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System : FreeBSD fbsdweb2.web.rcn.net 14.1-RELEASE FreeBSD 14.1-RELEASE releng/14.1-n267679-10e31f0946d8 GENERIC amd64
User : www ( 80)
PHP Version : 8.3.8
Disable Function : NONE
Directory :  /domains/smartny/

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Current File : /domains/smartny/good_form.txt
<!--

<form id="contact-form" method="post" action="contact.php" role="form">

    <div class="messages"></div>
    <div class="controls">

        <div class="row">
            <div class="col-md-6">
                <div class="form-group">
                    <label for="form_name">Your Name: *</label>
                    <input id="form_name" type="text" name="name" class="form-control" placeholder="Please enter your name *" required="required" data-error="Firstname is required.">
                    <div class="help-block with-errors"></div>
                </div>
            </div>
            <div class="col-md-6">
                <div class="form-group">
                    <label for="form_lastname">Company Name: *</label>
                    <input id="form_lastname" type="text" name="surname" class="form-control" placeholder="Please enter Company *" required="required" data-error="Lastname is required.">
                    <div class="help-block with-errors"></div>
                </div>
            </div>
        </div>


        <div class="row">
            <div class="col-md-6">
                <div class="form-group">
                    <label for="form_email">Email *</label>
                    <input id="form_email" type="email" name="email" class="form-control" placeholder="Please enter your email *" required="required" data-error="Valid email is required.">
                    <div class="help-block with-errors"></div>
                </div>
            </div>


            <div class="col-md-6">
                <div class="form-group">
                    <label for="form_need">Please specify your need *</label>
                    <select id="form_need" name="need" class="form-control" required="required" data-error="Please specify your need.">
                        <option value=""></option>
                        <option value="Request quotation">Request quotation</option>
                        <option value="Request order status">Request order status</option>
                        <option value="Request copy of an invoice">Request copy of an invoice</option>
                        <option value="Other">Other</option>
                    </select>
                    <div class="help-block with-errors"></div>
                </div>
            </div>
        </div>
        <div class="row">
            <div class="col-md-12">
                <div class="form-group">
                    <label for="form_message">Message *</label>
                    <textarea id="form_message" name="message" class="form-control" placeholder="Message for me *" rows="4" required="required" data-error="Please, leave us a message."></textarea>
                    <div class="help-block with-errors"></div>
                </div>
            </div>
            <div class="col-md-12">
                <input type="submit" class="btn btn-success btn-send" value="Send message">
            </div>
        </div>
        <div class="row">
            <div class="col-md-12">
                <p class="text-muted">
                    <strong>*</strong> These fields are required.</p>
            </div>
        </div>
    </div>

</form>
-->


<!--
<form>
 <p><label>Customer name: <input></label></p>
 <p><label>Telephone: <input type=tel></label></p>
 <p><label>Email address: <input type=email></label></p>
 <fieldset>
  <legend> Pizza Size </legend>
  <p><label> <input type=radio name=size> Small </label></p>
  <p><label> <input type=radio name=size> Medium </label></p>
  <p><label> <input type=radio name=size> Large </label></p>
 </fieldset>
 <fieldset>
  <legend> Pizza Toppings </legend>
  <p><label> <input type=checkbox> Bacon </label></p>
  <p><label> <input type=checkbox> Extra Cheese </label></p>
  <p><label> <input type=checkbox> Onion </label></p>
  <p><label> <input type=checkbox> Mushroom </label></p>
 </fieldset>
 <p><label>Preferred delivery time: <input type=time min="11:00" max="21:00" step="900"></label></p>
 <p><label>Delivery instructions: <textarea></textarea></label></p>
 <p><button>Submit order</button></p>
</form>

    <form action="contact.php" method="post">
        <label for="name">Name:</label>
        <input type="text" id="name" name="name" required>
        
        <label for="email">Email:</label>
        <input type="email" id="email" name="email" required>
        
        <label for="message">Message:</label>
        <textarea id="message" name="message" required></textarea>
        
        <button type="submit">Send</button>
    </form>
        
-->

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