Flash 8 Contact Form

I need a flash form that looks just like the attached file.

It needs to be the same size as our design which is 230 by 210 pixels.

The data in the form fields needs to be sent to an email address. The email address need to be easy to edit. The dropdown menu items need to be easy to edit. The Tell Us More button needs to just link to a mailto html tag.

This needs to be done in 1 week.

Thanks,
Joey

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