<div style="float:left">
<form>
<table>
<tr><td>Name:<td></tr>
<tr><td><input type="text" name="txtname" id="txtname"><td></tr>

<tr><td>E-mail Address:<td></tr>
<tr><td><input type="text" name="txtemail" id="txtemail"><td></tr>

<tr><td>Phone:<td></tr>
<tr><td><input type="text" name="txtphone" id="txtphone"><td></tr>

<tr><td>Aditional Info:<td></tr>
<tr><td><textarea name="txtmessage" id="txtmessage" rows="4" cols="50"></textarea><td></tr>

<tr><td collspan="2"><input type="submit" value="Send"</tr>
</table>
</form>
<div>
<di style="float:left">
Contact Info
1590 Niagara Falls Blvd
Tonawanda, NY 14150
borgenic@aol.com
716-834-1030
</div>