="email">Email Address </label>

     

     </td>

     

     <td valign="top">

     

      <input  type="text" name="email" maxlength="80" size="30">

     

     </td>

     

    </tr>

     

    <tr>

     

     <td valign="top">

     

      <label for="telephone">Telephone Number</label>

     

     </td>

     

     <td valign="top">

     

      <input  type="text" name="telephone" maxlength="30" size="30">

     

     </td>

     

    </tr>

     

    <tr>

     

     <td valign="top">

     

      <label for="address">Address *</label>

     

     </td>

     

     <td valign="top">

     

      <textarea  name="address" maxlength="1000" cols="25" rows="6"></textarea>

     

     </td>

     

    </tr>

     

     

    <tr>

     

     <td colspan="2" style="text-align:center">

     

      <input type="submit" value="Submit">

     

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    </table>

     

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