Created
September 28, 2010 17:50
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<form> -- remove this | |
<h3>Give us a buzz.</h3> | |
<p> | |
The fastest way to get a hold of us is to give us a call. Our hours are 9 AM to 5 PM, Monday through Friday. But we're dedicated to our customers, so we'll probably call you back if you ring us after hours. | |
</p> | |
<h3>Leave a message.</h3> | |
<table class="contact-table"> | |
<form name="leave-message" action="sendmessage.php" method="POST"> | |
<tr> | |
<td class="contact-details"> | |
Your Name | |
</td> | |
<td> | |
<input type="text" name="name" id="name"></input> | |
</td> | |
</tr> | |
<tr> | |
<td class="contact-details"> | |
Your Phone Number | |
</td> | |
<td> | |
<input type="text" name="phone" id="phone"></input> | |
</td> | |
</tr> | |
<tr> | |
<td class="contact-details"> | |
Your E-mail Address | |
</td> | |
<td> | |
<input type="text" name="email" id="email"></input> | |
</td> | |
</tr> | |
<tr> | |
<td class="contact-details"> | |
Your Message | |
</td> | |
<td> | |
<textarea class="message" name="message" id="message"></textarea> | |
</td> | |
</tr> | |
<tr> | |
<td class="contact-details"> | |
</td> | |
<td> | |
<input type="submit" class="submit-button" value="Make Contact"></input> | |
</form> -- move this | |
</td> | |
</tr> | |
-- to here | |
</table> | |
<h3>Schedule an Appointment.</h3> | |
<table class="contact-table"> | |
<form action="mailto:[email protected]" method="POST" enctype="multipart/form-data"> | |
<tr> | |
<td class="contact-details"> | |
Your Name | |
</td> | |
<td> | |
<input type="text" name="name"></input> | |
</td> | |
</tr> | |
<tr> | |
<td class="contact-details"> | |
Your Business Name | |
</td> | |
<td> | |
<input type="text" name="business-name"></input> | |
</td> | |
<tr> | |
<td class="contact-details"> | |
Your Phone Number | |
</td> | |
<td> | |
<input type="text" name="phone-number"></input> | |
</td> | |
</tr> | |
<tr> | |
<td class="contact-details"> | |
Your E-mail Address | |
</td> | |
<td> | |
<input type="text" name="email-address"></input> | |
</td> | |
</tr> | |
<tr> | |
<td class="contact-details"> | |
Desired Date | |
</td> | |
<td> | |
<select name="month"> | |
<option value="">Month</option> | |
<option value="1">January</option> | |
<option value="2">February</option> | |
<option value="3">March</option> | |
<option value="4">April</option> | |
<option value="5">May</option> | |
<option value="6">June</option> | |
<option value="7">July</option> | |
<option value="8">August</option> | |
<option value="9">September</option> | |
<option value="10">October</option> | |
<option value="11">November</option> | |
<option value="12">December</option> | |
</select> | |
<select name="day"> | |
<option value="">Day</option> | |
<option value="1">1</option> | |
<option value="2">2</option> | |
<option value="3">3</option> | |
<option value="4">4</option> | |
<option value="5">5</option> | |
<option value="6">6</option> | |
<option value="7">7</option> | |
<option value="8">8</option> | |
<option value="9">9</option> | |
<option value="10">10</option> | |
<option value="11">11</option> | |
<option value="12">12</option> | |
<option value="13">13</option> | |
<option value="14">14</option> | |
<option value="15">15</option> | |
<option value="16">16</option> | |
<option value="17">17</option> | |
<option value="18">18</option> | |
<option value="19">19</option> | |
<option value="20">20</option> | |
<option value="21">21</option> | |
<option value="22">22</option> | |
<option value="23">23</option> | |
<option value="24">24</option> | |
<option value="25">25</option> | |
<option value="26">26</option> | |
<option value="27">27</option> | |
<option value="28">28</option> | |
<option value="29">29</option> | |
<option value="30">30</option> | |
<option value="31">31</option> | |
</select> | |
</td> | |
</tr> | |
<tr> | |
<td class="contact-details"> | |
Your Message | |
</td> | |
<td> | |
<textarea class="message" name="message"></textarea> | |
</td> | |
</tr> | |
<tr> | |
<td class="contact-details"> | |
</td> | |
<td> | |
<input type="submit" class="submit-button" value="Make Contact"></input> | |
</td> | |
</tr> | |
</form> | |
</table> |
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