White enamel contact form

Similar Questions

• Contact white send email form

  Hi guys,.

  I made a contact form on different pages on my site (all with the same properties) and it is validated using spry. But when someone fills an in, I get an email with their contact information and contact information on it and up to 10 empty e-mails accompanying him.

  Does anyone know how to fix this?

  The HTML code is:

  < div class = "contact form" >

  < are method = "post" action = "contactformprocess.php" >

  < Fieldset > < legend > contact INFORMATION < / legend >

  < p > < label = "contact_title" class = "left" > title: < / label >

  < select name = "contact_title" id = "contact_title" class = "combo" >

  < option value = 'choose' > select... < / option >

  < option value = 'dr' > Dr. < / option >

  < option value = 'miss' > you lose < / option >

  < option value = "mr" > Mr. < / option >

  < option value = 'Madame' > Ms < / option > < / select > < / p >

  < p >

  < label = "contact_firstname" class = "left" > name: < / label >

  < span id = "sprytextfield4" >

  < label for = "FormName" > < / label >

  < input type = "text" name = "FormName" id = "FormName" / >

  < span class = "textfieldRequiredMsg" > name is required. </span > < / span > < span class = "textfieldRequiredMsg" > name required. </span > < span class = "textfieldInvalidFormatMsg" > Invalid format. </span > < / p >

  < p > < label = "contact_country" class = "left" > country: < / label >

  < select name = "contact_country" id = "contact_country" class = "combo" >

  < option value = 'choose' selected = "selected" > select... < / option >

  < option value = "United Kingdom" > United Kingdom < / option >

  < option value = 'United States' > United States < / option >

  < option value = "Other" > other < / option > < / select > < / p >

  < p > < / p >

  < p > < label = 'contact_email' class = "left" > Email: < / label >

  < span id = "sprytextfield5" >

  < label for = "FormEmail" > < / label >

  < input type = "text" name = "FormEmail" id = "FormEmail" / >

  < span class = 'textfieldRequiredMsg' > valid e-mail is required. </span > < span class = "textfieldInvalidFormatMsg" > valid Email required. </span > < / span > < span class = 'textfieldRequiredMsg' > valid e-mail address is required. </span > < span class = "textfieldInvalidFormatMsg" > invalid format. </span > < / p >

  < p > < label = "contact_url" class = "left" > Web site: < / label >

  < input type = "text" name = "contact_url" id = "contact_url" class = "field" value = "" tabindex = "3" / > < / p > "

  < / fieldset >

  < Fieldset > < legend > DETAILS of the MESSAGE < / legend >

  < p > < label = "contact_subject" class = "left" > subject: < / label >

  < span id = "sprytextfield6" >

  < label for = "Subjectform" > < / label >

  < input type = "text" name = "Subjectform" id = "Subjectform" / >

  < span class = "textfieldRequiredMsg" > a subject is required. </span > < span class = "textfieldInvalidFormatMsg" > Invalid format. </span > < / span > < span class = "textfieldRequiredMsg" > please put a subject. </span > < span class = "textfieldInvalidFormatMsg" > invalid format. </span > < / p >

  < p > < / p >

  < p > < label = "contact_message" class = "left" > Message: < / label >

  < span id = "sprytextarea2" >

  < label for = "MessageForm" > < / label >

  < name textarea = "MessageForm" id = "MessageForm" pass = "45" rows = "5" > < / textarea >

  < br / >

  < span class = "textareaRequiredMsg" > a message is required. </span > < span class = "textareaMinCharsMsg" > Minimum number of characters not met. </span > < / span > < span class = "textareaRequiredMsg" > please write a message. </span > < span class = "textareaMinCharsMsg" > Minimum number of characters not met. </span > < / p >

  < p > < input type = "submit" name = "submit" id = "submit" class = "button" value = "Send message" tabindex = "6" / > < / p >

  < / fieldset >

  < / make >

  < / div >

  PHP is:

  <? PHP

  / * Email Variables * /.

  $emailSubject = "contactformprocess!" / * Make sure it matches your file name * /.

  $webMaster = "email1, email2;

  / * Data variables * /.

  $contact_titleField = $_POST ['contact_title'];

  $FormNameField = $_POST ["FormName"];

  $contact_countryField = $_POST ['contact_country'];

  $FormEmailField = $_POST ['FormEmail'];

  $contact_urlField = $_POST ['contact_url'];

  $SubjectformField = $_POST ['Subjectform'];

  $MessageFormField = $_POST ['MessageForm'];

  $body = < < < NEM

  < br > < hr > < br >

  Title: $contact_title < br >

  Name: $FormName < br >

  Country: $contact_country < br >

  E-mail: $FormEmail < br >

  URL: $contact_url < br >

  Topic: $Subjectform < br >

  Message: $MessageForm < br >

  NEM;

  $headers = "from: $email\r\n";

  $headers. = "content-type: text/html\r\n";

  $success = mail ($webMaster, $emailSubject, $body,

  $headers);

  / * Results made in the HTML form * /.

