form

    <div id="email_form_wrapper" style="display:none;">
    
    
<script src="http://ajax.microsoft.com/ajax/jquery.validate/1.7/jquery.validate.js" type="text/javascript" language="javascript"></script>

<script type="text/javascript">
$().ready(function() {
// validate the comment form when it is submitted
$("#signup").validate();
});
</script>
    
    <form method="POST"  action="../wp-content/includes/mailform.php1" id="signup"  name="signup" target="_parent">
    
    	<div class="email_form">

		<p class="form_header">Mailing List</p>
    
<p>&nbsp;</p>
<p><label for="fName">First Name*</label><input size="50" name="fName" class="required" style="font-family: Verdana; font-size: 8pt" /></p>
<p><label for="lName">Last   Name*</label><input size="50" name="lName" class="required" style="font-family: Verdana; font-size: 8pt" /></p>
<p><label for="address">Address</label><input size="50" name="address" style="font-family: Verdana; font-size: 8pt" /></p>
<p><label for="city">City</label><input size="20" name="city"  style="font-family: Verdana; font-size: 8pt" /> 
<label for="state" class="second">State</label><input name="state" type="text" size="8"  /></p>
<p><label for="country">Country</label><input size="15" name="country" style="font-family: Verdana; font-size: 8pt" />
<label for="zip" class="second">Zip Code</label><input size="10" name="zip" /></p>
<p><label for="phone">Telephone  </label><input size="50" name="phone" style="font-family: Verdana; font-size: 8pt" /></p>
<p><label for="company">Company</label><input size="50" name="company" style="font-family: Verdana; font-size: 8pt" /></p>
<p><label for="email">E-mail   *</label><input size="50" name="email" class="required email" style="font-family: Verdana; font-size: 8pt" /></p>
<p><input type="checkbox" value="Yes" name="remove" style="font-family: Verdana; font-size: 8pt" /> Please remove me from the mailing list </p>
	


		<p><input type="submit" value="Submit" src="../wp-content/themes/hotelandra/images/submit-contact.jpg" name="send" onsubmit="window.parent.Shadowbox.close();" title="close" /></p>
  
     <p> <span "style=font-size:8pt; align:center;"> *required</span></p>
    


      
      </div>