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<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<?php include_once('includes/header.php'); ?>

</head>

<body id="contactos">

    <?php include_once('includes/top.php'); ?>
<div class="header-general" style="background-image:url(images/headers/contactos.jpg);">
  <div class="header-titulo-contact">Contacts</div>
</div>
<div class="wrapforms">
  <table style="margin:30px 0px 30px 30px;" width="900" border="0" cellpadding="0" cellspacing="0">
    <tr>
      <td width="35" valign="top"><img src="images/place.png" alt="place" width="26" height="26" align="left" style="margin-right:6px; margin-bottom:0px;" /></td>
      <td width="337" valign="top"><div class="contenido12">Calle Federico Geraldino No 94, Esq. Calle 6 <br />
        Ensanche Paraiso Santo Domingo.
      Distrito Nacional, República Dominicana.</div></td>
      <td width="262" valign="top"><img src="images/b-phone.png" alt="place" width="26" height="26" align="left" style="margin-right:6px; margin-bottom:5px;" />
      <div class="contenido12">809-548-6495 / 809-222-5080</div></td>
      <td width="266" valign="top"><img src="images/mail.png" alt="place" width="26" height="26" align="left" style="margin-right:6px; margin-bottom:5px;" />
      <div class="contenido12"><a href="mailto:info@globalcaribbeanco.com">info@globalcaribbeanco.com</a></div></td>
    </tr>
  </table>
  <div style="margin-bottom:30px; margin-top:30px; text-align:center;"><h2>To request products and services please fill in the following information</h2>
  </div>
      
        <form class="cmxform" id="commentForm" method="post" action="send.php">
    <table width="960" border="0" cellspacing="0" cellpadding="0">
        <tr>
          <td width="217" valign="top"><input name="name" class="required" id="name" value="Name" onblur="if(this.value=='') this.value='Name';" onfocus="if(this.value=='Name') this.value='';" /></td>
          <td width="217" valign="top"><input name="lastname" id="lastname" value="Last Name" onblur="if(this.value=='') this.value='Last Name';" onfocus="if(this.value=='Last Name') this.value='';" /></td>
          <td width="217" valign="top"><input name="phone" class="required" id="phone" value="Phone" onblur="if(this.value=='') this.value='Phone';" onfocus="if(this.value=='Phone') this.value='';" /></td>
          <td width="329" valign="top"><input name="email" class="required email" id="email" value="E-mail" onblur="if(this.value=='') this.value='E-mail';" onfocus="if(this.value=='E-mail') this.value='';" /></td>
        </tr>
      </table>
    <div class="contenido" style="margin-top:15px; margin-bottom:5px;"><strong>Comments</strong></div>

<div><textarea name="comments" rows="5" id="comments"></textarea></div>
 
    <div style="padding-left:354px; padding-top:0px;">
      <input name="enviar" type="submit" class="botonform" id="enviar" value="SEND REQUEST" />
    </div>
  </form>
</div>
<?php include_once('includes/footer.php'); ?>

</body>
</html>