  $theResults = < < < NEM

  < html >

  < head >

  < title > < /title > message sent

  < meta http-equiv = "refresh" content = "3; " http://DS-innovations.com/ ">

  < style type = "text/css" >

  <!--

  {body

  background-color: #666

  do-family: Verdana, Arial, Helvetica, without serif.

  font size: 20px;

  make-style: normal;

  line-height: normal;

  make-weight: normal;

  color: #fec001;

  text-decoration: none;

  padding-top: 200px;

  margin left: 150px;

  Width: 800px;

  }

  ->

  < / style >

  < / head >

  < div align = "center" > thank you very much for your interest! Your message has been sent and we will answer you shortly! < / div >

  < / div >

  < / body >

  < / html >

  NEM;

  echo "$theResults";

  ? >

  __________________________________________________________

  Any help that anyone could offer on this would be much appreciated!

  Thank you very much!

  
  
  Dan

  I see one of the reasons why you may get more than one email especially if you say they are empty.  There is nothing in your validation code to validate if the form has been sent.  You don't check if the data have been published in fact.  At the very least, your processor must start with something insofar as:

  If (isset($_POST['submit']))

  {

  [everything else here]

  }

  [end page]

  Currently in the State, if a bot or a person load this page, and don't submit the form that you do not check if the $_POST is defined then the email might come through white.

• Detailed Contact form send an e-mail on the desktop but not Mobile

  I have a Contact form detailed on my Desktop and Mobile versions of my site. The form sends end from the office, but the same shape are not sent from the mobile website. The enamel used is linked to my domain name. Any idea on what I'm missing?

  Thanks in advance.

  You are right. That would have helped completely. I sort of fixed this problem.

  I created the form this time, starting with the standard and added contact form widget additional fields, I thought that I needed the form detailed for widget and now it works. Strange.

• How to view IP address of sending Contact form

  Hey guys!

  So today my client e-mail me on a former employee who sent threatening e-mails regarding his business through his contact form. I was looking through business catalyst to find an IP address on where the e-mail came from so I can use the function ignore the IP address. I took the Adobe Community looking for an answer and I noticed that some people in contact with remittances form emails show visitors IP address at the bottom of the email.

  Emails we receive from the ex-employee no IP addresses on them and don't have or other emails to its customers. I looked at the model in the company CAT. which shows what look like enamel when a client sends a form and I can't find a tag that shows where you can see the visitor's IP addresses.

  How I am able to add a tag to show and I am able to find the IP address of the source of these emails?

  Thank you!

  I see that the iverdesign.com site is hosted on a third party server that supports PHP. Probably, the developer of the site has changed the content of the script submission form E-mail using PHP to add this information.

  Check: php - how to get the real IP address of the visitor - stack overflow

  There are ways to do this using the script aside server like PHP. This isn't something that does not exist on Business Catalyst.

  See you soon,.

  Vikas

• Contact form works on the host server, but not the Web Page

  I created my first site with CS6. I decided to throw a contact form, so I went to my host providesr, Network Solutions, which has a Wizard for a contact form. I used the wizard to create a contact form. When I access the page on the Host Site for Network Solutions, the contact page is formatted with colors, I chose and it works correctly. Declined, I hit Submit, the message is sent to the approprate address.

  I used the GET function to bring the new page of my local site and then synced it with the real Web site. The formatting, I've created on the server host does not appear, but the Contact form is on the Web site I created in all white. Fill the fields of the form, but when I click on the botton to SUBMIT, a dialog box appears saying it does not find the Web page.,.

  Does anyone know what error I do?

  Thank you

  Put the complete url in the field of action.

  "action ="http://yourWebAddress.com/cgi-bin/FormMail.contact.pl"

  Then see what happens

• Contact form - &lt; mx:ComboBox / &gt; submit data and not on label

  Hi all

  First of all I am new to Flex and looked away from the last two hours now to answer this question. How would you send the data to an e-mail address and not on his label (but retaining the label displayed inside the form)? I found some tutorials on the creation of a general form for example Codes RIA and posted Trap17.com, both are perfect for a general form.

  But, lets say if you go with the tutorial and want to add a combo box that allows you to select the person you want to send, without displaying the email address. Say that we release a combobox for the tutorial of RIA Codes , in order to select those enamel's. That's what I have below and it works, just keep putting in the tag in rather than the data (in bold below). "" Certainly, I could just change the labelField="@label" to labelField="@data" , but it will display the e-mail address, which I don't.

  Basically, I'm trying to find a way to show the names of individuals and not the email in the contact form, but when you submit the form it would publish the data (containing the email) and not on its label (containing the name of the person), so that the php would show something like this $sendToEmail = $_POST ['recieverEmail']; and send the email. Thanks in advance for your help on this.

  <? XML version = "1.0" encoding = "utf-8"? >
  " < = xmlns:mx mx:Application ' http://www.Adobe.com/2006/MXML "layout ="vertical"> "
  
  < mx:Style source = "style.css" / >
  
  < mx:Script >
  <! [CDATA]
  Import mx.events.ValidationResultEvent;
  Import mx.controls.Alert;
  
  private function sendMail (): void {}
  var _senderName:String = senderName.text;
  var _senderEmail:String = senderEmail.text;
  var _recieverEmail:String = recieverEmail.text;
  var _emailMessage:String = emailMessage.text;
  var _emailSubject:String = emailSubject.text;
  
  var evValidMail:ValidationResultEvent = mailValidator.validate ();
  var evValidContact:ValidationResultEvent = contactValidator.validate ();
  var evValidName:ValidationResultEvent = nameValidator.validate ();
  var evValidMessage: ValidationResultEvent = mailValidator.validate ();
  
