dodex-vertx
Version:
A java asynchronous server for Dodex and Dodex-mess
82 lines (71 loc) • 3.46 kB
HTML
<!-- Node; this has been converted to a React Template in ContactC component -->
<div class="d-flex justify-content-center">
<div class="p-2">
<div class="page-header">
<h2>Contact <small>US</small></h2>
</div>
<address class="pull-left" style="width:300px">
<strong>The Best Company</strong><br />
111 Swell Ave. Suite 105<br />
Middle, Earth 11111
</address>
<address class="pull-right">
<abbr title="Phone" class="mr-2">Phone:</abbr>800 555-5555<br />
<abbr title="Phone" class="mr-3">Local:</abbr>517 555-1212<br />
<abbr title="Phone" class="mr-4">Fax: </abbr> 800 555-1212<br />
<abbr title="Phone" class="mr-3">Email:</abbr><a href="mailto:sos@somewhere.else">info@best.com</a>
</address>
<div class="clearfix"></div>
<form action="#" method="post" class="form-horizontal">
<fieldset>
<legend>Via Email:</legend>
<div class="control-group required">
<div class="control-label">Name</div>
<div class="controls">
<input type="text" name="name" id="inputName" placeholder="Name" required />
</div>
</div>
<div class="control-group mt-2 required">
<div class="control-label">Email</div>
<div class="controls">
<div class="input-prepend">
<input id="inputEmail" name="email" type="email" placeholder="Email" required/>
</div>
</div>
</div>
<div class="control-group">
<div class="control-label mt-2">Reason</div>
<div class="controls">
<select id="inputReason" name="reason">
<option value="general">General</option>
<option value="delivery">Delivery</option>
<option value="returns">Returns</option>
<option value="quality">Quality</option>
</select>
</div>
</div>
<div class="control-group mt-2 required">
<div class="control-label">Description</div>
<div class="controls">
<textarea name="comment" id="inputComment" placeholder="Description" required></textarea>
</div>
</div>
<div class="control-group">
<div class="controls">
<div class="checkbox">
<input name="only" type="checkbox"> No Reply Required
</div>
</div>
</div>
<div class="control-group mt-2">
<div class="controls contact-submit">
<input type="submit" value="Submit" class="btn" />
</div>
</div>
</fieldset>
</form>
</div>
<div style="width:150px"> </div>
</div>
<script type="text/javascript">
</script>