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- <!DOCTYPE html>
- <html>
- <head>
- <title>Contact Form</title>
- <link href="//maxcdn.bootstrapcdn.com/bootstrap/4.1.1/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css">
- <script src="//maxcdn.bootstrapcdn.com/bootstrap/4.1.1/js/bootstrap.min.js"></script>
- <script src="//cdnjs.cloudflare.com/ajax/libs/jquery/3.2.1/jquery.min.js"></script>
- <link rel="stylesheet" href="custom_login.css"/>
- </head>
- <body>
- <div id="login">
- <h3 class="text-center text-white pt-5">Contact form</h3>
- <div class="container">
- <div class="row">
- <div class="col-md-6 col-md-offset-3">
- <div class="well well-sm">
- <form class="form-horizontal" action="" method="post">
- <fieldset>
- <legend class="text-center">Contact us</legend>
- <!-- Name input-->
- <div class="form-group">
- <label class="col-md-3 control-label" for="name">Name</label>
- <div class="col-md-9">
- <input id="name" name="name" type="text" placeholder="Your name" class="form-control">
- </div>
- </div>
- <!-- Email input-->
- <div class="form-group">
- <label class="col-md-3 control-label" for="email">Your E-mail</label>
- <div class="col-md-9">
- <input id="email" name="email" type="text" placeholder="Your email" class="form-control">
- </div>
- </div>
- <!-- Message body -->
- <div class="form-group">
- <label class="col-md-3 control-label" for="message">Your message</label>
- <div class="col-md-9">
- <textarea class="form-control" id="message" name="message" placeholder="Please enter your message here..." rows="5"></textarea>
- </div>
- </div>
- <!-- Form actions -->
- <div class="form-group">
- <div class="col-md-12 text-right">
- <button type="submit" class="btn btn-primary btn-lg">Submit</button>
- </div>
- </div>
- </fieldset>
- </form>
- </div>
- </div>
- </div>
- </div>
- </div>
- </body>
- </html>
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