  If (evValidMail.type is ValidationResultEvent.VALID
  & & evValidName.type == ValidationResultEvent.VALID
  & & evValidContact.type is ValidationResultEvent.VALID
  (& & evValidMessage.type == ValidationResultEvent.VALID) {}
  emailService.send ({senderName:_senderName, senderEmail:_senderEmail, recieverEmail:_recieverEmail, emailSubject:_emailSubject, emailMessage: _emailMessage});
  }
  else {}
  resultLabel.text = "There are errors of form";
  resultLabel.setStyle ("styleName", "invalid");
  }
  }
  
  private function emailResult (): void {}
  Alert.Show ("please contact us");
  clearForm();
  }
  
  private function clearForm (): void {}
  resultLabel.text ="";
  recieverEmail.selectedIndex = 0;
  emailSubject.text ="";
  emailMessage.text ="";
  }
  []] >
  < / mx:Script >
  
  "< mx:HTTPService id ="emailService"url ="mail.php"method ="POST"resultFormat ="xml"result =" emailResult () "useProxy ="false"/ >
  < mx:EmailValidator id = "mailValidator".
  Source = "{senderEmail}" = "text" property
  requiredFieldError = "Enter your email" required = "true" / >
  < mx:StringValidator id = "contactValidator".
  Source = "{recieverEmail}" = "text" property
  requiredFieldError = "SΘlectionner contact" required = "true" / >
  < mx:StringValidator id = "nameValidator.
  Source = "{senderName}" = "text" property
  requiredFieldError = "Enter your name" required = "true" / >
  < mx:StringValidator id = 'emailValidator '.
  Source = "{emailMessage}" = "text" property
  requiredFieldError = "Enter your message" required = "true" / >
  
  < mx:Panel height = "401" width = "400" layout = "absolute" title = 'contact us' >
  < mx:Form x = "9" y = "10" width = "360" >
  < mx:FormItem label = "name:" >
  < mx:TextInput id = 'senderName"width ="200"/ >
  < / mx:FormItem >
  < mx:FormItem label = "Email:" >
  < mx:TextInput id = "senderEmail" width = "200" / >
  < / mx:FormItem >
  < mx:FormItem label = "Contact:" >
  "< mx:ComboBox id ="recieverEmail"width ="200"selectedIndex = dataProvider"0"="{contactXMLList}"labelField="@label "/ >
  < / mx:FormItem >
  < mx:FormItem label = "subject:" >
  < mx:TextInput id = "emailSubject" width = "200" / >
  < / mx:FormItem >
  < mx:FormItem label = "Message:" >
  < mx:TextArea id = "emailMessage" height = "130" width = "200" / >
  < / mx:FormItem >
  < / mx:Form >
  < mx:Button label = "Submit" click = "sendMail ()" x = "138" y = "274" / > "
  < mx:Label id = "resultLabel" x = "212" y = "276" / >
  < / mx:Panel >

  < mx:XMLList id = "contactXMLList" >
  "< labelrecieverEmail="1 person"data ="[email protected]"/ > ".
  " < recieverEmail label ="Person 2"data =" [email protected] "/ > "
  " < recieverEmail label ="Person 3"data =" [email protected] "/ > "
  " < recieverEmail label ="Person 4"data =" [email protected] "/ > "
  " < recieverEmail label ="Person 5"data =" [email protected] "/ > "
  < / mx:XMLList >
  
  < / mx:Application >

  Your labelField must be set to '@label' to display the

  name of the person in the drop-down list, but in your form submission method

  you will need to use the ComboBox selectedItem property to extract the

  email address of the person who has been selected.

  Thus, instead of the line:

  * var _recieverEmail:String = recieverEmail.text;

  * Have you tried:

  var _recieverEmail:String = recieverEmail.selectedItem.@data;

• Create contacts with Aboriginal contact form

  Hello.

  I want to be able to redirect a user (after selection of a Menu item) in the form of a 'new Contact' built-in/by default to create a contact. All the links I've read have created the contact by program I want to avoid making. Is it possible to call the 'New Contact' form of my application?

  Thank you!

  I may have misunderstood the question, but it seems to me you can call Invoke on the application of contact with an ApplicationArgument AddressBookArgument.

  See javadocs Invoke, ApplicationArgument, AddressBookArgument.

• How not to use mobile otp verification in wordpress contact form

  Not can someone help me mobile PDAS use no verification of the contact form in wordpress

  How is it that is related to Windows?
  Message here:

  WordPress Support Forum

• Add SMTP and POP to the Muse contact form

  Hi all

  my contact form has met a PHP error, my server host is now telling me to add SMTP specifications and pop I use for my internship program and I have no experience with coding, also, I find not all boards online that seems useful. can someone tell me what my host and how do I do this?

  Thank you!

  Valerie

  I would like to summarize, you don't waste time. Order form the Muse worked on the smtp Protocol, you need two things: 1) if traffic is important, you will need your own SMTP server. You should buy software (public SMTP is not reliable), being able to install and configure. (2) you must change the code in form.php, make a backup of this file and upload it to the server whenever you make a change on the site of Muse.

  It is easier to use only one-third of hosting supporting php and php mail.

• Sensitive Contact form

  The marked answer as correct one problem. You can't put any code above statement as recommended and marked as the answer. I've follwoed what was recommended on the Web site that quoted me.

