<body>
<!-- Begin myContactForm.com Form HTML -->
<form name="contactForm" id="contactForm" method="post" action="http://www.mycontactform.com/sendform/sendform.php" style="width: 100%; border: 0px solid #000000; margin: 0; padding: 0; background-color: #9d98d6;">
<table summary="This table contains contact form fields." width="100%" cellpadding="0" cellspacing="0">
<tr style="margin: 0; padding: 0;">
<td style="background-color: #FFFFFF; border-bottom: 0px solid #D8D8D8; padding: 5px; clear: left; margin: 0;">
<label for="email" style="float: left; width: 30%; padding-top: 4px; font-family: Arial; color: #000000; font-size: 16px; font-weight: bold;">E-mail Address: <span style="color: #FF0000">*</span></label>
<input name="email" type="email" id="email" size="20" maxlength="100" required="required" style="font-family: Verdana; font-size: 14px; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; padding: 2px;" />
</td>
</tr>
<tr style="margin: 0; padding: 0;">
<td style="background-color: #EFEFEF; border-bottom: 0px solid #D8D8D8; padding: 5px; clear: left; margin: 0;">
<label for="q1" style="float: left; width: 30%; padding-top: 4px; font-family: Arial; color: #000000; font-size: 16px; font-weight: bold;">Šifra proizvoda i poručena količina </label> <input name="q1" id="q1" type="text" value="" size="20" maxlength="" style="font-family: Verdana; font-size: 14px; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; padding: 2px;" />
</td>
</tr>
<tr style="margin: 0; padding: 0;">
<td style="background-color: #FFFFFF; border-bottom: 0px solid #D8D8D8; padding: 5px; clear: left; margin: 0;">
<label for="q2" style="float: left; width: 30%; padding-top: 4px; font-family: Arial; color: #000000; font-size: 16px; font-weight: bold;">Šifra proizvoda i poručena količina </label> <input name="q2" id="q2" type="text" value="" size="20" maxlength="" style="font-family: Verdana; font-size: 14px; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; padding: 2px;" />
</td>
</tr>
<tr style="margin: 0; padding: 0;">
<td style="background-color: #EFEFEF; border-bottom: 0px solid #D8D8D8; padding: 5px; clear: left; margin: 0;">
<label for="q3" style="float: left; width: 30%; padding-top: 4px; font-family: Arial; color: #000000; font-size: 16px; font-weight: bold;">Šifra proizvoda i poručena količina </label> <input name="q3" id="q3" type="text" value="" size="20" maxlength="" style="font-family: Verdana; font-size: 14px; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; padding: 2px;" />
</td>
</tr>
<tr style="margin: 0; padding: 0;">
<td style="background-color: #FFFFFF; border-bottom: 0px solid #D8D8D8; padding: 5px; clear: left; margin: 0;">
<label for="q4" style="float: left; width: 30%; padding-top: 4px; font-family: Arial; color: #000000; font-size: 16px; font-weight: bold;">Šifra proizvoda i poručena količina </label> <input name="q4" id="q4" type="text" value="" size="300" maxlength="" style="font-family: Verdana; font-size: 14px; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; padding: 2px;" />
</td>
</tr>
<tr style="margin: 0; padding: 0;">
<td style="background-color: #EFEFEF; border-bottom: 0px solid #D8D8D8; padding: 5px; clear: left; margin: 0;">
<label for="q5" style="float: left; width: 30%; padding-top: 4px; font-family: Arial; color: #000000; font-size: 16px; font-weight: bold;">Šifra proizvoda i poručena količina </label> <input name="q5" id="q5" type="text" value=":" size="300" maxlength="" style="font-family: Verdana; font-size: 14px; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; padding: 2px;" />
</td>
</tr>
<tr style="margin: 0; padding: 0;">
<td style="background-color: #9d98d6; padding: 5px; clear: left; margin: 0;">
<hr style="color: #D8D8D8; background-color: #D8D8D8; height: 1px;" />
</td>
</tr>
<tr style="margin: 0; padding: 0;">
<td style="background-color: #9d98d6; padding: 5px; clear: left; margin: 0;">
<input name="user" type="hidden" id="user" value="malizeleni" />
<input name="formid" type="hidden" id="formid" value="365201" />
<input name="subject" type="hidden" id="subject" value="Porudžbina" />
<input name="submit" type="submit" value="Poručite" style="font-family: ; font-size: ; color: ; background-color: ; border: solid ; padding: 2px;" />
<input name="reset" type="reset" value="Resetuj formu" style="font-family: ; font-size: ; color: ; background-color: ; border: solid ; padding: 2px;" />
</td>
</tr>
<tr style="margin: 0; padding: 0;">
<td style="background-color: #9d98d6; padding: 5px; clear: left; margin: 0;">
<span style="color: #FF0000">*</span> <span style="font-family: Arial; color: #000000; font-size: 16px;">Required</span> <span style="float: right; font-family: Arial; color: #000000; font-size: 16px;"><a href="http://www.mycontactform.com" target="_blank">Powered by myContactForm.com</a></span> </td>
</tr>
</table>
</form>
<!-- End myContactForm.com Form HTML -->