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![<center>
<form id="emf-form" enctype="multipart/form-data" method="post" action="http://www.emailmeform.com/builder/form/3tQkb0ed33cZzX5g730PbNr">
<table style="text-align:left;" cellpadding="2" cellspacing="0" border="0" bgcolor="transparent">
<tr>
<td style="" colspan="2">
<font face="Verdana" size="2" color="#FFFFFF"><b style="font-size:20px;">I Would Love to Hear from YOU!</b><br />
<label style="font-size:15px;">Do you like what you have seen in my Portfolio?<br />
<br />
Would you like to discuss the possibility of working with me as a Client or as a Professional in collaboration?<br />
<br />
Then just leave your details and I promise that I will get back to you.<br />
<br />
If you would prefer to speak with me, just leave a contact number and details of when it would be convenient for me to call you.<br />
<br />
Cheers<br />
<br />
Frosty<br /></label><br /></font>
</td>
</tr>
<tr valign="top">
<td id="td_element_label_0" style="" align="left">
<font face="Verdana" size="2" color="#FFFFFF"><b>Your Name</b></font>
</td>
<td id="td_element_field_0" style="">
<input id="element_0" name="element_0" value="" size="30" class="validate[optional]" type="text" />
<div style="padding-bottom:8px;color:#000000;"></div>
</td>
</tr>
<tr valign="top">
<td id="td_element_label_1" style="" align="left">
<font face="Verdana" size="2" color="#FFFFFF"><b>Your Email Address</b></font>
</td>
<td id="td_element_field_1" style="">
<input id="element_1" name="element_1" class="validate[optional,custom[email]]" value="" size="30" type="text" />
<div style="padding-bottom:8px;color:#000000;"></div>
</td>
</tr>
<tr valign="top">
<td id="td_element_label_2" style="" align="left">
<font face="Verdana" size="2" color="#FFFFFF"><b>Subject</b></font>
</td>
<td id="td_element_field_2" style="">
<input id="element_2" name="element_2" value="" size="30" class="validate[optional]" type="text" />
<div style="padding-bottom:8px;color:#000000;"></div>
</td>
</tr>
<tr valign="top">
<td id="td_element_label_3" style="" align="left">
<font face="Verdana" size="2" color="#FFFFFF"><b>Your Message</b></font>
</td>
<td id="td_element_field_3" style="">
<textarea id="element_3" name="element_3" cols="45" rows="10" class="validate[optional]">
</textarea>
<div style="padding-bottom:8px;color:#000000;"></div>
</td>
</tr>
<tr>
<td colspan="2" style="width:">
<table cellpadding="5" cellspacing="0" bgcolor="transparent" width="100%">
<tr bgcolor="transparent">
<td colspan="2">
<font color="transparent" face="Verdana" size="2"><b>Image Verification</b></font>
</td>
</tr>
<tr>
<td style="padding:2px; width:100px;">
<img id="captcha_image" src="http://www.emailmeform.com/builder/captcha/index/bd42a3bbbf44840c5387d57fe689ef02" alt="captcha" onload="get_valid_captcha();" />
</td>
<td valign="top">
<div>
<font color="transparent">Please enter the text from the image</font>:<br />
<input type="text" id="captcha_code" name="captcha_code" maxlength="10" size="10" class="validate[required,funcCall[valid_captcha]]" /> [<a id="captcha_code_refresh" href=
"javascript:void(0);" onclick="document.getElementById('captcha_image').src = 'http://www.emailmeform.com/builder/captcha/index/'+Math.random();return false;">Refresh Image</a>]
[<a id="captcha_code_about" href="javascript:void(0);" onclick=
"window.open('http://www.emailmeform.com/captcha-instruction.html','_blank','width=400, height=500, left=' + (screen.width-450) + ', top=100');return false;">What's This?</a>]
</div>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td colspan="2" align="left">
<input name="element_counts" value="4" type="hidden" /> <input name="embed" value="forms" type="hidden" /><input value="Submit" type="submit" />
</td>
</tr>
</table>
</form>
<div>
<font face="Verdana" size="2" color="#FFFFFF">Powered by</font><span style="position: relative; padding-left: 3px; bottom: -5px;"><img src=
"https://www.emailmeform.com/builder/images/footer-logo.png" /></span><font face="Verdana" size="2" color="#FFFFFF">EMF</font> <a style="text-decoration:none;" href="http://www.emailmeform.com/"
target="_blank"><font face="Verdana" size="2" color="#FFFFFF">Forms Online</font></a>
</div><a style="line-height:20px;font-size:70%;text-decoration:none;" href="http://www.emailmeform.com/report-abuse.html?https://www.emailmeform.com/builder/form/3tQkb0ed33cZzX5g730PbNr" target=
"_blank"><font face="Verdana" size="2" color="#FFFFFF">Report Abuse</font></a>
</center>](https://photos.smugmug.com/Me/StephenFrostPhotographer/i-NrBLQQw/1/cb879488/Ti/rsz_stephen-Ti.jpg)