"  maxlength="30"></td></tr>
     
         <tr>
           <td align="right"><!--<b>Name</b><span style="color:#d80546">*</span>--></td>
           <td><!--<b>:</b>--></td>
           <td>
          
           <div class="span1 clearfix">
           
           <select class="mr" id="ddlsalut">
               <option>Mr.</option>
               <option>Ms.</option>
             </select>
             <input type="text" style="padding-left:5px;" class="name" id="buyer_name" name="buyer_name" onFocus="clearDefault(this)" onBlur="restore(this)" placeholder="Name" maxlength="30" required></div></td>
           <td>&nbsp;</td>
         </tr>
         <tr>
           <td align="right"></td>
           <td valign="top"><!--:--></td>
           <td><input type="email" class="email" style="padding-left:5px;" id="buyer_email" name="buyer_email" onFocus="clearDefault(this)" onBlur="restore(this)" placeholder="Email" maxlength="30" required></td>
           <td>&nbsp;</td>
         </tr>
         <tr>
           <td align="right"></td>
           <td><!--<b>:</b>--></td>
           <td style="padding-left:1px;"> <label for="mobile">Mobile</label>
             <input id="rdbmob" type="radio" checked="true" name="Contact" onClick="showMobile();">
             <label for="phone">Phone</label>
             <input type="radio" id="rdbphone" onClick="showPhone();" name="Contact" class="sele2"><br/><br/>
             
             <input type="text" style=" border:solid #CCCCCC 1px; width:255px; height:22px;background:#f9f9f9 url(images/input_bg.jpg);" id="mobile" name="mobile"  maxlength="13" onBlur="restore(this)" onFocus="clearDefault(this)" placeholder="Number" required></td>
             
           <td>&nbsp;</td>
         </tr>
         <tr>
          
           <td><div class="span1"><div id="divmobile" runat="server"> 
               
             </div></div>
             </td>
             </tr>
             
          
         <tr>
           <td align="right"></td>
           <td valign="top"><!--:--></td>
           <td><textarea cols="25" rows="3" class="address" style="padding-left:5px;" id="buyer_message" onFocus="clearDefault(this)" onBlur="restore(this)" placeholder="Enquiry" name="buyer_message" required></textarea></td>
           <td>&nbsp;</td>
         </tr>
         
         <tr>
           <td align="right"></td>
           <td valign="top"><!--:--></td>
         <td>
         Entre Code:
				<input type=text name=t1 style="width:100px; height:23px; border:solid #CCCCCC 1px; border-radius:3px;" required>
<img src=captcha-demo.php id="capt" height="20px">&nbsp;<a href="#" onClick="reload()"><img src="images/reload.png" /></a>
        </td>
          <td>&nbsp;</td>
        </tr>
		
			<br />
         
         <tr>
           <td>&nbsp;</td>
           <td>&nbsp;</td>
           <td><span style="font-size:12px;">* All Fields are mandatory </span></td>
           <td></td>
         </tr>
        
         <tr>
           <td>&nbsp;</td>
           <td>&nbsp;</td>
           <td><a href="javascript:clearval();" style="text-decoration:none;">
             <input id="btnreset" style="cursor:pointer" class="submit" name="Reset" type="Reset" title="Reset" value="Reset">
             </a>
             <input id="btnsubmit" style="cursor:pointer" class="submit" name="submit" type="submit" title="Submit" value="Submit"></td>
           <td></td>
         </tr>
     </table>
     <font style="color:#FF0000; font-weight:bold;"></font>
    <font style="color:#3333FF; font-weight:bold;"></font>
     </form>
</div>

</body></html>