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- <form action="/t-contact.aspx" method="post">
- <div class="form contact-form">
- <div class="form-group-full form-group has-feedback">
- <label class="form-label form-label-required" for="From">
- <span class="form-label-prefix form-label-prefix-required"></span>
- <span class="form-label-wrap">Your Name</span>
- <span class="form-label-suffix form-label-suffix-required">(required)</span>
- </label>
- <div class="entry-feedback-wrapper">
- <input autocomplete="name" class="form-control text-box single-line" data-val="true" data-val-required="Your first and last name are required." id="From" name="From" placeholder="Your first and last name" required="required" type="text" value="" />
- <i class="fa form-control-feedback"></i>
- </div>
- <span class="field-validation-valid form-validation-message" data-valmsg-for="From" data-valmsg-replace="true"></span>
- </div>
- <div class="form-group-full form-group has-feedback">
- <label class="form-label form-label-required" for="Phone">
- <span class="form-label-prefix form-label-prefix-required"></span>
- <span class="form-label-wrap">Phone Number</span>
- <span class="form-label-suffix form-label-suffix-required">(required)</span>
- </label>
- <div class="entry-feedback-wrapper">
- <input autocomplete="tel" class="form-control text-box single-line" data-val="true" data-val-required="Your phone number is required." id="Phone" name="Phone" placeholder="Your phone number" required="required" type="tel" value="" />
- <i class="fa form-control-feedback"></i>
- </div>
- <span class="field-validation-valid form-validation-message" data-valmsg-for="Phone" data-valmsg-replace="true"></span>
- </div>
- <div class="form-group-full form-group has-feedback">
- <label class="form-label form-label-required" for="Email">
- <span class="form-label-prefix form-label-prefix-required"></span>
- <span class="form-label-wrap">Email Address</span>
- <span class="form-label-suffix form-label-suffix-required">(required)</span>
- </label>
- <div class="entry-feedback-wrapper">
- <input autocomplete="email" class="form-control text-box single-line" data-val="true" data-val-regex="ContactUs.EmailAddress.Format" data-val-regex-pattern="^.+@.+\..+$" data-val-required="Your email address is required." id="Email" name="Email" placeholder="Your email address" required="required" type="email" value="" />
- <i class="fa form-control-feedback"></i>
- </div>
- <span class="field-validation-valid form-validation-message" data-valmsg-for="Email" data-valmsg-replace="true"></span> <
- /div>
- <div class="form-group-full form-group has-feedback">
- <label class="form-label form-label-required" for="Subject">
- <span class="form-label-prefix form-label-prefix-required"></span>
- <span class="form-label-wrap">Subject</span>
- <span class="form-label-suffix form-label-suffix-required">(required)</span>
- </label>
- <div class="entry-feedback-wrapper">
- <input class="form-control text-box single-line" data-val="true" data-val-required="Email subject is required." id="Subject" name="Subject" placeholder="Email subject" required="required" type="text" value="" />
- <i class="fa form-control-feedback"></i>
- </div>
- <span class="field-validation-valid form-validation-message" data-valmsg-for="Subject" data-valmsg-replace="true"></span>
- </div>
- <div class="form-group-full form-group has-feedback">
- <label class="form-label form-label-required" for="Message">
- <span class="form-label-prefix form-label-prefix-required"></span>
- <span class="form-label-wrap">Message</span>
- <span class="form-label-suffix form-label-suffix-required">(required)</span>
- </label>
- <div class="entry-feedback-wrapper">
- <textarea class="form-control text-box multi-line" data-val="true" data-val-required="Message is required." id="Message" name="Message" placeholder="What can we help you with?" required="required">
- </textarea>
- <i class="fa form-control-feedback"></i>
- </div>
- <span class="field-validation-valid form-validation-message" data-valmsg-for="Message" data-valmsg-replace="true"></span>
- </div>
- <div class=" form-group-captcha form-group-full form-group has-feedback">
- <label class="form-label form-label-required" for="CaptchaCode">
- <span class="form-label-prefix form-label-prefix-required"></span>
- <span class="form-label-wrap">Security Code</span>
- <span class="form-label-suffix form-label-suffix-required">(required)</span>
- </label>
- <div class="input-group entry-feedback-wrapper">
- <input class="form-control text-box single-line" data-val="true" data-val-required="Captcha is required." id="CaptchaCode" name="CaptchaCode" required="required" type="text" value="" />
- <span class="input-group-addon input-group-addon-captchaimage">
- <img src="/captcha?scope=ContactUsIndex" />
- </span>
- </div>
- <span class="field-validation-valid form-validation-message" data-valmsg-for="CaptchaCode" data-valmsg-replace="true"></span>
- </div>
- <div class="page-action-bar contact-us-actions">
- <input type="submit" class="btn btn-primary submit-contact-button" value="Submit" />
- </div>
- </div>
- </form>
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