111 lines
1.6 KiB
HTML
Executable File
111 lines
1.6 KiB
HTML
Executable File
<html>
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<title>Test php email</title>
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<body>
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<form name="contactform" method="post" action="http://hearmewhisper.ddns.net/email.php">
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<table width="450px">
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<tr>
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<td valign="top">
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<label for="first_name">First Name *</label>
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</td>
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<td valign="top">
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<input type="text" name="first_name" maxlength="50" size="30">
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</td>
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</tr>
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<tr>
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<td valign="top">
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<label for="last_name">Last Name *</label>
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</td>
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<td valign="top">
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<input type="text" name="last_name" maxlength="50" size="30">
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</td>
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</tr>
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<tr>
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<td valign="top">
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<label for="email">Email Address *</label>
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</td>
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<td valign="top">
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<input type="text" name="email" maxlength="80" size="30">
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</td>
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</tr>
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<tr>
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<td valign="top">
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<label for="telephone">Telephone Number</label>
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</td>
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<td valign="top">
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<input type="text" name="telephone" maxlength="30" size="30">
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</td>
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</tr>
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<tr>
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<td valign="top">
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<label for="comments">Comments *</label>
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</td>
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<td valign="top">
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<textarea name="comments" maxlength="1000" cols="25" rows="6"></textarea>
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</td>
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</tr>
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<tr>
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<td colspan="2" style="text-align:center">
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<input type="submit" value="Submit"> <a href="http://www.freecontactform.com/email_form.php">Email Form</a>
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</td>
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</tr>
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</table>
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</form>
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<div id="footer"><p id="foot_p">Copyright © <span id="year"></span> Scott Monforte. Site built by <a href="mailto:hearmewhisper@gmail.com" style="text-decoration:none; color:black">Chris Edwards</a> </p></div>
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<script>
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var date = new Date();
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document.getElementById("year").innerHTML = " " + date.getFullYear() + " ";
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</script>
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</body>
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</html> |