<form enctype="multipart/form-data" name="afm_form_70aef96d" id="afm_form_70aef96d" action="http://plus.allforms.mailjol.net/u/70aef96d.php" method="POST" style="margin: 0px">
<table border="0" cellpadding="6" cellspacing="0" style="text-align: left; border: 4px solid #237D15; border-collapse: collapse" width="1%" bgcolor="#F0F0F0"><tr>

<td  style="font-size: 11px; font-family: Verdana; font-weight: bold; padding-left: 20px; padding-right: 20px; color: #000000">Name *<br><input type="Text" name="Name" size="15" style="font-size: 11px; font-family: Verdana"></td>
</tr><tr>

<td  style="font-size: 11px; font-family: Verdana; font-weight: bold; padding-left: 20px; padding-right: 20px; color: #000000">Upload Docs Here (&lt;8 MB each )<br><input type="file" name="Upload Docs Here (&lt;8 MB each )" size="3" style="font-size: 11px; font-family: Verdana"></td>
</tr><tr>

<td  style="font-size: 11px; font-family: Verdana; font-weight: bold; padding-left: 20px; padding-right: 20px; color: #000000">Uoload Docs Here<br><input type="file" name="Uoload Docs Here" size="3" style="font-size: 11px; font-family: Verdana"></td>
</tr><tr>

<td  style="font-size: 11px; font-family: Verdana; font-weight: bold; padding-left: 20px; padding-right: 20px; color: #000000">Upload Docs Here<br><input type="file" name="Upload Docs Here" size="3" style="font-size: 11px; font-family: Verdana"></td>
</tr><tr>
<td  align="center" style="padding: 8px"><input type="submit" name="submit" value="Submit" style="font-size: 11px; font-family: Verdana"> &nbsp;<input type="reset" name="reset" value="Reset" style="font-size: 11px; font-family: Verdana"></td>
</tr>
</table></form>