<div class="form_table" style="width:700px; height:auto; font-size:12px; color:#333333; letter-spacing:1px; line-height:20px; margin: 0 auto;">
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			<div align="center" style="color:#990000; font-style:italic; font-size:20px; font-family:Arial; margin:bottom: 15px;">(Set an Appointment Form)</div>

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				<tr><td><b>Name</b>:</td> <td>Form Testing</td></tr><tr><td><b>Address</b>:</td> <td>Address</td></tr><tr><td><b>City</b>:</td> <td>City</td></tr><tr><td><b>State</b>:</td> <td>Alabama</td></tr><tr><td><b>Zip</b>:</td> <td>90210</td></tr><tr><td><b>How do you prefer to be contacted</b>:</td> <td>Email</td></tr><tr><td><b>Email Address</b>:</td> <td>example@gmail.com</td></tr><tr><td><b>Fax</b>:</td> <td>Fax</td></tr><tr><td><b>Phone</b>:</td> <td>1234567890</td></tr><tr><td><b>Best time to call</b>:</td> <td>Anytime</td></tr><tr><td><b>Preferred Date</b>:</td> <td>Preferred_Date</td></tr><tr><td><b>Preferred Time</b>:</td> <td>Preferred_Time</td></tr><tr><td><b>Comment</b>:</td> <td>Online form testing. This is only a sample.</td></tr>
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