<script src="http://www.emailmeform.com/
<form action="http://www.emailmeform.com/
<table bgcolor="transparent" border="0" cellpadding="2" cellspacing="0" style="text-align: left;"> <tbody>
<tr>
<td colspan="2"><br />
<span style="color: black; font-family: Verdana; font-size: x-small;"><b style="font-size: 20px;">Contacta a la Editora</b><br /><br />
</span></td>
</tr>
<tr valign="top">
<td align=""><br />
<span style="color: black; font-family: Verdana; font-size: x-small;"><b>Nombre</b></
</tr>
<tr>
<td><br />
<input class="validate[required]" id="element_0" name="element_0" size="30" type="text" value="" /><br />
<div style="color: black; padding-bottom: 8px;">
</div>
</td>
</tr>
<tr valign="top">
<td align=""><br />
<span style="color: black; font-family: Verdana; font-size: x-small;"><b>Email</b></span> <span style="color: red;"><small>*</small></
</tr>
<tr>
<td><br />
<input class="validate[required,custo
<div style="color: black; padding-bottom: 8px;">
</div>
</td>
</tr>
<tr valign="top">
<td align=""><br />
<span style="color: black; font-family: Verdana; font-size: x-small;"><b>Asunto</b></
</tr>
<tr>
<td><br />
<input class="validate[required]" id="element_2" name="element_2" size="30" type="text" value="" /><br />
<div style="color: black; padding-bottom: 8px;">
</div>
</td>
</tr>
<tr valign="top">
<td align=""><br />
<span style="color: black; font-family: Verdana; font-size: x-small;"><b>Mensaje</b></
</tr>
<tr>
<td><br />
<textarea class="validate[required]" cols="60" id="element_3" name="element_3" rows="10"><br />
</textarea><br />
<div style="color: black; padding-bottom: 8px;">
</div>
</td>
</tr>
<tr valign="top">
<td align=""><br />
<span style="color: black; font-family: Verdana; font-size: x-small;"><b>Number</b></
</tr>
<tr>
<td><br />
<input class="validate[optional,custo
<div style="color: black; padding-bottom: 8px;">
</div>
</td>
</tr>
<tr>
<td colspan="2"><br />
<table bgcolor="#E4F8E4" cellpadding="5" cellspacing="0" style="width: 100%px;"> <tbody>
<tr bgcolor="#AAD6AA">
<td colspan="2"><br />
<span style="color: white; font-family: Verdana; font-size: x-small;"><b>Image Verification</b></span></td>
</tr>
<tr>
<td style="padding: 2px; width: 100px;"><br />
<img alt="captcha" id="captcha_image" name="captcha_image" src="http://www.emailmeform.com/
<td valign="top"><br />
<div>
<span style="color: black;">Please enter the text from the image</span>:<br />
<br />
<input class="validate[required,funcC
</td>
</tr>
</tbody></table>
</td>
</tr>
<tr>
<td align="right" colspan="2"><br />
<input name="element_counts" type="hidden" value="5" /> <input name="embed" type="hidden" value="forms" /><input type="submit" value="Send email" /><input type="reset" value="Clear" /></td>
</tr>
</tbody></table>
</form>
<script type="text/javascript">
//<![CDATA[
$('body').append('<br /><div>
<font face="Verdana" size="2" color="#000000">Powered by<\/font><span style="position: relative; padding-left: 3px; bottom: -5px;"><img src="http://www.emailmeform.com/
//]]>
</script><script type="text/javascript">
//<![CDATA[
$(function(){
$("#emf-form").validationEngin
validationEventTriggers:"blur"
scroll:false
});
$('.datepicker').datepicker({
showOn: 'button',
buttonImage: base_url+'images/
buttonImageOnly: true,
onSelect: function(dateText, inst) {
var selectedDate = new Date(dateText);
$('#'+inst.id+'year').val(sele
$('#'+inst.id+'year-mm').val((
$('#'+inst.id+'year-dd').val(s
$('.'+inst.id+'yearformError')
$('.'+inst.id+'year-mmformErro
$('.'+inst.id+'year-ddformErro
},
changeMonth: true,
changeYear: true
});
if(document.getElementById('ca
get_valid_captcha();
}
if(document.getElementById('ca
var isSafari = (/Safari/
var firstTimeSession = 0;
function process_captcha(){
$('a#captcha_code_refresh').tr
get_valid_captcha();
}
function safari_submit_session_form() {
if (firstTimeSession == 0) {
firstTimeSession = 1;
$("#safari_sessionform").submi
setTimeout('process_captcha()'
}
}
if(isSafari){
$("body").append('<iframe id="safari_sessionframe" name="safari_sessionframe" onload="safari_submit_session_
<\/form>');
}
}
});
//]]>
</script>
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