[Raz]

<form>
<table><tr><td>
First name:
</td><td>
<input type="text" name="name"size="15">
</td></tr>
<tr><td>
Family name:
</td>
<input type="text" name="family"size="15">
</td></tr>
<tr><td>
Phone :
</td><td>
<input type="text" name="phone"size="15">
</td></tr>
<tr><td>
Icq uin:
</td><td>
<input type="text" name="icq uin" size="15">
</td></tr>
<tr><td>
e-Mail:
</td><td>
<input type="text" name="email"size="15">
</td></tr>
</table>
</form>

בבקשה.