<!-- BOF: ./personal-templates/simple/personal/custom/custom.show.body -->
<!-- BOF: ./personal-templates/simple/generic/functions -->
<!-- BOF: ./personal-templates/simple/generic/navbar --><!-- EOF: ./personal-templates/simple/generic/navbar -->


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  <!-- BOF: ./personal-templates/simple/business/layout/l41.wait -->


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<HTML>
<HEAD>


<META NAME="description" CONTENT="pharmacetical laboratory,research laboratory in cameroon,molecules of the difeine plantes...">
<META NAME="Keywords"    CONTENT="Africapharm,africapharm,laboratory,pharmacetical laboratory,research laboratory in cameroon,difeine plantes,research laboratory in africa"> 


<!-- business -->


<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=ISO-8859-15">
<META NAME="Generator" content="">
<!-- BOF: ./personal-templates/simple/themes.show -->


<!-- EOF: ./personal-templates/simple/themes.show -->


<!--<BASE HREF="http://79.170.40.52/africapharm.com/custom.html">-->
<TITLE>Register Here</TITLE></head>
<BODY  BGCOLOR="#FFFFFF"
 TEXT="#000000"

MARGINHEIGHT="0" MARGINWIDTH="0" LEFTMARGIN="0" TOPMARGIN="0" RIGHTMARGIN="0" BOTTOMMARGIN="0"

 onLoad=""
 LINK="#000000"
 VLINK="#000000"
 ALINK="#000000"
>

  
      <!-- BOF: ./personal-templates/simple/business/layout/l41.layout --> 

<TABLE WIDTH=100% HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top" BGCOLOR="#FFFFFF"> 
        <TR>
<!-- Begin Name -->
               <TD WIDTH=100% HEIGHT=122  VALIGN="top" >
                        <TABLE WIDTH=100% HEIGHT=122 BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">  
                              <TR>
                                      <TD WIDTH=775 HEIGHT=122  VALIGN="top">
                                              <IMG SRC="widgets/gen_486.1.gif" WIDTH=775 HEIGHT=122 ALT=""></TD>
                                      <TD WIDTH=100% HEIGHT=122  VALIGN="top" ALIGN="right" BACKGROUND="widgets/gen_231.1.gif">
                                              <IMG SRC="widgets/gen_232.1.gif" WIDTH=50 HEIGHT=122 ALT=""></TD>
                                </TR>
                        </TABLE>
                </TD>
<!-- End Name -->
        </TR>
        <TR>
<!-- Begin Slogan -->
                <TD WIDTH=100% HEIGHT=25 BGCOLOR="#FFFFFF" VALIGN="top">
                        <TABLE WIDTH=100% HEIGHT=25 BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">  
                              <TR>
                                      <TD WIDTH=223 HEIGHT=25  VALIGN="top">
                                              <IMG SRC="widgets/gen_366.1.gif" WIDTH=223 BORDER="0" ALT=""></TD>
                                      <TD WIDTH=100% HEIGHT=25  VALIGN="top" BACKGROUND="widgets/gen_235.1.gif">
                                              <IMG SRC="widgets/gen_234.1.gif" WIDTH=552 ALT=""></TD>
                                      <TD WIDTH=62 HEIGHT=25  VALIGN="top" >
                                              <IMG SRC="widgets/gen_236.1.gif" WIDTH=62 HEIGHT=25 ALT=""></TD>                                        
                              </TR>
                        </TABLE>                                
                </TD>
<!-- End Slogan -->
        </TR>
        <TR>
<!-- Begin Center -->
                <TD WIDTH=100% HEIGHT=100%>
                        <TABLE WIDTH=100% HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top" BGCOLOR="#FFFFFF"> 
                                <TR>
                                        <TD WIDTH=223 HEIGHT=100% BGCOLOR="#6BA90A" VALIGN="top" >
                                                <TABLE WIDTH=223 HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top"> 
                                                        <TR>
                                                                <TD WIDTH=223 HEIGHT=298 BGCOLOR="#6BA90A" VALIGN="top">
                                                                        <IMG SRC="widgets/gen_237.1.gif" WIDTH=223 HEIGHT=298 ALT=""></TD>
                                                        </TR>
                                                        <TR>
                                                                <TD WIDTH=223 HEIGHT=64 BGCOLOR="#6BA90A" VALIGN="top">
                                                                        <IMG SRC="widgets/gen_238.1.gif" WIDTH=223 HEIGHT=64 ALT=""></TD>
                                                        </TR>
                                                        <TR>
                                                                <TD WIDTH=223 HEIGHT=100% BGCOLOR="#6BA90A" VALIGN="top" BACKGROUND="widgets/gen_239.1.gif">
                                                                        <IMG SRC="widgets/gen_239.1.gif" WIDTH=223 HEIGHT=64 ALT=""></TD>
                                                        </TR>
                                                </TABLE>
                                        </TD>                                                
                                        <TD WIDTH=100 HEIGHT=100% BGCOLOR="#FFFFFF" VALIGN="top">
                                                <TABLE WIDTH=100 HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top" BGCOLOR="#FFFFFF">
                                                        <TR>
                                                                <TD WIDTH=100 HEIGHT=103 BGCOLOR="#FFFFFF" VALIGN="top"> 
                                                                        <IMG SRC="widgets/gen_240.1.gif" WIDTH=100 HEIGHT=103 ALT=""></TD>
                                                        </TR>
                                                        <TR>
                                                                <TD WIDTH=100 BGCOLOR="#FFFFFF" VALIGN="top" BACKGROUND="widgets/gen_241.1.gif"> 
                                                                
