<form action="process.php" method="post" enctype="multipart/form-data" name="Form" class="style1" id="Form">
      
    <div align="left">
            <blockquote>
              <p><span class="style11">E-mail:          </span>
                <input type="text" name="Email" id="Email" />
                <br />
                <span class="style6">I have text here</span><br />
                <br />
                <br />
                <span class="style11"> Image:</span>
                <input type="file" name="Image" id="Image" />
                <br />
                <br />
                <br />
                <span class="style12">more text here</span><br />
                <br />
                <input type="checkbox" name="1" id="1" />
                standard retouch  <br />
                <span class="style6">blah blah checkbox</span><br />
                <input type="checkbox" name="2" id="2" />
                anothercheckbox description<br />
                <input type="checkbox" name="3" id="3" />
                last checkbox<br />
                <br />
                More options will be added in the near future!<br />
                <br />
                <br />
                <input type="submit" name="Submit" id="Submit" value="Submit" />
                <span class="style6">final text</span><br />
                <br />
              </p>
            </blockquote>
          </div>
    </form>