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Feb 19th, 2019
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  1. <form action="orders/handler.php" method="POST">
  2. <label for="contactName">Name <span>*</span></label>
  3. <input type="text" name="name" required>
  4.  
  5. <label for="email">E-Mail <span>*</span></label>
  6. <input type="email" name="email" required>
  7.  
  8. <label for="number">Phone Number</label>
  9. <input type="tel" name="phone_number">
  10.  
  11. <label for="emailTo">Service <span>*</span></label>
  12. <input type="checkbox" name="service">Window Washing
  13. <input type="checkbox">Gutter Cleaning
  14. <input type="checkbox">Power Washing
  15.  
  16. <label for="message">Message <span>*</span></label>
  17. <textarea name="message" rows="5" cols="40"></textarea>
  18.  
  19. <button type="submit">Submit</button>
  20. </form>
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