Test Form Layout #1 - based on style:phreak's standard form demo

There are a number of variations between this form and the original, check the blog post for the details

This version, as with Style:Phreak's original is released under a creative commons licence.

Fields marked with a * are required.

Personal information * First name: Middle name: * Last name:

Address Address: City or Town: State: * Zip code:

Contact information * Telephone: Fax: Mobile: * Email: Web site address: Comments:

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