  First, we'll add this PHP code above DTDS or our contact form document type declaration.

  <?php
// NOTE: this page must be saved as a .php file.
// And your server must support PHP 5.3+ and PHP Mail().
// Define variables and set to empty values
$result = $name = $email = $phone = $message = $human = "";
$errName = $errEmail = $errPhone = $errMessage = $errHuman = "";
    if (isset($_POST["submit"])) {
        $name = $_POST['name'];
        $email = $_POST['email'];
        $phone = $_POST['phone'];
        $message = $_POST['message'];
        $human = intval($_POST['human']);
}
//end form processing script
?>

  In addition

  address //valid on your web server
          $from = ' [email protected] ';
  Your address e-mail where you wish to receive mail
          $to = ' [email protected] ';
  $subject = "MESSAGE FROM YOUR WEB SITE."
  $headers = "from: $from\r\nReply - to: $email";
  $body = "from: $name\n E-mail: $email\n phone: $phone\n Message: $message;

  }
  end processing script form
  ? >

  appears on the page 'Bootstrap' one does nothing for the contact form. Of course, that I have not used Dreamweaver in a certain number of years and I'm new to Bootstrap, I've been very good to learn myself, HTML, CSS and JavaScript according to the instructions clear and steps.

  Thank you.

  Carolyn

  I guess you refer to the Contact form

  Yes, the statement must be the first thing in your HTML document, before thetag, it is a statement to the web browser on which version of HTML, the page is written in.

  If not ready browser (not all browsers) meets the other thing on this first line, it will throw all kinds of temper tantrums.

  However, PHP code you are talking, nothing violating the above remarks. PHP is interpreted by the server until the document is issued to the customer (read: browser). The PHP code mentioned, simply assigns values to variables, variables that are use further down in the document.

  For example, the code of a page of the child that uses a model as a .dwt file.

  

  and see what the code looks like after that PHP has been interpreted by the server

  

  The second image shows that the statement is on the first line.

• Contact form

  I created the contact form in Adobe Dreamweaver and try to find a way to make it work. I don't know php and thought about using one of these sites like jotform.com, but would really like to learn php (on my list of things to learn). In the meantime, I was hoping one of my useful Dreamweaver buddies could help me. Here is my code.

  Thank you in advance.

  Carolyn

  <! DOCTYPE html >

  < html lang = "en" >

  < head >

  < meta charset = "UTF-8" >

  < meta http-equiv = "X-UA-Compatible" content = "IE = edge" >

  < meta name = "viewport" content = "width = device-width, original scale = 1" >

  Temple Israel of Merrick South < /title > < title >

  <!-"bootstrap"->

  < link href = "css/bootstrap.css" rel = "stylesheet" > "

  <! - HTML5 shim and Respond.js for IE8 take in charge of the HTML5 elements and questions from the media - >

  <!-WARNING: Respond.js does not work if you view the page via file://-->

  <!-[if lt IE 9] >

  " < script src =" https://OSS.MaxCDN.com/html5shiv/3.7.2/html5shiv.min.js "> < / script > .

  " < script src =" https://OSS.MaxCDN.com/respond/1.4.2/respond.min.js "> < / script > .

  <! [endif]-->

  < / head >

  < body >

  < div class = "container-fluid" > < / div >

  <!-brand and toggle get grouped together for better mobile display->

  <!-brand and toggle get grouped together for better mobile display->

  < div class = "container-fluid" >

  < ul class = "navbar-nav nav" >

  < class li = "dropdown" > < a href = "#" class = "menu drop-down-turn" data-toggle = "dropdown" role = "button" aria-expanded = "false" > home < span class = "circumflex accent" > < / span > < /a >

  < ul class = menu "drop-down" role = 'menu' >

  < li > < a href = "#" > history of Temple Israel < /a > < /li >

  < /ul >

  < /li >

  < class li = "dropdown" > < a href = "#" class = "menu drop-down-turn" data-toggle = "dropdown" role = "button" aria-expanded = "false" > about us < span class = "circumflex accent" > < / span > < /a >

  < ul class = menu "drop-down" role = 'menu' >

  < li > < a href = "#" > the Temple < /a > < /li >

  < li > < a href = "#" > Rabbi & staff < /a > < /li >

  < li > < a href = "#" > Hebrew school Principal < /a > < /li >

  < /ul >

  < /li >

  < class li = "dropdown" > < a href = "#" class = "menu drop-down-turn" data-toggle = "dropdown" role = "button" aria-expanded = "false" > membership < span class = "circumflex accent" > < / span > < /a >

  < ul class = menu "drop-down" role = 'menu' >

  < li > < a href = "#" > membership @ TIOSM < /a > < /li >

  < li > < a href = "#" > Board of Directors < /a > < /li >

  < /ul >

  < /li >

  < class li = "dropdown" > < a href = "#" class = "menu drop-down-turn" data-toggle = "dropdown" role = "button" aria-expanded = "false" > Community < span class = "circumflex accent" > < / span > < /a >

  < ul class = menu "drop-down" role = 'menu' >

  < li > < a href = "#" > Sisterhood < /a > < /li >

  < li > < a href = "#" > < /a > < /li > men's Club

  < li > < a href = "#" > Tikkun Olam < /a > < /li >

  < /ul >

  < /li >

  < class li = "dropdown" > < a href = "#" class = "menu drop-down-turn" data-toggle = "dropdown" role = "button" aria-expanded = "false" > Education < span class = "circumflex accent" > < / span > < /a >

