Guest User

new form

a guest
Feb 6th, 2015
214
Never
Not a member of Pastebin yet? Sign Up, it unlocks many cool features!
  1. <form action="process-form.php" method="post" id="form">
  2. <input type="hidden" id="sender_name" name="sender_name" placeholder="Your Name" />
  3. <input type="text" id="sender_email" name="sender_email" placeholder="Your Email" style="display: none;" />
  4. <input type="text" id="name" name="name" placeholder="השם שלך" />
  5. <input type="text" id="email" name="email" placeholder="הדואר אלקטרוני שלך" />
  6. <input type="text" id="topic" name="topic" placeholder="הטלפון שלך" />
  7. <textarea id="comments" name="comments" cols="1" rows="3" placeholder="ההודעה שלך"></textarea>
  8.  
  9. <div class="buttons">
  10. <a href="#" class="link1" onclick="document.getElementById('form').submit()"><em><b>לחצו כאן<br>לחוויה מוסיקלית מהנה<br></b></em></a>
  11. <div class="fix"></div>
  12. </div>
  13. </form>
RAW Paste Data