<html> <title> Gama Dental Clinic :: A Division of GAMA clinical Co. ltd.</title> <head> <LINK href="common/style.css" type=text/css rel=stylesheet> <LINK href="common/stylenew.css" type=text/css rel=stylesheet> <LINK href="common/arabic.css" type=text/css rel=stylesheet> <LINK href="common/hp1.css" type=text/css rel=stylesheet> <head> <script language="javascript" type=text/javascript> function check_all_data_forsave() { if (document.submitenquiry.a1.value == ""){alert("Please enter your name and try again.");return;} if (document.submitenquiry.a2.value == ""){alert("Please enter patient name and try again.");return;} if (document.submitenquiry.a8.value == ""){alert("Please enter phone name and try again.");return;} if (document.submitenquiry.a9.value == ""){alert("Please enter your Email address for our communication and try again.");return;} if (document.submitenquiry.a10.value == ""){alert("Please enter your message to us and try again.");return;} document.submitenquiry.submit(); return; 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href="s1.htm"><li><b>Services</A></TD> <td></td> <td class=gt1 onmouseover="this.className='gt1'" onmouseout="this.className='gt1'" ><a class='2link' href="appointment.htm"><b><li>Appointment</a></td> <td></td> <td class=gt0 onmouseover="this.className='gt1'" onmouseout="this.className='gt0'" ><a class='2link' href="faq.htm"><b><li>FAQ</A></td> <td></td> <!--<td class=gt0 onmouseover="this.className='gt1'" onmouseout="this.className='gt0'" ><a class='2link' href="staffprofile.htm"><b><li>Staff Profile</A></td>--> <td></td> <td class=gt0 onmouseover="this.className='gt1'" onmouseout="this.className='gt0'" ><a class='2link' href="contactus.htm"><b><li>Contact us</a></td> </table> </tD></tr></table> </td> <tr><td bgcolor=white height=1></td> <tr><td ><img src="images/bigban.gif"></img></td> </table> <table width=100% cellpadding=0 cellspacing=1> <tr><td bgcolor=white height=100 width=100%> <table width=100% cellpadding=0 cellspacing=0 border=0> <tr> <td width=30 bgcolor=white nowrap> <td valign=top> <table width=100% cellpadding=0 cellspacing=0 border=0> <tr> <tr> <Td bgcolor=white width=100%> <table border=0 width=100%> <tr> <td VALIGN=top><img src="images/appointment1.gif"></img> <td width=10> <TD WIDTH=100% valign=top align=left> <font class="font_companyprofile" ><bR><bR> <font color=green ><b>Please fill up the form with your complete details. <form name="submitenquiry" method="post" action="submitenquiry.asp" > <table border=0 cellpadding=0 cellspacing=0 bgcolor=white nowrap width=100% > <tr> <td bgcolor=E8E8F6><FONT class=Airlines1><b>Your Name <td> <input type="text" name="a1" > <td><FONT class=Airlines1> <tR> <td><FONT class=airlines1><b>Patient Name &nbsp;&nbsp; <tD><INPUT TYPE="text" name="a2" > <td><FONT class=Airlines1> <tR> <td bgcolor=E8E8F6><FONT class=airlines1><b>Gender &nbsp;&nbsp; <tD><INPUT TYPE="Radio" name="a3" checked=true value="Male"><FONT class=Airlines1>Male<INPUT TYPE="Radio" name="a3" value="Female" ><FONT class=Airlines1>Female <td><FONT class=Airlines1> <tR> <td ><FONT class=airlines1><b>Appointment time preference :&nbsp;&nbsp; <tD ><INPUT TYPE="text" name="a5" > <td><FONT class=Airlines1> <tR> <tR> <td ><FONT class=airlines1><b>Patient Age &nbsp;&nbsp; <tD ><INPUT TYPE="text" name="a6" > <td><FONT class=Airlines1> <tR> <td bgcolor=E8E8F6><FONT class=Airlines1><b>Contact address <td><textarea rows=4 cols=20 name="a7" ></textarea> <td><FONT class=elementlink1> <tr> <Td ><FONT class=Airlines1><b>Phone <td><input type="text" name="a8"> <td><FONT class=elementlink> <tr> <Td bgcolor=E8E8F6><FONT class=Airlines1><b>Email address <td><input type="text" name="a9"> <td><FONT class=Airlines1> <tr> <Td><FONT class=Airlines1><b>Message for us <br>in details <td><textarea rows=7 cols=40 name="a10"></textarea> <td><FONT class=Airlines1><font color=white> <tR> <td height=20 nowrap bgcolor=E8E8F6 colspan=3 align=center> <table> <tr> <td><img src="images/mailreply.gif" border=0></img> <td><a href="javascript:check_all_data_forsave()" class=appointment>&nbsp;<b>Send</A> &nbsp;&nbsp;&nbsp;|&nbsp;&nbsp;&nbsp; <td><img src="images/close.gif" border=0></img></td> <td><a href="javascript:cleardata()" class=appointment>&nbsp;<b>Reset Form</a> </table> </table> </form> </TABLE> <br> </table> </td></tr> </table> <table cellpadding=0 cellspacing=0 border=0 width=100% bgcolor=white> <tr> <td width=50 align=left bgcolor=789BFC nowrap> <td height=70 width=300 align=center bgcolor=8FACFB> <font class=copyrights> <br> <B>GAMA DENTAL CLINIC<BR></B> <b>FAL Shopping Center<Br> King Abdul Aziz Road<br> <br> P.O. Box 41726,Riyadh 11531,<br> Kingdom of Saudi Arabia <br> Phone : 00966 - 1 - 4542929 / 4549788 / 4549784<br> Fax : 00966 - 1 - 4569563 / 2050096<br> <br> Email : gdcinfo@gamadentalclinic.com<br> Web Site : www.gamadentalclinic.com<br> <br> <td align=center bgcolor=789BFC width=500> <a class="menudown" href="default.htm"><b>Home</b></a> <font color=white>| <a class="menudown" href="company.htm"><b>Company Profile</b></a> <font color=white>| <a class="menudown" href="appointment.htm"><b>Appointment</b></a> <font color=white>| <a class="menudown" href="faq.htm"><b>FAQ</b></a> <font color=white>| <a class="menudown" href="contactus.htm"><b>Contact us</b></a> <font color=white> </table> <table cellpadding=0 cellspacing=0 width=100% bgcolor=white> <tr><td height=20 background="images/background.gif" align=right bgcolor=CDCFD0><font class=copyrights> <font color=white >Design and Develop by <b><font color=white>TOP TECHNOLOGIES&nbsp;&nbsp;&nbsp;</td> </TD> </TR> </table> </td> </table> </body> </html>