  < ul class = menu "drop-down" role = 'menu' >

  < li > < a href = "#" > < /a > < /li > Sunday school

  < li > < a href = "#" > Hebrew school < /a > < /li >

  < li > < a href = "#" > Bar/Bat Mitzvah < /a > < /li >

  < li > < a href = "#" > Adult Education < /a > < /li >

  < /ul >

  < /li >

  < class li = "dropdown" > < a href = "#" class = "menu drop-down-turn" data-toggle = "dropdown" role = "button" aria-expanded = "false" > holidays & Festivals < span class = "circumflex accent" > < / span > < /a >

  < ul class = menu "drop-down" role = 'menu' >

  < li > < a href = "#" > daily Minyan < /a > < /li >

  < li > < a href = "#" > Shabbat < /a > < /li >

  < li > < a href = "#" > feasts < /a > < /li >

  < li > < a href = "#" > Sukkot < /a > < /li >

  < li > < a href = "#" > Simchat Torah < /a > < /li >

  < li > < a href = "#" > Hanukkah < /a > < /li >

  < li > < a href = "#" > Purim < /a > < /li >

  < li > < a href = "#" > Passover < /a > < /li >

  < /ul >

  < /li >

  < class li = "dropdown" > < a href = "#" class = "menu drop-down-turn" data-toggle = "dropdown" role = "button" aria-expanded = "false" > fundraising < span class = "circumflex accent" > < / span > < /a >

  < ul class = menu "drop-down" role = 'menu' >

  < li > < a href = "#" > fundraisers for Israel of Temple of South Merrick < /a > < /li >

  < /ul >

  < /li >

  < class li = "dropdown" > < a href = "#" class = "menu drop-down-turn" data-toggle = "dropdown" role = "button" aria-expanded = "false" > next events < span class = "circumflex accent" > < / span > < /a >

  < ul class = menu "drop-down" role = 'menu' >

  < li > < a href = "#" > forthcoming events for Israel of Temple of South Merrick < /a > < /li >

  < li > < a href = "#" > < /a > < /li >

  < li > < a href = "#" > < /a > < /li >

  < li > < a href = "#" > < /a > < /li >

  < /ul >

  < /li >

  < class li = "dropdown" > < a href = "#" class = "menu drop-down-turn" data-toggle = "dropdown" role = "button" aria-expanded = "false" > calendar < span class = "circumflex accent" > < / span > < /a >

  < ul class = menu "drop-down" role = 'menu' >

  " < iframe src =" https://calendar.Google.com/calendar/embed?src=2040oqg3rl1llujf6aaurm68uk%40group.Calendar. google.com & ctz = America/New_York " "style ="border: 0" width = "800" height = "600" frameborder = "0" scrolling = "no" > < / iframe >

  < /ul >

  < /li >

  < class li = "dropdown" > < a href = "#" class = "menu drop-down-turn" data-toggle = "dropdown" role = "button" aria-expanded = "false" > photo library < span class = "circumflex accent" > < / span > < /a >

  < ul class = menu "drop-down" role = 'menu' >

  < li > < a href = "#" > Temple Israel of Merrick South 50th anniversary < /a > < /li >

  < li > < a href = "#" > Carnival of Purim 2016 Mel Polay < /a > < /li >

  < li > < a href = "#" > Temple Israel of South Merrick 2016 Moving Up day < /a > < /li >

  < /ul >

  < /li >

  < class = "dropdown" li >

  < class li = "dropdown" > < a href = "#" class = "menu drop-down-turn" data-toggle = "dropdown" role = "button" aria-expanded = "false" > contact us < span class = "circumflex accent" > < / span > < /a > < /li >

  < ul class = menu "drop-down" role = 'menu' >

  " < script src =" https://CDN.jotfor.Ms/static/prototype.Forms.js "type =" text/javascript"> < / script > "

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  "< script src="js/jquery-1.11.2.min.js "type =" text/javascript"> < / script >

  < script src = "js/bootstrap.js" type = "text/javascript" > < / script > "

  < script type = "text/javascript" >

  {JotForm.init (function ()}

  {setTimeout (function ()}

  $('input_16').hint ("ex: [email protected]'");

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  " < link href =" https://CDN.jotfor.Ms/static/formCss.CSS?3.3.14191 "rel ="stylesheet"type =" text/css"/ > "

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  " < link type =" text/css"media ="print"rel ="stylesheet"href =" https://CDN.jotfor.Ms/CSS/PrintForm.CSS?3.3.14191 " />

  < style type = "text/css" >

  form-label-left {}

  Width: 150px! important;

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  . Form-line {}

  padding-top: 12px;

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  Width: 150px! important;

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  Width: 590px;

  color: #555! important;

  do-family: "Lucida Grande", "Lucida Sans Unicode", "Lucida without ', Verdana, without serif.

