<div class="widget ContactForm" id="custom_ContactUsFromForBlogSpotBlogger">
<div class="contact-form-widget">
<p>Please fill in the form below to get in touch with us.</p>
<div class="form">
<form name="contact-form">
<p></p>
Your Name
<br />
<input class="contact-form-name" id="ContactForm1_contact-form-name" name="name" size="30" type="text" value="" />
<p></p>
Your Email
<span style="font-weight: bolder;">*</span>
<br />
<input class="contact-form-email" id="ContactForm1_contact-form-email" name="email" size="30" type="text" value="" />
<p></p>
Your Message
<span style="font-weight: bolder;">*</span>
<br />
<textarea class="contact-form-email-message" cols="25" id="ContactForm1_contact-form-email-message" name="email-message" rows="5"></textarea>
<p></p>
<input class="contact-form-button contact-form-button-submit" id="ContactForm1_contact-form-submit" type="button" value="Send" />
<p></p>
<div style="max-width: 222px; text-align: center; width: 100%;">
<p class="contact-form-error-message" id="ContactForm1_contact-form-error-message"></p>
<p class="contact-form-success-message" id="ContactForm1_contact-form-success-message"></p>
</div>
</form>
</div>
</div>
<div class="clear"></div>
<span class="widget-item-control">
<span class="item-control blog-admin">
<a class="quickedit" contactform1="" href="//www.blogger.com/rearrange?blogID=https:6184544943790484658&widgetType=ContactForm&widgetId=ContactForm1&action=editWidget&sectionId=sidebar-right-1" onclick="return _WidgetManager._PopupConfig(document.getElementById(" target="configContactForm1" title="Edit">
<img alt="" height="18" src="//img1.blogblog.com/img/icon18_wrench_allbkg.png" width="18" />
</a>
</span>
</span>
<div class="clear"></div>
</div>
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