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<title>Sin título-4</title>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
<meta name="description" content="Tecniservicios Informatica, servicios profesionales a domicilio en toda la Vega Baja.">
<meta name="keywords" content="informatica, torrevieja, alicante, reparaciones, instalaciones, PC, hardware, software, antivirus, web design, diseño web, diseño grafico, internet, montaje, actualizaciones, drivers.">
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<body bgcolor="#FFFFFF" background="bg2.jpg" leftmargin="0" topmargin="0" marginwidth="0" marginheight="0" onLoad="MM_preloadImages('images/home3.gif','images/services3.gif','images/prices3.gif','images/testimonials3.gif','images/contact3.gif')">
<!-- ImageReady Slices (Sin título-4) -->
<table id="Tabla_01" width="924" height="600" border="0" cellpadding="0" cellspacing="0" align="center">
<tr>
<td colspan="11">
<img src="images/index_01.gif" width="924" height="93" alt=""></td>
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<td>
<img src="images/index_02a.gif" width="413" height="42" alt=""></td>
<td><a href="home.html" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('home','','images/home3.gif',1)"><img src="images/home.gif" name="home" width="68" height="42" border="0"></a></td>
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<td><a href="services.html" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('services','','images/services3.gif',1)"><img src="images/services.gif" name="services" width="86" height="42" border="0"></a></td>
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<td><a href="prices.html" onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('prices','','Images/prices3.gif',1)"><img src="images/prices.gif" name="prices" width="69" height="42" border="0"></a></td>
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<img src="images/index_08.gif" width="10" height="42" alt=""></td>
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<img src="images/index_10.gif" width="9" height="42" alt=""></td>
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<tr>
<td valign="top">
<br>
<p> <img src="espana.gif"> <a href="index.html" target="_self">Español</a></p>
<p> <img src="inglaterra.gif"> <a href="home.html" target="_self">English</a></p>
</td>
<td width="90%" valign="top">
<table width="85%" border="0" cellspacing="0" cellpadding="0" align="center" >
<tr>
<td align="left" valign="top">
<br>
<H1> Please, fill out the following form:</H1>
<form method="post" action="contactus_english.php">
<table cellspacing=2 cellpadding=2 width="70%" border=0>
<tbody>
<tr>
<td width="20%" class="blackp"><strong>Name:</strong> </td>
<td width="80%"><div align="left" class="blackp">
<input type="text" maxlength=35 size=45 name="name" class="blackp" />
</div></td>
</tr>
<tr>
<td class="blackp" width="20%"><strong>Email:</strong> </td>
<td width="80%"><div align="left" class="blackp">
<input type="text" maxlength=35 size=45 name="email" class="blackp" />
</div></td>
</tr>
<tr>
<td class="blackp" width="20%"><strong>Phone:</strong> </td>
<td width="80%"><div align="left" class="blackp">
<input type="text" maxlength=15 size=30 name="phone" class="blackp" />
</div></td>
</tr>
</tbody>
</table>
<br />
<table cellspacing=2 cellpadding=2 width="70%" border=0>
<tbody>
<tr>
<td><span class="blackp">Please indicate the primary
<strong>reason for your email</strong>:</span></td>
</tr>
<tr>
<td class="blackp"><select name="reasonforemail" class="blackp">
<option class="blackp">Question about Tecniservicios Informática</option>
<option class="blackp">Services in English</option>
<option class="blackp">Web Design</option>
<option class="blackp">FREE Estimate</option>
</select></td>
</tr>
</tbody>
</table>
<table cellspacing=2 cellpadding=2 width="70%" border=0>
<tbody>
<tr>
<td colspan="2"><span class="blackp">Please explain
your question, suggestion, or <strong>comment</strong>
in the box below.</span></td>
</tr>
<tr>
<td colspan="2" class="blackp"><div align="center" class="blackp"><strong>
<textarea class="blackp" name="explanation" rows=10 cols=50 wrap></textarea>
</strong></div></td>
</tr>
<tr>
<td width="45%" height=19 class="blackp">Click button
to send us your email.</td>
<td width="55%" class="blackp"><input name="contactus" type = "submit" class="blackp" value="send" /></td>
</tr>
<tr>
<td colspan="2"> </td>
</tr>
</tbody>
</table></form>
</td>
</tr>
</table>
</td>
</tr>
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</td>
</tr>
</table>
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