& nbsp suggestions < /font> < /td> < /tr>
< /table>< font face="comics sans ms" size="5" color="green" >
< center>< H3 style="background-color:white;width=50"> Please give your valuable suggestions < /H3>< /center>< form method="Post" action="mailto:info@bhing.com">
< center>< table bgcolor="green">< tr>
< td width="60%" valign="middle">< font face="comics sans ms" size="4" color="yellow">
Name:& nbsp :& nbsp;< input type="text" name="first name" size="25" < br>
H.no:& nbsp :& nbsp;& nbsp :& nbsp;< Input type="text" size="10">
Street name/city ;& nbsp :& nbsp;< input type="text" size="25" < br>
state:& nbsp :& nbsp;< input type="text" size="20" < br>
phone:& nbsp :& nbsp;< input type="phone" size="25"
E-Mail:< input type="text" name="E-Mail" size="25" < br>< br>< br>
< font face="comics sans ms" size="4" color="yellow"> Gender:& nbsp:< input type="radio" name="sex" value="male">Male
< input type="radio" name="sex" value="female">Female < br>< br>
Occupation:& nbsp;& nbsp :& nbsp;< select type="Occupation">
< OPTION value="School student"Selected>School student< /OPTION>
< OPTION value="Collage student">School student< /OPTION>
< OPTION value="School student"Selected>Collage student< /OPTION>
< OPTION value="Professional">Profession< /OPTION>
< OPTION value="Other">Other< /OPTION>
< /select>< br>< br>Pollution type:< br>< Input type="radio" name="type" value="air">Air Pollution< /Input> < input type="radio"name="type"value="water">water pollution
< input type="radio"name="type"value="soil">soil pollution
< input type="radio"name="type"value="other">other pollution
preventive measures:
< textarea name="measures"cols=30 rows="5">< /textarea> < center>< font face="comic sans ms"size="4" color="yellow"< input type="submit" value="post your suggestions"style="font-weigth:bolder:font-size:15px;color:red;background-color:white"> < /form>< td width=40%> < img src="suggestions_box.png">
< /td>< table>
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