<?php include("_header.php"); ?>
<div id="request-form">
	<div class="request-form">
		<p>To get a copy of my CV, please enter your details in the form below. All fields are compulsary.</p>
	</div>
</div>

<div id="form">
	<div class="form">
	<form action="sendmail.php" id="request-form1" autocomplete="off" method="POST">
		<input type="text" name="Name" placeholder="Barbra Steisand" style="font-size: 28px; font-family: MuseoSlab500;"> What's Your Name?</input>
		<br>
		<input type="text" name="Company" placeholder="Facebook" style="font-size: 28px; font-family: MuseoSlab500;"> What's Your Business/Company Name?</input>
		<br>
		<input type="text" name="Position" placeholder="I'm the Boss." style="font-size: 28px; font-family: MuseoSlab500;"> What's Your Position in Your Company?</input>
		<br>
		<input type="email" name="Email" placeholder="Enter Your Email!" size="29" style="font-size: 28px; font-family: MuseoSlab500;"> What's Your Contact Email?</input>
		<br>
		<input type="tel" name="Telephone" placeholder="911" style="font-size: 28px; font-family: MuseoSlab500;"> What's Your Contact Phone Number?</input>
		<br>
		<input type="url" name="URL" placeholder="What's Your Domain?" style="font-size: 28px; font-family: MuseoSlab500;"> What's Your Company's Website?</input>
		<br>
		<input type="text" name="Address1" placeholder="1600 Pennslyvania Ave" size="35" style="font-size: 28px; font-family: MuseoSlab500;"> What's Your Company's Address?</input>
		<br>
		<input type="text" name="Suburb" placeholder="NW Washington DC" style="font-size: 28px; font-family: MuseoSlab500;"> What's Your Suburb?</input>
		<br>
		<input type="text" name="postcode" placeholder="6000" size="4" style="font-size: 28px; font-family: MuseoSlab500;"> What's Your Post/Zip Code?</input>
		<br>
		<input type="text" name="State" placeholder="DC" size="3" style="font-size: 28px; font-family: MuseoSlab500;"> What's Your State?</input>
		<br>
		<input type="text" name="Country" placeholder="USA" style="font-size: 28px; font-family: MuseoSlab500;"> What Country Are You In?</input>
		<br>
		<p>Why Do You Want My CV?</p>
		<select name="why" style="font-size: 28px; font-family: MuseoSlab500;">
			<option value="I'm Interested In You">I'm Interested In You</option>
			<option value="I'm Just Looking Around">I'm Just Looking Around</option>
			<option value="I've Heard of You Before">I've Heard of You</option>
			<option value="I Just Want To Have a Look">I Just Want to Have a Look</option
			<option value="I'm Thinking of Hiring You" selected="selected">I'm Thinking of Hiring You</option>
			<option value="Other">Other</option>
		</select>
		<br>
		<input type="text" name="Comments" placeholder="Comments?" style="font-size: 28px; font-family: MuseoSlab500;"> Any Comments?</input>
		<br>
		<input type="checkbox" name="Are-you-sure?" style="font-size: 28px; font-family: MuseoSlab500;"> Are You Sure You Want My CV?</input>
		<br>
		<br>
		<input type="submit" value="Give Me Your CV!"></input>
		</form>
		</div>
</div>

<?php include("_footer.php"); ?>