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request.html
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="utf-8" />
<title>Genesis Solutions Design</title>
<link rel="stylesheet" href="css/reset.css" />
<link rel="stylesheet" href="css/text.css" />
<link rel="stylesheet" href="css/960_24_col.css" />
<link rel="stylesheet" href="css/main.css" />
<script type="text/javascript" src="https://ajax.googleapis.com/ajax/libs/jquery/1.7.2/jquery.min.js"></script>
<script type="text/javascript" src="https://ajax.googleapis.com/ajax/libs/jqueryui/1.8.18/jquery-ui.min.js"></script>
</head>
<body>
<div class="container_24">
<!--Navigation Bar-->
<div class="grid_6 logocontainer">
<h1>
<a href="index.html"><img id="genesislogo" src="img/genesislogo.png" alt="Logo" title="Genesis Solutions Design"/></a>
</h1>
</div>
<div class="grid_18 navcontainer">
<div class="navitems">Property Managers</div>
<div class="navitems">Water Mitigation Contractors</div>
<div class="navitems">Professional Service Providers</div>
<div class="navitems">Insurance Companies</div>
<div class="navitems" onclick="document.location=\'http://www.homesync.co/genesis/products.html\'">Products & Services</div>
<!--End Navigation Bar-->
</div>
<div class="clear"></div>
<!--Sub Nav Bar-->
<div class="grid_24 subnavbar">
<ul>
<li><a href='index.html'>Home</a></li>
<li>About Us</li>
<li>FAQ</li>
<li>News</li>
<li><a href='request.html'>Make a Request</a></li>
<li>Contact Us</li>
</ul>
</div>
<div class='clear'></div>
<!--index page info-->
<div class='grid_18'>
<div class='productsheadercontainer'>
<p class='productpageheadertext'>
Make a Request
</p>
It is important for us to know what our customers need. Please feel free to request more information by filling out the form below.
</div>
<br />
<form>
<a>
Your Name:
</a>
<br />
<input type='textbox' size='50'/>
<br />
<br />
<a>
Your Company Name:
</a>
<br />
<input type='textbox' size='50'/>
<br />
<br />
<a>
Your Email:
</a>
<br />
<input type='textbox' size='50'/>
<br />
<br />
<a>
Your Phone Number for Contact:
</a>
<br />
<input type='textbox' size='50'/>
<br />
<br />
<a>
Request:
</a>
<br />
<textarea rows='6' cols='39' style='resize: none;'></textarea>
<br />
<br />
<input type='submit' class='button' value='Send Request' />
</form>
</div>
<div class='grid_6 makerequest'>
<center><span style='font-size: 17px;'>Make a Request</span></center>
<form>
<table>
<tr>
<td>Name</td>
</tr>
<tr>
<td><input type='text' size='25'/></td>
</tr>
<tr>
<td>Email</td>
</tr>
<tr>
<td><input type='text' size='25'/></td>
</tr>
<tr>
<td>Company</td>
</tr>
<tr>
<td><input type='text' size='25'/></td>
</tr>
<tr>
<td>Request</td>
</tr>
<tr>
<td><textarea rows='6' class='requesttextarea'></textarea></td>
</tr>
</table>
<input type='submit' class='button' value='Send Request'>
</form>
</div>
</div>
<!-- end .container_24 -->
</body>
</html>