<div style="float: left;width: 625px;margin-bottom: 70px;">
<div style="float: left;width: 450px;">
<form>
<table>
<tbody>
<tr>
<td>Name:</td>
<td></td>
</tr>
<tr>
<td><input id="txtname" type="text" name="txtname" /></td>
<td></td>
</tr>
<tr>
<td>E-mail Address:</td>
<td></td>
</tr>
<tr>
<td><input id="txtemail" type="text" name="txtemail" /></td>
<td></td>
</tr>
<tr>
<td>Phone:</td>
<td></td>
</tr>
<tr>
<td><input id="txtphone" type="text" name="txtphone" /></td>
<td></td>
</tr>
<tr>
<td>Aditional Info:</td>
<td></td>
</tr>
<tr>
<td><textarea id="txtmessage" cols="50" name="txtmessage" rows="4"></textarea></td>
<td></td>
</tr>
<tr>
<td><input type="submit" value="Send" /></td>
</tr>
</tbody>
</table>
</form>
</div>
<div style="float:left;width: 175px;">
<b>Contact Info</b>
1590 Niagara Falls Blvd
Tonawanda, NY 14150
borgenic@aol.com
716-834-1030
</div>
</div>