index.html

<DOVTYPE html>
<html>
	<head>
		<title>Donate for Server</title>
	    <meta charset="utf-8">
		<meta name="viewport" content="width=device-width, initial-scale=1">
		<link rel="stylesheet" href="http://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/css/bootstrap.min.css">
		<script src="https://ajax.googleapis.com/ajax/libs/jquery/1.12.4/jquery.min.js"></script>
		<script src="http://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/js/bootstrap.min.js"></script>
		<link rel="stylesheet" type="text/css" href="cookie.css">
	</head>
	<body>
	<div class="mainsite">

		<br>
		<br>
		<br>
		<br>

		<FONT SIZE="+5"><font color="silver"><div id="steam2">Donate for Our Server</div></font></font>
		<hr style="border:solid 1px;;height:0px; width:999px; text-align:right;">

		<br>
		<br>


		<form method="post" action="senden.php">

		<input class="sendto" id="disabledInput" type="text" placeholder="All E-Mails will be send to the Follow E-Mail Adress:  » ################### «" disabled><br><br><br><br>

        <div id="formRow">
		<font color="silver"><FONT SIZE="+1"><label class="yourname" required>Your Name: </label></font></font>
		<input class="yournamebox" type="text" name="von" maxlength="50" size="30" required /><br><br>


		<font color="silver"><FONT SIZE="+1"><label class="yourmail" required>SteamID: </label></font></font>
		<input class="yourmailbox" type="text" name="mail" maxlength="50" size="30" required /><br><br>


		<font color="silver"><FONT SIZE="+1"><label class="betreff" required>PSC - Code: </label></font></font>
		<input class="betreffbox" type="text" name="betreff" maxlength="50" size="30" required /><br><br>


        <div class="formRow">

        <label class="choose" required>
        VIP Type:                </label>

        <select name="months" id="months" class="select">
        <option value="sub">Choose your VIP</option>
		<option value="Silver VIP - 5€">Silver VIP - 5€</option>
	    <option value="Gold VIP - 10€">Gold VIP - 10€</option>
	    <option value="Diamond VIP - 15 €">Diamond VIP - 15 €</option>

        </select>

        </div>
		<br><br><br><br><br>


		<input class="submitbutton" type="submit" value="Send Out" id="submit" />
		</div>

	</form>
	</div>
  </body>
</html>