<table class="table1" cellspacing="0"><tr><td class="label1 alignright">Name <img src="/images/required.gif" alt="Required" /></td><td><input type="text" name="d62_d62_Name" class="textbox1" style="width:200px;" maxlength="50" /></td></tr><tr><td class="label1 alignright">Property Location <img src="/images/required.gif" alt="Required" /></td><td><input type="text" name="d62_d62_Property Location" class="textbox1" style="width:200px;" maxlength="50" /></td></tr><tr><td class="label1 alignright">Bedrooms Needed <img src="/images/required.gif" alt="Required" /></td><td><input type="text" name="d62_d62_Bedrooms Needed" class="textbox1" style="width:200px;" maxlength="50" /></td></tr><tr><td class="label1 alignright">Preapproved? <img src="/images/required.gif" alt="Required" /></td><td><input type="checkbox" name="d62_d62_Preapproved?" value="Yes" />Yes &nbsp;&nbsp;<input type="checkbox" name="d62_d62_Preapproved?" value="No" />No &nbsp;&nbsp;<input type="checkbox" name="d62_d62_Preapproved?" value="Need Help With That" />Need Help With That &nbsp;&nbsp;<input type="hidden" name="d62_d62_Preapproved?" /></td></tr><tr><td class="label1 alignright">Price Range <img src="/images/required.gif" alt="Required" /></td><td><input type="text" name="d62_d62_Price Range" class="textbox1" style="width:200px;" maxlength="50" /></td></tr><tr><td class="label1 alignright">Phone Number <img src="/images/required.gif" alt="Required" /></td><td><input type="text" name="d62_d62_Phone Number" class="textbox1" style="width:200px;" maxlength="50" /></td></tr><tr><td colspan="2">&nbsp;</td><td><tr><td>&nbsp;</td><td><input class="button1" type="submit" name="xFormKey_d62_" value="Submit" /><input type="hidden" name="d62_EmailSubject" value="Home Search" /><input type="hidden" name="d62_FormMessage" value="Your information has been submitted successfully." /></td></tr></table>