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  . Form-radio-element label, label point-box-form, form-ranking-label, form-head {}

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  " < link type =" text/css"rel ="stylesheet"href =" https://CDN.jotfor.Ms/CSS/styles/buttons/form-submit-button-light_rounded.CSS?3.3.14191 "/ > "

  " < form = 'jotform form' class action = ' https://submit.JotForm.us/submit/61996126060154/ "method ="post"name = 'form_61996126060154' id = '61996126060154' accept-charset =" utf - 8 "> " "

  < input type = "hidden" name = "formID" value = "61996126060154" / >

  < div class = "form-all" >

  < ul class = "form-section page section" >

  < id = "cid_24" li class = "entry-form large" data-type = "control_head" >

  < div class = 'form-header-group' >

  < div class = "httal htvam header text" >

  < h2 id = "header_24" class = "form-header" >

  Contact form

  < / h2 >

  < / div >

  < / div >

  < /li >

  < class li = data type 'form-line jf-required"="control_fullname"id ="id_15">

  < class label = 'forms-labels form-label-top form-label-auto' id = 'label_15' for = "input_15" >

  Your name

  < span class = "form-required" >

  *

  </span >

  < / label >

  < div id = "cid_15" class = "form-entry-wide jf-required" >

  < span class = 'form-sup-tag-container' style = "vertical-align: top" >

  "< Input class =" validate form textbox [mandatory] "type ="text"size ="10"name =" q15_yourName [first] "id ="first_15"/ >

  < class label = 'form-sup-label' ID = 'first_15' = "sublabel_first" style = "" min-height: 13px; "> name < / label >"

  </span >

  < span class = 'form-sup-tag-container' style = "vertical-align: top" >

  "< Input class =" validate form textbox [mandatory] "type ="text"size ="15"name =" q15_yourName [last] "id ="last_15"/ >

  < class label = 'form-sup-label' ID = 'last_15' = "sublabel_last" style = "" min-height: 13px; "> name < / label >"

  </span >

  < / div >

  < /li >

  < class li = data type 'form-line jf-required"="control_address"id ="id_25">

  < class label = 'forms-labels form-label-top form-label-auto' id = 'label_25' for = "input_25" >

  Address

  < span class = "form-required" >

  *

  </span >

  < / label >

  < div id = "cid_25" class = "form-entry-wide jf-required" >

  < table summary = "' undefined class ="form address table"border ="0"cellpadding ="0"cellspacing ="0">"

  < b >

  < td colspan = "2" >

  < span class = 'form-sup-tag-container' style = "vertical-align: top" >

  < input class = "validate the form textbox [mandatory] form-address-line" type = "text" name = "q25_address [addr_line1]" id = "input_25_addr_line1" / > "

  < class label = 'form-sup-label' ID = 'input_25_addr_line1' = "sublabel_25_addr_line1" style = "" min-height: 13px; "> address < / label >"

  </span >

  < table >

  < /tr >

  < b >

  < td colspan = "2" >

  < span class = 'form-sup-tag-container' style = "vertical-align: top" >

  < Input class = "form address-line form-textbox" type = "text" name = "q25_address [addr_line2]" id = "input_25_addr_line2" size = "46" / > "

  < class label = 'form-sup-label' ID = 'input_25_addr_line2' = "sublabel_25_addr_line2" style = "" min-height: 13px; "> street address line 2 < / label >"

  </span >

  < table >

  < /tr >

  < b >

  < td width = "50%" >

  < span class = 'form-sup-tag-container' style = "vertical-align: top" >

  < Input class = "validate the form textbox [mandatory] form-address-city" type = "text" name = "q25_address [City]" id = "input_25_city" size = "21" / > "

  < class label = 'form-sup-label' ID = 'input_25_city' = "sublabel_25_city" style = "" min-height: 13px; ' > city < / label > "

  </span >

  < table >

  < td >

  < span class = 'form-sup-tag-container' style = "vertical-align: top" >

  < Input class = "validate the form-textbox [mandatory] form-address-State" type = "text" name = "q25_address [State]" id = "input_25_state" size = "22" / > "

  < class label = 'form-sup-label' ID = 'input_25_state' = "sublabel_25_state" style = "" min-height: 13px; "> State / Province < / label >"

  </span >

  < table >

  < /tr >

  < b >

  < td width = "50%" >

  < span class = 'form-sup-tag-container' style = "vertical-align: top" >

  < Input class = "validate form textbox [mandatory] form-address-zip" type = "text" name = "[ZIP] q25_address" id = "input_25_postal" size = "10" / > "

  < class label = 'form-sup-label' ID = 'input_25_postal' = "sublabel_25_postal" style = "" min-height: 13px; "> Postal / Zip Code < / label >"

  </span >

  < table >

  < td >

  < span class = 'form-sup-tag-container' style = "vertical-align: top" >

  "< select class =" drop-down list form validate [mandatory] form-address-country "defaultcountry =" "name =" q25_address [country] "id ="input_25_country">

  < option value = "" selected > please select < / option > "

