Something

<table width="700" border="0" align="center" cellpadding="1">
  <tr>
    <td bgcolor="#000000"><table width="100%" border="0" cellpadding="0" bgcolor="#FFFFFF">
      <tr>
        <td><div align="center"><strong>AFTER COMPLETING THE FORMS FROM OUR MARKETING PARTNER<br />
          You will need to open your email inbox to retrieve the subject line from our marketing partner.</strong></div></td>
      </tr>
      <tr>
        <td><form action="complete.php" method="post" enctype="multipart/form-data" name="form1" id="form1">
          <table width="100%" border="0" cellpadding="0">
            <tr>
              <td>Subject Line From Email:</td>
              <td colspan="3"><label>
                <input name="subjectline" type="text" id="subjectline" size="80" />
              </label></td>
              </tr>
            <tr>
              <td>Make of Vehicle</td>
              <td colspan="3"><label>
                <input name="make" type="text" id="make" size="40" />
              </label></td>
            </tr>
            <tr>
              <td>Model of Vehicle</td>
              <td colspan="3"><input name="model" type="text" id="model" size="40" /></td>
            </tr>
            <tr>
              <td>Gas Station</td>
              <td colspan="3"><input name="gasstation" type="text" id="gasstation" size="40" /></td>
            </tr>
            <tr>
              <td>Octane</td>
              <td colspan="3"><input name="octane" type="text" id="octane" size="40" /></td>
            </tr>
            <tr>
              <td>Price Per Gallon</td>
              <td colspan="3"><input name="price" type="text" id="price" size="40" /></td>
            </tr>
            <tr>
              <td>Gallons Purchased</td>
              <td colspan="3"><input name="gallons" type="text" id="gallons" size="40" /></td>
            </tr>
            <tr>
              <td>Purchase Amount</td>
              <td colspan="3"><input name="purchaseamt" type="text" id="purchaseamt" size="40" /></td>
            </tr>
            <tr>
              <td width="26%">Payout Preference:</td>
              <td width="12%"><label>
                <div align="center">
                  <input type="radio" name="payment" id="radio" value="paypal" />
                  Paypal</div>
              </label>
                <div align="center">
                <label></label>
              </div></td>
              <td colspan="2"><input type="radio" name="payment" id="radio2" value="check" /> 
                Check<span class="style2"> (Please allow three to four weeks for delivery)</span></td>
              </tr>
            <tr>
              <td colspan="4"><div align="left">
                <?php
				$debug = 1;
				$invite = $_GET['inv'];
				//connect to the db;
				include('../incs/conn.php');
				$offeridresult = mysql_query("SELECT offerid from offerstaken where invite ='".mysql_escape_string( $invite )."'") or die(mysql_error());
				$count = mysql_num_rows($offeridresult);
				if ($debug == 1 and $count < 1){echo 'Empty Result Set';}ELSE{$offerid = mysql_result($offeridresult,0);}
				echo'<input type ="hidden" name="offerid" value="'.$offerid.'"><input type="hidden" name="invite" value="'.$invite.'">';?>
              </div></td>
              </tr>
            <tr>
              <td>&nbsp;</td>
              <td colspan="2"><div align="center">
                <input type="submit" name="button" id="button" value="Submit" />
              </div></td>
              <td width="17%">&nbsp;</td>
            </tr>
          </table>
        </form>