php-mpos/public/templates/test/contactform/default.tpl
2013-09-12 19:51:36 +10:00

30 lines
1.4 KiB
Smarty

<article class="module width_3_quarter">
<header><h3>Contact Us</h3></header>
<div class="module_content">
<form action="{$smarty.server.PHP_SELF}" method="post">
<input type="hidden" name="page" value="{$smarty.request.page|escape}">
<input type="hidden" name="action" value="contactform">
<fieldset>
<label for="senderName">Your Name:</label>
<input type="text" class="text tiny" name="senderName" value="{$smarty.request.senderName|escape|default:""}" placeholder="Please type your name" size="15" maxlength="20" required>
</fieldset>
<fieldset>
<label for="senderEmail">Your Email Address:</label>
<input type="text" class="text tiny" name="senderEmail" value="{$smarty.request.senderEmail|escape|default:""}" placeholder="Please type your email" size="15" maxlength="20" required>
</fieldset>
<fieldset>
<label for="senderEmail">Your Subject:</label>
<input type="text" class="text tiny" name="senderSubject" value="{$smarty.request.senderSubject|escape|default:""}" placeholder="Please type your subject" size="15" maxlength="20" required>
</fieldset>
<fieldset>
<label for="message">Your Message:</label>
<textarea type="text" name="senderMessage" cols="80" rows="10" maxlength="10000" required>{$smarty.request.senderMessage|escape|default:""}</textarea>
</fieldset>
<center>{nocache}{$RECAPTCHA|default:""}{/nocache}</center>
</footer>
<br>
<center><input type="submit" class="alt_btn" name="sendMessage" value="Send Email" /></center>
</form>
</div>
</article>