this is the html
<table width="450px" align="center">
<body><form name="contactform" method="post" action="send_form_email.php"><tr>
<td valign="top"><font color="#666666" face="Franklin Gothic Book">
<label for="first_name">First Name :</label>
</font></td>
<td valign="top"><font color="#666666" face="Franklin Gothic Book">
<input type="text" name="first_name" maxlength="50" size="30">
</font></td>
</tr>
<tr>
<td valign="top""><font color="#666666" face="Franklin Gothic Book">
<label for="last_name">Last Name :</label>
</font></td>
<td valign="top"><font color="#666666" face="Franklin Gothic Book">
<input type="text" name="last_name" maxlength="50" size="30">
</font></td>
</tr>
<tr>
<td valign="top"><font color="#666666" face="Franklin Gothic Book">
<label for="email">Email Address : </label>
</font></td>
<td valign="top"><font color="#666666" face="Franklin Gothic Book">
<input type="text" name="email" maxlength="80" size="30">
</font></td>
</tr>
<td valign="top"><font color="#666666" face="Franklin Gothic Book">
<label for="telephone">Telephone Number</label>
:</font></td>
<td valign="top"><font color="#666666" face="Franklin Gothic Book">
<input type="text" name="telephone" maxlength="30" size="30">
</font></td>
</tr>
<tr>
<td valign="top"><font color="#666666" face="Franklin Gothic Book">
<label for="telephone">Services Needed</label>
:</font></td>
<td valign="top"><font color="#666666" face="Franklin Gothic Book">
<input type="checkbox" name="checkbox" value="checkbox" id="checkbox">
<label for="checkbox">Web Design<br>
<input type="checkbox" name="checkbox2" value="checkbox" id="checkbox2">
Logo Design<br>
<input type="checkbox" name="checkbox3" value="checkbox" id="checkbox3">
Design for Print </label>
</font></td>
</tr>
<tr>
<td valign="top"><font color="#666666" face="Franklin Gothic Book">
<label for="comments">Additional Comments : </label>
</font></td>
<td valign="top"><font color="#666666" face="Franklin Gothic Book">
<textarea name="comments" maxlength="1000" cols="25" rows="6"></textarea>
</font></td>
</tr>
<tr>
<td colspan="2" style="text-align:center"><input name="submit" type="submit" value="Submit"> </tr>
</table>