Skip to content

Instantly share code, notes, and snippets.

@chapel
Created September 28, 2010 17:50
Show Gist options
  • Save chapel/601433 to your computer and use it in GitHub Desktop.
Save chapel/601433 to your computer and use it in GitHub Desktop.
<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>
Sign up for free to join this conversation on GitHub. Already have an account? Sign in to comment