Craig muck about room

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Information we have on photo

<html> <form action="http://www.pettrust.org.uk/cgi-bin/NMSFormMail.pl" method="post" name="ContactUS" id="ContactUS">

             <input type = "hidden" name = "redirect" value = "http://www.pettrust.org.uk/index.php/Contact_Sent">
             <input type = "hidden" name = "recipient" value = "4">
             <input type = "hidden" name = "from" value = "PETT_Website_enquiry_form">
             <input type = "hidden" name = "subject" value="Info Request from the PETT Website">
Your Name
<input type="text" name="name" size="50">
Address <textarea name="Address" cols="6" rows="5"></textarea>
Phone Number <input type="text" name="Phone" size="50">
Email Address <input type="text" name="email_address" size="50">
Information / Request <textarea name="info" cols="70" rows="15"></textarea>
 
             <input type = "submit" value = "Send" name="submit">
             <input type = "reset" value = "Clear" name="reset">
       </form>

</html>

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