form

request_a_demo.php

<div class="content pad request_a_demo_page">
  <div class="text">
    <form action="" class="public-form" id="request-demo" method="post">
      <fieldset>
        <legend>Request a Demo</legend>
        <p>All fields are required</p>
        <ol>
          <li>
            <label for="name">Name</label>
            <?php echo form_error('name'); ?>
            <input name="name" id="name" placeholder="Name" type="text" value="<?php echo set_value('name'); ?>"></li>
          <li>
            <label for="institution">University/College</label>
            <?php echo form_error('institution'); ?>
            <input name="institution" id="institution" placeholder="University/College" type="text" value="<?php echo set_value('institution'); ?>"></li>
          <li>
            <label for="position">Position</label>
            <?php echo form_error('position'); ?>
            <input name="position" id="position" placeholder="Position" type="text" value="<?php echo set_value('position'); ?>"></li>
          <li>
            <label for="email">Email</label>
            <?php echo form_error('email'); ?>
            <input name="email" id="email" placeholder="Email" type="email" value="<?php echo set_value('email'); ?>"></li>
          <li>
            <button type="submit" class="btn-call_to_action">Send Request</button></li>
          <div class="clear"></div>
        </ol>
      </fieldset>
    </form>
    <div class="clear"></div>
  </div>
  <div class="clear"></div>