  < option value = 'United States' > United States < / option >

  < option value = "Afghanistan" > Afghanistan < / option >

  < option value = "Albania" > Albania < / option >

  < option value = "Algeria" > Algeria < / option >

  < option value = "American Samoa" > American Samoa < / option >

  < option value = 'Andorra' > Andorra < / option >

  < option value = 'Angola' > Angola < / option >

  < option value = 'Anguilla' > Anguilla < / option >

  < option value = 'Antigua and Barbuda' > Antigua and Barbuda < / option >

  < option value = 'Argentina' > Argentina < / option >

  < option value = "Armenia" > Armenia < / option >

  < option value = "Aruba" > Aruba < / option >

  < option value = "Australia" > Australia < / option >

  < option value = "Austria" > Austria < / option >

  < option value = "Azerbaijan" > Azerbaijan < / option >

  < option value = "The Bahamas" > Bahamas < / option >

  < option value = "Bahrain" > Bahrain < / option >

  < option value = 'Bangladesh' > Bangladesh < / option >

  < option value = "Barbados" > Barbados < / option >

  < option value = "Belarus" > Belarus < / option >

  < option value = "Belgium" > Belgium < / option >

  < option value = "Belize" > Belize < / option >

  < option value = "Bénin" > Benin < / option >

  < option value = "Bermuda" > Bermuda < / option >

  < option value = "Bhutan" > Bhutan < / option >

  < option value = "Bolivia" > Bolivia < / option >

  < option value = "Bosnia and Herzegovina" > Bosnia and Herzegovina < / option >

  < option value = "Botswana" > Botswana < / option >

  < option value = "Brazil" > Brazil < / option >

  < option value = "Brunei" > Brunei < / option >

  < option value = "Bulgaria" > Bulgaria < / option >

  < option value = "Burkina Faso" > Burkina Faso < / option >

  < option value = "Burundi" > Burundi < / option >

  < option value = "Cambodia" > Cambodia < / option >

  < option value = "Cameroon" > Cameroon < / option >

  < option value = "Canada" > Canada < / option >

  < option value = "Cape Verde" > Cape Verde < / option >

  < option value = "Cayman Islands" > Cayman Islands < / option >

  < option value = 'Central African Republic' > Central African Republic < / option >

  < option value = "Chad" > Chad < / option >

  < option value = "Chile" > Chile < / option >

  < option value = 'People's Republic of China ' > People's Republic of China < / option >

  < option value = "Republic of China" > Taiwan < / option >

  < option value = "Christmas Island" > Christmas Island < / option >

  < option value = 'Cocos (Keeling) Islands' > Islands Cocos (Keeling) < / option >

  < option value = "Colombia" > Colombia < / option >

  < option value = "Comoros" > Comoros < / option >

  < option value = 'Congo' > Congo < / option >

  < option value = "Cook Islands" > Cook Islands < / option >

  < option value = "Costa Rica" > Costa Rica < / option >

  < option value = "Côte d'Ivoire" > Cote d'Ivoire < / option >

  < option value = "Croatia" > Croatia < / option >

  < option value = "Cuba" > Cuba < / option >

  < option value = "Cyprus" > Cyprus < / option >

  < option value = "Czech Republic" > Czech Republic < / option >

  < option value = "Democratic Republic of the Congo" > Democratic Republic of the Congo < / option >

