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- <form action="orders/handler.php" method="POST">
- <label for="contactName">Name <span>*</span></label>
- <input type="text" name="name" required>
- <label for="email">E-Mail <span>*</span></label>
- <input type="email" name="email" required>
- <label for="number">Phone Number</label>
- <input type="tel" name="phone_number">
- <label for="emailTo">Service <span>*</span></label>
- <input type="checkbox" name="service">Window Washing
- <input type="checkbox">Gutter Cleaning
- <input type="checkbox">Power Washing
- <label for="message">Message <span>*</span></label>
- <textarea name="message" rows="5" cols="40"></textarea>
- <button type="submit">Submit</button>
- </form>
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