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Nov 20th, 2017
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  1. <div class="grid_6 preffix_1">
  2. <h2>Envianos tu mensaje</h2>
  3. <form id="contact-form">
  4. <div class="contact-form-loader"></div>
  5. <fieldset>
  6. <label class="name" title="Nombre">
  7. <input type="text" name="name" placeholder="Nombre:" value="" data-constraints="@Required @JustLetters" />
  8. <span class="empty-message">*Ingresa tu nombre</span>
  9. <span class="error-message">*Caracter no valido.</span>
  10. </label>
  11.  
  12. <label class="email" title="E-mail">
  13. <input type="text" name="email" placeholder="E-mail:" value="" data-constraints="@Required @Email" />
  14. <span class="empty-message">*Ingresa correctamente tu Email.</span>
  15. <span class="error-message">*Caracter no valido.</span>
  16. </label>
  17. <label class="phone" title="Celular">
  18. <input type="text" name="phone" placeholder="Celular:" value="" data-constraints="@Required @JustNumbers" />
  19. <span class="empty-message">*Ingresar numero celular</span>
  20. <span class="error-message">*Caracter no valido.</span>
  21. </label>
  22.  
  23. <label class="message" title="Mensaje">
  24. <textarea name="message" placeholder="Mensaje:" data-constraints='@Required @Length(min=20,max=999999)'></textarea>
  25. <span class="empty-message">*Es necesario llenar este espacio</span>
  26. <span class="error-message">*Mensaje muy corto.</span>
  27. </label>
  28. <div class="ta__right">
  29. <a href="#" class="btn" title="Limpiar" data-type="reset">Limpiar</a>
  30. <a href="#" class="btn" title="Enviar"data-type="submit">Enviar</a>
  31. </div>
  32. </fieldset>
  33. <div class="modal fade response-message">
  34. <div class="modal-dialog">
  35. <div class="modal-content">
  36. <div class="modal-header">
  37. <button type="button" class="close" data-dismiss="modal" aria-hidden="true">&times;</button>
  38. <h4 class="modal-title">¡Listo!</h4>
  39. </div>
  40. <div class="modal-body">
  41. Tu mensaje se envio exitosamente.
  42. </div>
  43. </div>
  44. </div>
  45. </div>
  46. </form>
  47. </div>
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