en_btr_frontend/app/templates/contact-us.hbs

50 lines
1.9 KiB
Handlebars

<div class="container mt-5">
<div class="row">
<div class="col-12 mb-4">
<h1>Contact Us</h1>
</div>
</div>
<form action="mailto:training_wa@wycliffeassociates.org" method="get" enctype="text/plain">
<div class="row">
<div class="col-6 col-lg-4 mb-4">
<input type="text" class="form-control" name="firstname" id="firstname" placeholder="First name">
</div>
<div class="col-6 col-lg-4 mb-4">
<input type="text" class="form-control" name="lastname" id="lastname" placeholder="Last name">
</div>
</div>
<div class="row">
<div class="col-12 col-lg-8 mb-4">
<input type="email" required class="form-control" name="email-address" id="email-address" placeholder="Email Address">
</div>
</div>
<div class="row">
<div class="col-12 col-lg-8 mb-4">
<input type="text" class="form-control" name="company-name" id="company-name" placeholder="Company Name">
</div>
</div>
<div class="row">
<div class="col-12 col-lg-8 mb-4">
<input type="text" class="form-control" name="address" id="address" placeholder="Address">
</div>
</div>
<div class="row">
<div class="col-12 col-lg-8 mb-4">
<input type="tel" pattern="[0-9]{3}-[0-9]{3}-[0-9]{4}" class="form-control" name="phone" id="phone" placeholder="Phone">
</div>
</div>
<div class="row">
<div class="col-12 col-lg-8 mb-4">
<textarea class="form-control" required id="message" rows="7" name="message" placeholder="Your Message"></textarea>
</div>
</div>
<div class="row">
<div class="col6 mb-4">
<input class="btn btn-secondary" type="submit" value="Send Message">
</div>
<div class="col-6 mb-4">
<input class="btn btn-secondary" type="reset" name="reset" value="Clear Form" />
</div>
</div>
</form>
</div>