WorxWare.com Sample Form
First Name	*
Last Name	*
Qty1
Unit Price1
Qty2
Unit Price2
Email	*
Message
Upload 1		only accept files with extensions: doc|xls|pdf|jpg|jpeg|png|gif|zip|rar|gz
Upload 2		only accept files with extensions: doc|xls|pdf|jpg|jpeg|png|gif|zip|rar|gz

* = required