Your IP : 216.73.217.79
<head>
<style type="text/css">
.auto-style1 {
text-align: center;
}
.auto-style2 {
text-align: right;
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<table border="0" width="900">
<tr><td colspan="2" align="center"><b>AGREEMENT BETWEEN:</b></td></tr>
<tr><td colspan="2" align="center">MEMBER 1</td></tr>
<tr><td style="width: 235px"><strong>Member 1:</strong></td><td><input type="text" name="Field1" id="Field1" value="<?php echo $_POST["Field1"]; ?>" required placeholder="Required" size="60" /></td></tr>
<tr><td style="width: 235px; height: 26px;"> </td><td style="height: 26px">
<input type="text" name="Field2" id="Field2" value="<?php echo $_POST["Field2"]; ?>" required placeholder="Required" size="60" /></td></tr>
<tr><td style="width: 235px"> </td><td><input type="text" name="Field3" id="Field3" value="<?php echo $_POST["Field3"]; ?>" required placeholder="Required" size="60" /></td></tr>
<tr><td style="width: 235px"> </td><td>
<input type="text" name="Field4" id="Field4" value="<?php echo $_POST["Field4"]; ?>" required placeholder="Required" size="60" /></td></tr>
<tr><td style="width: 235" class="auto-style2"><em>Herinafter referred to as:</em></td><td><input type="text" name="Field5" id="Field5" value="<?php echo $_POST["Field5"]; ?>" required placeholder="Required" size="60" /></td></tr>
<tr><td style="width: 235" class="auto-style2"><em>Registration number:</em></td><td>
<input type="text" name="Field16" id="Field16" value="<?php echo $_POST["Field16"]; ?>" required placeholder="Required" size="60" /></td></tr>
<tr><td class="auto-style1" colspan="2">AND MEMBER 2</td></tr>
<tr><td style="width: 235px"><strong>Member 2:</strong></td><td><input type="text" name="Field6" id="Field6" value="<?php echo $_POST["Field6"]; ?>" size="60" /></td></tr>
<tr><td style="width: 235px"> </td><td><input type="text" name="Field7" id="Field7" value="<?php echo $_POST["Field7"]; ?>" required placeholder="Required" size="60" /></td></tr>
<tr><td style="width: 235px"> </td><td><input type="text" name="Field8" id="Field8" value="<?php echo $_POST["Field8"]; ?>" required placeholder="Required" size="60" /></td></tr>
<tr><td style="width: 235px"> </td><td>
<input type="text" name="Field9" id="Field9" value="<?php echo $_POST["Field9"]; ?>" required placeholder="Required" size="60" /></td></tr>
<tr><td style="width: 235" class="auto-style2"><em>Herinafter referred to as:</em></td><td><input type="text" name="Field10" id="Field10" value="<?php echo $_POST["Field10"]; ?>" required placeholder="Required" size="60" /></td></tr>
<tr>
<td style="width: 235" class="auto-style2"><em>Registration number:</em></td><td>
<input type="text" name="Field17" id="Field17" value="<?php echo $_POST["Field17"]; ?>" required placeholder="Required" size="60" /></td>
</tr>
<tr><td class="auto-style1" colspan="2">AND MEMBER 3</td></tr>
<tr><td style="width: 235px"><strong>Member 3:</strong></td><td>
<input type="text" name="Field11" id="Field11" value="<?php echo $_POST["Field11"]; ?>" size="60" /></td></tr>
<tr><td style="width: 235px"> </td><td>
<input type="text" name="Field12" id="Field12" value="<?php echo $_POST["Field12"]; ?>" size="60" /></td></tr>
<tr><td style="width: 235px"> </td><td>
<input type="text" name="Field13" id="Field13" value="<?php echo $_POST["Field13"]; ?>" size="60" /></td></tr>
<tr><td style="width: 235px"> </td><td>
<input type="text" name="Field14" id="Field14" value="<?php echo $_POST["Field14"]; ?>" size="60" /></td></tr>
<tr><td style="width: 235" class="auto-style2"><em>Hereinafter referred to as:</em></td><td>
<input type="text" name="Field15" id="Field15" value="<?php echo $_POST["Field15"]; ?>" size="60" /></td></tr>
<tr><td style="width: 235" class="auto-style2"><em>Registration number:</em></td><td>
<input type="text" name="Field18" id="Field18" value="<?php echo $_POST["Field18"]; ?>" size="60" /></td></tr>
<tr><td colspan="2" align="center"><strong>WISH TO RESPOND TO A RFP TO:</strong></td></tr>
<tr><td style="width: 235px"><strong>The Client:</strong></td><td>
<input type="text" name="Field19" id="Field19" value="<?php echo $_POST["Field19"]; ?>" required placeholder="Required" size="60" /></td></tr>
<tr><td class="auto-style1" colspan="2"><strong>FOR THE PROPOSED:</strong></td></tr>
<tr><td style="width: 235px"><strong>Project:</strong></td><td>
<input type="text" name="Field20" id="Field20" value="<?php echo $_POST["Field20"]; ?>" required placeholder="Required" size="60" /></td></tr>
</table>