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- <div class="container">
- <div class="row">
- <div class="col-md-9 col-xs-12 forma">
- <!--Contact Form -->
- <script Language="JavaScript" Type="text/javascript"><!--
- function FrontPage_Form1_Validator(theForm)
- {
- if (theForm.Email.value == "")
- {
- alert("Please enter a value for the \"Email\" field.");
- theForm.Email.focus();
- return (false);
- }
- if (theForm.Email.value.length < 5)
- {
- alert("Please enter at least 5 characters in the \"Email\" field.");
- theForm.Email.focus();
- return (false);
- }
- if (theForm.Email.value.length > 100)
- {
- alert("Please enter at most 100 characters in the \"Email\" field.");
- theForm.Email.focus();
- return (false);
- }
- var chkVal = theForm.Email.value;
- var prsVal = chkVal;
- if (chkVal != "" && !(prsVal >= 5 && prsVal <= 100))
- return (true);
- }
- //--></script>
- <form action="mailer.php" method="post" onsubmit="return FrontPage_Form1_Validator(this)" language="JavaScript" name="FrontPage_Form1">
- <input type="text" class="col-md-13 col-xs-12 name" name='name' placeholder='Name *'/>
- <input type="text" class="col-md-13 col-xs-12 Email" name='Email' placeholder='Email *'/>
- <input type="text" class="col-md-12 col-xs-12 Subject" name='Subject' placeholder='Subject'/>
- <textarea type="text" class="col-md-12 col-xs-12 Message" name='Message' placeholder='Message *'></textarea>
- <div class="cBtn col-xs-12">
- <ul>
- <li class="clear"><input type="reset" name="reset" /></li>
- <li class="send"><input name="PFD" type="submit" id="PFD" value="Submit"/></li>
- </ul>
- </div>
- </form>
- </div>
- <div class="col-md-3 col-xs-12 cont">
- <ul>
- <li><i class="fa fa-home"></i>Location Goes Here</li>
- <li><i class="fa fa-envelope"></i>email@email.com</li>
- <li><a href="#"><i class="fa fa-facebook-square"></i>Facebook</li></a>
- <li><a href="#"><i class="fa fa-linkedin"></i>Linked In</li></a>
- </ul>
- </div>
- </div>
- </div>
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