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Current File : /home1/savoy/public_html/savoyglobal.net/old_site/views/site/contact-us.php |
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Strict//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-strict.dtd"> <html xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en"> <head> <?php $this->load->view('site/header'); ?> </head> <body> <?php $this->load->view('site/menu'); ?> <div id="container"> <div class="banner"> <div class="banner_top"></div><!--banner_top end--> <div class="banner_mid_inner"><img src="<?=base_url()?>assets/images/banners/contact.jpg" alt="Careers at Savoy Global"/></div><!--banner_mid end--> <div class="banner_bot"></div><!--banner_bot end--> </div><!--banner end--> <div class="content"> <div class="content_left_contact"> <h1>Contact Us</h1> <script src="<?=base_url()?>assets/js/formscript.js" type="text/javascript"></script> <script type="text/javascript"> JotForm.init(function(){ $('input_4').hint('ex: myname@example.com'); }); </script> <link href="<?=base_url()?>assets/css/formstyle.css" rel="stylesheet" type="text/css" /> <style type="text/css"> .form-label{ width:150px !important; } .form-label-left{ width:150px !important; } .form-line{ padding:10px; } .form-label-right{ width:150px !important; } .form-all{ width:650px; color:Black !important; font-family:Verdana; font-size:12px; } </style> <form class="jotform-form" action="<?=site_url();?>/site/insert_contact" method="post" name="form_12764552159" id="12764552159" accept-charset="utf-8"> <input type="hidden" name="formID" value="12764552159" /> <div class="form-all"> <ul class="form-section"> <li class="form-line" id="id_1"> <label class="form-label-left" id="label_1" for="input_1"> Full Name<span class="form-required">*</span> </label> <div id="cid_1" class="form-input"><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q1_fullName1[first]" id="first_1" /> <label class="form-sub-label" for="first_1" id="sublabel_first"> First Name </label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q1_fullName1[last]" id="last_1" /> <label class="form-sub-label" for="last_1" id="sublabel_last"> Last Name </label></span> </div> </li> <li class="form-line" id="id_7"> <label class="form-label-left" id="label_7" for="input_7"> Organization </label> <div id="cid_7" class="form-input"> <input type="text" class="form-textbox" id="input_7" name="q7_organization" size="20" /> </div> </li> <li class="form-line" id="id_3"> <label class="form-label-left" id="label_3" for="input_3"> Phone Number </label> <div id="cid_3" class="form-input"><span class="form-sub-label-container"><input class="form-textbox" type="tel" name="q3_phoneNumber3[area]" id="input_3_area" size="3"> - <label class="form-sub-label" for="input_3_area" id="sublabel_area"> Area Code </label></span><span class="form-sub-label-container"><input class="form-textbox" type="tel" name="q3_phoneNumber3[phone]" id="input_3_phone" size="8"> <label class="form-sub-label" for="input_3_phone" id="sublabel_phone"> Phone Number </label></span> </div> </li> <li class="form-line" id="id_4"> <label class="form-label-left" id="label_4" for="input_4"> E-mail<span class="form-required">*</span> </label> <div id="cid_4" class="form-input"> <input type="email" class="form-textbox validate[required, Email]" id="input_4" name="q4_email4" size="30" /> </div> </li> <li class="form-line" id="id_5"> <label class="form-label-left" id="label_5" for="input_5"> Website </label> <div id="cid_5" class="form-input"> <input type="text" class="form-textbox" id="input_5" name="q5_website" size="20" /> </div> </li> <li class="form-line" id="id_8"> <label class="form-label-left" id="label_8" for="input_8"> In What capacity are you filling this up </label> <div id="cid_8" class="form-input"> <div class="form-single-column"><span class="form-radio-item" style="clear:left;"><input type="radio" class="form-radio" id="input_8_0" name="q8_inWhat8" value="Organization" /> <label for="input_8_0"> Organization </label></span><span class="clearfix"></span><span class="form-radio-item" style="clear:left;"><input type="radio" class="form-radio" id="input_8_1" name="q8_inWhat8" value="Individual" /> <label for="input_8_1"> Individual </label></span><span class="clearfix"></span> </div> </div> </li> <li class="form-line" id="id_6"> <label class="form-label-left" id="label_6" for="input_6"> Comments<span class="form-required">*</span> </label> <div id="cid_6" class="form-input"> <textarea id="input_6" class="form-textarea validate[required]" name="q6_comments" cols="40" rows="6"></textarea> </div> </li> <li class="form-line" id="id_2"> <div id="cid_2" class="form-input-wide"> <div style="margin-left:156px" class="form-buttons-wrapper"> <button id="input_2" type="submit" class="form-submit-button"> Submit Form </button> </div> </div> </li> <li style="display:none"> Should be Empty: <input type="text" name="website" value="" /> </li> </ul> </div> <input type="hidden" id="simple_spc" name="simple_spc" value="12764552159" /> <script type="text/javascript"> document.getElementById("si" + "mple" + "_spc").value = "12764552159-12764552159"; </script> </form> </div><!--content_left end--> <?php $this->load->view('site/contact_right'); ?> </div><!--content end--> </div><!--container end--> <?php $this->load->view('site/footer'); ?> </body> </html>