                                                                 <a href="index.html" onMouseOver="document.images['img34'].src='widgets/gen_558.1.gif'" onMouseOut="document.images['img34'].src='widgets/gen_557.1.gif'"><img src="widgets/gen_557.1.gif" alt="Difeuine here" name="img34" border="0"></a><br>
                                                                 <a href="profile.html" onMouseOver="document.images['img11'].src='widgets/gen_251.1.gif'" onMouseOut="document.images['img11'].src='widgets/gen_250.1.gif'"><img src="widgets/gen_250.1.gif" alt="Our Profile " name="img11" border="0"></a><br>
                                                                 <a href="contact.html" onMouseOver="document.images['img14'].src='widgets/gen_253.1.gif'" onMouseOut="document.images['img14'].src='widgets/gen_252.1.gif'"><img src="widgets/gen_252.1.gif" alt="Contact us" name="img14" border="0"></a><br>
                                                                 <a href="form.html" onMouseOver="document.images['img18'].src='widgets/gen_255.1.gif'" onMouseOut="document.images['img18'].src='widgets/gen_254.1.gif'"><img src="widgets/gen_254.1.gif" alt="Inquiry" name="img18" border="0"></a><br>
                                                                 <a href="faq.html" onMouseOver="document.images['img23'].src='widgets/gen_257.1.gif'" onMouseOut="document.images['img23'].src='widgets/gen_256.1.gif'"><img src="widgets/gen_256.1.gif" alt="FAQ" name="img23" border="0"></a><br>
                                                                 <a href="catalog.0.html" onMouseOver="document.images['img25'].src='widgets/gen_259.1.gif'" onMouseOut="document.images['img25'].src='widgets/gen_258.1.gif'"><img src="widgets/gen_258.1.gif" alt="Catalogue" name="img25" border="0"></a><br>
                                                                 <a href="custom.html" onMouseOver="document.images['img33'].src='widgets/gen_261.1.gif'" onMouseOut="document.images['img33'].src='widgets/gen_260.1.gif'"><img src="widgets/gen_260.1.gif" alt="Join us" name="img33" border="0"></a><br>
                                                                 
                                                                 <a href="mailto:drwanji@africapharm.com" onMouseOver="document.images['img_email'].src='widgets/gen_263.1.gif'" onMouseOut="document.images['img_email'].src='widgets/gen_262.1.gif'"><img src="widgets/gen_262.1.gif" alt="envoyez-moi un email " name="img_email" border="0"></a><br></TD>
                                                        </TR>
                                                        <TR>
                                                                <TD WIDTH=100 HEIGHT=100% BGCOLOR="#FFFFFF" VALIGN="top" BACKGROUND="widgets/gen_241.1.gif"> 
                                                                        <IMG SRC="widgets/gen_241.1.gif" WIDTH=100 HEIGHT=2 ALT=""></TD>
                                                        </TR>
                                                </TABLE> 
                                        </TD>
                                        <TD WIDTH=100% HEIGHT=100% BGCOLOR="#FFFFFF" VALIGN="top">
                                                <TABLE WIDTH=100% HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 HEIGHT=100% VALIGN="top">
                                                        <TR> 
       
                                                                <TD WIDTH=452 HEIGHT=100% VALIGN="top" BACKGROUND="widgets/gen_242.1.gif" style="background-repeat: no-repeat;"> 

                                                                <IMG SRC="widgets/spacer.gif" WIDTH=452 HEIGHT=1>
                                                                <!-- BOF: ./personal-templates/simple/personal/custom/html -->
<p>Your contact</p>
<form action="http://www.africapharm.com/folder-you-choose/FormMail.cgi" method="post">
<input type="hidden" name="recipient" value="test@africapharm.com">
<input type="hidden" name="subject" value="This is a test">
<input type="hidden" name="redirect" value="http://www.africapharm.com">

Your Email Address: <input type="text" size=20 name="email"><br/>
Your Full Name: <input type="text" size=40 name="realname"><br/><br/>

