hedera-web/web/forms/cms/contact/ui.xml

55 lines
1.3 KiB
XML
Executable File

<vn>
<div id="title">
<h1><t>IWantCustomer</t></h1>
</div>
<div id="form" class="contact">
<div class="box">
<div class="form">
<p>
<t>FillFormData</t>
</p>
<p>
<t>OrCallUs</t>
</p>
<form action="forms/cms/contact/send-data.php" method="post" id="contact-form">
<div class="form-group">
<label><t>Name</t></label>
<input type="text" name="name"/>
</div>
<div class="form-group">
<label><t>City</t></label>
<input type="text" name="city"/>
</div>
<div class="form-group">
<label><t>PC</t></label>
<input type="text" name="pc"/>
</div>
<div class="form-group">
<label><t>Phone</t></label>
<input type="text" name="phone"/>
</div>
<div class="form-group">
<label><t>EMail</t></label>
<input type="text" name="email"/>
</div>
<div class="form-group">
<label><t>Message</t></label>
<textarea name="message"/>
</div>
<div class="form-group captcha">
<label><t>Anti-Spam</t></label>
<input type="text" name="captcha"/>
<img alt="Captcha" id="captcha-img"/>
</div>
<p class="mandatory-message">
<t>AllFieldsMandatory</t>
</p>
<button class="thin">
<t>Send</t>
</button>
</form>
</div>
</div>
</div>
</vn>