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35 lines
1.6 KiB

{if !$sent}
<div class="contact-page">
<div class="contact">
<div class="mb-3 row">
<div class="left">
<div class="col-md-4 col-sm-12 col-xs-12">
<input type="text" id="ins_1" placeholder="Summary" name="ins_1" value="" class="form-control">
</div>
</div>
<div class="middle">
<div class="col-md-4 col-sm-12 col-xs-12">
<input type="text" id="in_2" placeholder="Name" name="ins_2" value="" class="form-control">
</div>
</div>
<div class="right">
<div class="col-md-4 col-sm-12 col-xs-12">
<input type="email" id="ins_3" placeholder="Email" name="ins_3" value="" class="form-control">
</div>
</div>
</div>
<div class="mb-3 row">
<div class="col-md-12 col-sm-12 col-xs-12">
<textarea rows="20" name="ins-4" id="" placeholder="Message" class="form-control" _simple='y' _toolbars='n'></textarea>
</div>
</div>
<div class="mb-3 text-center">
<div class="col-md-12 col-sm-12 col-xs-12">
<input type="submit" class="submit btn btn-primary btn-sm" name="action0" value="Send" onclick="needToConfirm=false">
</div>
</div>
</div>
</div>
{/if}