<form name="frmContacto" method="post" action="registrar_tellamamos.php">
<table width="500px;" style="margin: 0 auto;">
	<tr>
		<td>
			<label for="first_name">Nombre: *</label>
		</td>
		<td>
			<input type="text" class="round" name="nombre" maxlength="50" size="28" placeholder="Ingrese su nombre*" value="">
		</td>
	</tr>
	<tr>
		<td valign="top">
			<label for="last_name">Apellidos: *</label>
		</td>
		<td>
			<input type="text" class="round" name="apellido" maxlength="50" size="28" placeholder="Ingrese sus apellidos*" value="">
		</td>
	</tr>
	<tr>
		<td>
			<label for="correo">Correo electr&oacute;nico: *</label>
		</td>
		<td>
			<input type="text" class="round" name="email" maxlength="80" size="28" placeholder="Correo electr&oacute;nico*" value="">
		</td>
	</tr>
	<tr>
		<td>
			<label for="celular">N&uacute;mero de celular: *</label>
		</td>
		<td>
			<input type="text" class="round" name="celular" maxlength="11" size="28" placeholder="N&uacute;mero celular*" value="">
		</td>
	</tr>
	<tr>
		<td>
			<label for="telefono">N&uacute;mero de tel&eacute;fono: *</label>
		</td>
		<td>
			<input type="text" class="round" name="fijo" maxlength="11" size="28" placeholder="N&uacute;mero de tel&eacute;fono*" value="">
		</td>
	</tr>
	<tr>
		<td>
			<label for="comments">Comentarios: *</label>
		</td>
		<td>
			<textarea class="round" name="comentario" maxlength="500" cols="30" rows="10" placeholder="D&eacute;janos tu mensaje o consulta"></textarea>
		</td>
	</tr>
	<tr>
		<td colspan="2" style="text-align:center">
			<input type="submit" value="" style='border:0; width:238px; height:69px; background:url(picture_library/enviar.png)'>
		</td>
	</tr>
</table>
</form>
