<div class="contact-form grey">
						  
            	 <div class="padding">
                  
								  <h3>Contact Us by Email</h3>
							
								 <?php include("send.php"); ?>
								 
                 <form action="" method="post"> 
                 	
						<fieldset><input class="text" name="name" id="name" type="text" onfocus = "if (this.value =='Name' ) {this.value = ''}" value="<?php if ($_REQUEST["name"] != ""){print $name;} else{print ("Name");}?>" /></fieldset>
                 		<fieldset> <input class="text" name="email" id="email" type="text" onfocus = "if (this.value =='Email' ) {this.value = ''}" value="<?php if ($_REQUEST["email"] != ""){print $email;} else{print ("Email");}?>" /></fieldset>
                  		<fieldset><input class="text" name="phone" id="phone" type="text" onfocus = "if (this.value =='Primary Phone Number' ) {this.value = ''}" value="<?php if ($_REQUEST["email"] != ""){print $phone;} else{print ("Primary Phone Number");}?>" /></fieldset>
                  		<fieldset><textarea rows="" cols="" onfocus = "if (this.innerHTML =='Your message here.' ) {this.innerHTML = ''}" name="body" id="body"><?php if ($_REQUEST["body"] != ""){print $body;} else{print ("Your message here.");}?></textarea></fieldset>
                  <p><input class="submit"  name="submit"  type="submit" value="Click Here to Send" /></p>
				</form>
            </div>
              
            </div>