<input value="Submit" type="submit"> <input value="Clear Form" type=reset>

</Your contact>


<!-- EOF: ./personal-templates/simple/personal/custom/html -->


                                                                </TD>
                                                                <TD WIDTH=100% HEIGHT=100% VALIGN="top" BACKGROUND="widgets/gen_243.1.gif"> 
                                                                        <TABLE WIDTH=100% HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">
                                                                                <TR>
                                                                                        <TD WIDTH=100% HEIGHT=10 VALIGN="top" BACKGROUND="widgets/gen_243.1.gif"> 
                                                                                                <IMG SRC="widgets/spacer.gif" WIDTH=1 HEIGHT=10></TD>
                                                                                </TR>
                                                                                <TR>
                                                                                        <TD WIDTH=100% HEIGHT=100% VALIGN="top" BGCOLOR="#FFFFFF"  BACKGROUND="widgets/gen_249.1.gif"> 
                                                                                                <IMG SRC="widgets/spacer.gif" WIDTH=1 HEIGHT=1></TD>
                                                                                </TR>
                                                                        </TABLE>
                                                                </TD>
                                                                <TD WIDTH=50 HEIGHT=100% VALIGN="top" BACKGROUND="widgets/gen_244.1.gif"> 
                                                                        <TABLE WIDTH=100% HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">

                                                                                <TR>
                                                                                        <TD WIDTH=50 HEIGHT=100 VALIGN="top" BACKGROUND="widgets/gen_245.1.gif">        
                                                                                                <IMG SRC="widgets/spacer.gif" WIDTH=50 HEIGHT=100></TD>
                                                                                </TR>
                                                                                <TR>
                                                                                        <TD WIDTH=50 HEIGHT=100% VALIGN="top" BACKGROUND="widgets/gen_244.1.gif">        
                                                                                                <IMG SRC="widgets/spacer.gif" WIDTH=50 HEIGHT=100></TD>
                                                                                </TR>
                                                                                
                                                                        </TABLE>
                                                                </TD>
                                                        </TR>                   
                                                </TABLE>
                                                </div>
                                        </TD>
                                </TR>
<!-- End Center -->
                         </TABLE>
                  </TD>
        </TR>
        <TR>
                <TD  WIDTH=100%>
                        <TABLE WIDTH=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">
                                <TR>
                                        <TD WIDTH=62 HEIGHT=55> 
                                                <IMG SRC="widgets/gen_248.1.gif" WIDTH=62 HEIGHT=55 ALT=""></TD>
                                        <TD WIDTH=100% HEIGHT=55 BACKGROUND="widgets/gen_246.1.gif">
                                                
<br>
<FONT FACE="verdana, arial, helvetica" SIZE="1">
<center>
<nobr>|<a href="index.html">Difeuine here</A>|</nobr>

<nobr>|<a href="profile.html">Our Profile </A>|</nobr>

<nobr>|<a href="contact.html">Contact us</A>|</nobr>

<nobr>|<a href="form.html">Inquiry</A>|</nobr>

<nobr>|<a href="faq.html">FAQ</A>|</nobr>

<nobr>|<a href="catalog.0.html">Catalogue</A>|</nobr>

<nobr>|Join us|</nobr>
</center>
</font>
</TD>
                                </TR>
                                <TR>
                                        <TD WIDTH=62 HEIGHT=55 BACKGROUND="widgets/gen_247.1.gif"> 
                                                <IMG SRC="widgets/spacer.gif" WIDTH=62 HEIGHT=55></TD>
                                        
                                        <TD WIDTH=100% COLSPAN="2" VALIGN="top" BACKGROUND="widgets/gen_247.1.gif">
                                                
<center><table border="0" cellpadding="0" cellspacing="3"><tr><td align="center">

<br><font face="helvetica,verdana, arial" size="1"><!-- from 82.110.105.5 --></font>

</td></tr></table></center>
</TD>
                                </TR>
                        </TABLE>
                </TD>
        </TR>
</TABLE>                
<!-- EOF: ./personal-templates/simple/business/layout/l41.layout -->

    
<!-- BOF: ./personal-templates/simple/themes.show.body -->

<script language="javascript">
var no = 1;
var snowsrc="widgets/snow.gif";</script>
<script language="JavaScript1.2"  src="widgets/snow.js"></script>


<script language="javascript">
if (document.images)
var staticlogo=new Image()
staticlogo.src="";
var logolink = "index.html"
var alttext=""
var fadeintoview=1;
var visibleduration=0;
</script>
<script language="javascript1.2" src="widgets/staticlogo3.js"></script>


<!-- EOF: ./personal-templates/simple/themes.show.body -->

</body>
<!-- BOF: ./personal-templates/simple/themes.show.end -->


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</html>


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