Message

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" height=75 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <B><IMG SRC="30b50460.png" border=0 width="80" height="70" ALIGN="LEFT" HSPACE="0" VSPACE="0"></B><FONT SIZE="3" COLOR="#FFFFCC" FACE="Arial" ><B> </B></FONT><FONT SIZE="2" COLOR="#000066" FACE="Arial" ><B>Equipamentos Danvic Ltda, 476-A Rua Sales Junior</B></FONT></div> <div> <B>Sao Paulo, Brasil 01235-010</B></div> <div> <B> Tel.: (+55)(11)3647-9700, Fax (+55)(11)3647-9980</B></div> <div> <B> <script language="JavaScript"></script>  </B></div> <div> <A HREF="message.htm" TARGET="_top" TITLE="Message"><B>Message</B></A></div> <div> </div> </td> </tr><tr> <td valign="top" height=405 BGCOLOR="#000099" TEXT="#F7F7FF"> <div>  <form method="post" action="http://www.emailmeform.com/fid.php?formid=104195" enctype="multipart/form-data" accept-charset="UTF-8"> <table cellpadding="2" cellspacing="0" border="0" bgcolor="#FFFFFF"> <tr> <td> <font face="Verdana" size="2" color="#000000"></font> <div style="" id="mainmsg"> </div> </td> </tr> </table> <br> <table cellpadding="2" cellspacing="0" border="0" bgcolor="#FFFFFF"> <tr valign="top"> <td nowrap><font face="Verdana" size="2" color="#000000">Your Name</font></td> <td> <input type="text" name="FieldData0" value="" maxlength="100" size="30"> </td> </tr> <tr valign="top"> <td nowrap><font face="Verdana" size="2" color="#000000">Your Email Address</font></td> <td> <input type="text" name="FieldData1" value="" maxlength="100" size="30"> </td> </tr> <tr valign="top"> <td nowrap><font face="Verdana" size="2" color="#000000">Your Company</font></td> <td> <input type="text" name="FieldData2" value="" maxlength="100" size="30"> </td> </tr> <tr valign="top"> <td nowrap><font face="Verdana" size="2" color="#000000">Address1</font></td> <td> <input type="text" name="FieldData3" value="" maxlength="100" size="30"> </td> </tr> <tr valign="top"> <td nowrap><font face="Verdana" size="2" color="#000000">Address2</font></td> <td> <input type="text" name="FieldData4" value="" maxlength="100" size="30"> </td> </tr> <tr valign="top"> <td nowrap><font face="Verdana" size="2" color="#000000">City</font></td> <td> <input type="text" name="FieldData5" value="" maxlength="100" size="30"> </td> </tr> <tr valign="top"> <td nowrap><font face="Verdana" size="2" color="#000000">State</font></td> <td> <input type="text" name="FieldData6" value="" maxlength="100" size="2"> </td> </tr> <tr valign="top"> <td nowrap><font face="Verdana" size="2" color="#000000">Zip</font></td> <td> <input type="text" name="FieldData7" value="" maxlength="100" size="30"> </td> </tr> <tr valign="top"> <td nowrap><font face="Verdana" size="2" color="#000000">Phone</font></td> <td> <input type="text" name="FieldData8" value="" maxlength="100" size="30"> </td> </tr> <tr valign="top"> <td nowrap><font face="Verdana" size="2" color="#000000">Fax</font></td> <td> <input type="text" name="FieldData9" value="" maxlength="100" size="30"> </td> </tr> <tr valign="top"> <td nowrap><font face="Verdana" size="2" color="#000000">Subject</font></td> <td> <input type="text" name="FieldData10" value="" maxlength="100" size="30"> </td> </tr> <tr valign="top"> <td nowrap><font face="Verdana" size="2" color="#000000">Description</font></td> <td> <textarea name="FieldData11" cols="60" rows="10"></textarea><br> </td> </tr> <tr valign="top"> <td nowrap><font face="Verdana" size="2" color="#000000"></font></td> <td> <input type="text" name="FieldData12" value="" maxlength="100" size="30"> </td> </tr> <tr> <td colspan="2"> <table cellpadding=5 cellspacing=0 bgcolor="#E4F8E4" width="100%"> <tr bgcolor="#AAD6AA"> <td colspan="2"><font color="#FFFFFF" face="Verdana" size="2"><b>Image Verification</b></font></td> </tr> <tr> <td style="padding: 2px;" width="10"><img src="http://www.emailmeform.com/turing.php" id="captcha"></td> <td valign="top"><font color="#000000">Please enter the text from the image</font> <br><input type="text" name="Turing" value="" maxlength="100" size="10"> [ <a href="#" onclick=" document.getElementById('captcha').src = document.getElementById('captcha').src + '?' + (new Date()).getMilliseconds()">Refresh Image</a> ] [ <a href="http://www.emailmeform.com/?v=turing&pt=popup" onClick="window.open('http://www.emailmeform.com/?v=turing&pt=popup','_blank','width=400, height=300, left=' + (screen.width-450) + ', top=100');return false;">What's This?</a> ] </td> </tr> </table> </td> </tr> <tr> <td> </td> <td align="right"> <input type="text" name="hida2" value="" maxlength="100" size="3" style="display : none;"> <input type="submit" class="btn" value="Send email" name="Submit"> <input type="reset" class="btn" value=" Clear " name="Clear"></td> </tr> <tr> <td colspan=2 align="center"> <br> </td> </tr> </table> </form>  </div> <bR> <bR> </td> </tr></table></body>