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Jul 11th, 2018
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  1. <div id="contact_form">
  2. <form name="contact" action="">
  3. <fieldset>
  4. <label for="subject" id="subject_label">Please choose a relevant subject to your inquiry:</label>
  5. <select class="inputText2" name="subject">
  6. <option class="dropdown" value="disabled" disabled="disabled">Choose A Subject</option>
  7. <option class="dropdown" value="webquack">WebQuack</option>
  8. <option class="dropdown" value="macquack">MacQuack</option>
  9. <option class="dropdown" value="winquack">WinQuack</option>
  10. <option class="dropdown" value="interview">Interview Requests</option>
  11. <option class="dropdown" value="general">General Inquiry</option>
  12. </select>
  13. <label class="error" for="subject" id="subject_error">Uh Oh! This field is required.</label>
  14.  
  15. <label for="name" id="name_label">Name:</label>
  16. <input type="text" name="name" id="name" size="30" value="" class="text-input" />
  17. <label class="error" for="name" id="name_error">Uh Oh! This field is required.</label>
  18.  
  19. <label for="company" id="company_label">Company:</label>
  20. <input type="text" name="company" id="company" size="30" value="" class="text-input" />
  21.  
  22. <label for="email" id="email_label">Email:</label>
  23. <input type="text" name="email" id="email" size="30" value="" class="text-input" />
  24. <label class="error" for="email" id="email_error">Uh Oh! This field is required.</label>
  25.  
  26. <label for="website" id="website_label">Website:</label>
  27. <input type="text" name="website" id="website" size="30" value="" class="text-input" />
  28.  
  29. <label for="message" id="message_label">Message:</label>
  30. <input type="text" name="message" id="message" size="30" rows="20" value="" class="text-input" />
  31. <label class="error" for="message" id="message_error">Uh Oh! This field is required.</label>
  32.  
  33. <input type="submit" name="submit" class="button" id="submit_btn" value="Send Message" />
  34. </fieldset>
  35. </form>
  36. </div>
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