  < option value = "Denmark" > Denmark < / option >

  < option value = 'Djibouti' > Djibouti < / option >

  < option value = "Dominique" > Dominique < / option >

  < option value = "" Dominican Republic"> Dominican Republic < / option >

  < option value = "Ecuador" > Ecuador < / option >

  < option value = "Egypt" > Egypt < / option >

  < option value = "El El Salvador" > El El Salvador < / option >

  < option value = "Guinea" Equatorial > Equatorial Guinea < / option >

  < option value = "Eritrea" > Eritrea < / option >

  < option value = "Estonia" > Estonia < / option >

  < option value = "Ethiopia" > Ethiopia < / option >

  < option value = "Falkland Islands" > Falkland Islands < / option >

  < option value = "Faroe Islands" > Faroe Islands < / option >

  < option value = "Fiji" > Fiji < / option >

  < option value = "Finland" > Finland < / option >

  < option value = "France" > France < / option >

  < option value = "" French Polynesia"> French Polynesia < / option >

  < option value = "Gabon" > Gabon < / option >

  < option value = "The Gambia" > Gambia < / option >

  < option value = "Georgia" > Georgia < / option >

  < option value = "Germany" > Germany < / option >

  < option value = "Ghana" > Ghana < / option >

  < option value = "Gibraltar" > Gibraltar < / option >

  < option value = "Greece" > Greece < / option >

  < option value = "Greenland" > Greenland < / option >

  < option value = "Grenade" > Granada < / option >

  < option value = "Guadeloupe" > Guadeloupe < / option >

  < option value = 'Guam' > Guam < / option >

  < option value = "Guatemala" > Guatemala < / option >

  < option value = "Guernsey" > Guernsey < / option >

  < option value = "Guinea" > Guinea < / option >

  < option value = "Guinea-Bissau" > Guinea-Bissau < / option >

  < option value = "Guyana" > Guyana < / option >

  < option value = 'Haïti' > Haiti < / option >

  < option value = 'Honduras' > Honduras < / option >

  < option value = 'Hong Kong' > Hong Kong < / option >

  < option value = "Hungary" > Hungary < / option >

  < option value = "Iceland" > Iceland < / option >

  < option value = "India" > India < / option >

  < option value = "Indonesia" > Indonesia < / option >

  < option value = "Iran" > Iran < / option >

  < option value = "Iraq" > Iraq < / option >

  < option value = "Ireland" > Ireland < / option >

  < option value = "Israël" > Israel < / option >

  < option value = "Italy" > Italy < / option >

  < option value = "Jamaica" > Jamaica < / option >

  < option value = "Japan" > Japan < / option >

  < option value = "Jersey" > Jersey < / option >

  < option value = "Jordan" > Jordan < / option >

  < option value = "Kazakhstan" > Kazakhstan < / option >

  < option value = "Kenya" > Kenya < / option >

  < option value = 'Kiribati' > Kiribati < / option >

  < option value = "North Korea" > North Korea < / option >

  < option value = "South Korea" > South Korea < / option >

  < option value = 'Kosovo' > Kosovo < / option >

  < option value = "Kuwait" > Kuwait < / option >

  < option value = "Kyrgyzstan" > Kyrgyzstan < / option >

  < option value = "Laos" > Laos < / option >

  < option value = "Latvia" > Latvia < / option >

  < option value = "Lebanon" > Lebanon < / option >

  < option value = "Lesotho" > Lesotho < / option >

  < option value = "Liberia" > Liberia < / option >

  < option value = "Libya" > Libya < / option >

  < option value = "Liechtenstein" > Liechtenstein < / option >

  < option value = "Lithuania" > Lithuania < / option >

  < option value = "Luxembourg" > Luxembourg < / option >

  < option value = "Macau" > Macau < / option >

  < option value = "Macedonia" > Macedonia < / option >

  < option value = "Madagascar" > Madagascar < / option >

  < option value = "Malawi" > Malawi < / option >

  < option value = "Malaysia" > Malaysia < / option >

  < option value = "Maldives" > Maldives < / option >

  < option value = "Mali" > Mali < / option >

  < option value = "Malta" > Malta < / option >

  < option value = "Marshall Islands" > Marshall Islands < / option >

  < option value = "Martinique" > Martinique < / option >

  < option value = 'Mauritania' > Mauritania < / option >

  < option value = "Mauritius" > Maurice < / option >

  < option value = "Mayotte" > Mayotte < / option >

  < option value = "Mexico" > Mexico < / option >

  < option value = "Micronesia" > Micronesia < / option >

  < option value = "Moldova" > Moldova < / option >

  < option value = "Monaco" > Monaco < / option >

  < option value = "Mongolia" > Mongolia < / option >

  < option value = "Monténégro" > Montenegro < / option >

  < option value = 'Montserrat' > Montserrat < / option >

  < option value = "Morocco" > Morocco < / option >

  < option value = "Mozambique" > Mozambique < / option >

  < option value = "Myanmar" > Myanmar < / option >

  < option value = "Nagorno-Karabakh" > Nagorno-Karabakh < / option >

  < option value = "Namibia" > Namibia < / option >

  < option value = "Nauru" > Nauru < / option >

  < option value = "Nepal" > Nepal < / option >

  < option value = "Netherlands" > Netherlands < / option >

  < option value = "Netherlands Antilles" > Netherlands Antilles < / option >

  < option value = "New Caledonia" > New Caledonia < / option >

  < option value = "New Zealand" > New Zealand < / option >

  < option value = "Nicaragua" > Nicaragua < / option >

  < option value = "Niger" > Niger < / option >

  < option value = "Nigeria" > Nigeria < / option >

  < option value = "Niue" > Niue < / option >

  < option value = 'Norfolk Island' > Norfolk Island < / option >

  < option value = "Turkish Republic of Northern Cyprus" > Turkish Republic of Northern Cyprus < / option >

  < option value = "Marianas" > Northern Mariana < / option >

  < option value = "Norway" > Norway < / option >

  < option value = 'Oman' > Oman < / option >

  < option value = 'Pakistan' > Pakistan < / option >

  < option value = "Palau" > Palau < / option >

  < option value = "Palestine" > Palestine < / option >

  < option value = "Panama" > Panama < / option >

  < option value = 'Papua New Guinea' > Papua New Guinea < / option >

  < option value = "Paraguay" > Paraguay < / option >

  < option value = 'Peru' > Peru < / option >

  < option value = "Philippines" > Philippines < / option >

  < option value = "Pitcairn Islands" > Pitcairn Islands < / option >

  < option value = "Poland" > Poland < / option >

  < option value = "Portugal" > Portugal < / option >

  < option value = "Puerto Rico" > Puerto Rico < / option >

  < option value = 'Qatar' > Qatar < / option >

  < option value = "Republic of Congo" > Republic of Congo < / option >

  < option value = "Romania" > Romania < / option >

  < option value = "Russia" > Russia < / option >

  < option value = "Rwanda" > Rwanda < / option >

  < option value = "Saint Barthélemy" > Saint-Barthélemy < / option >

  < option value = "Helena" > Saint Helena < / option >

  < option value = "Saint Kitts and Nevis" > Saint Kitts and Nevis < / option >

  < option value = "Saint Lucia" > Saint Lucia < / option >

  < option value = "Saint Martin" > Saint Martin < / option >

  < option value = "Miquelon" > Saint Pierre and Miquelon < / option >

  < option value = 'Saint - Vincent and the Grenadines' > Saint - Vincent and the Grenadines < / option >

  < option value = 'Samoa' > Samoa < / option >

  < option value = "San Marino" > San Marino < / option >

  < option value = "Sao Tome and principle" > Sao Tomé and Príncipe < / option >

  < option value = "Saudi Arabia" > Saudi Arabia < / option >

  < option value = 'Sénégal' > Senegal < / option >

  < option value = "Serbia" > Serbia < / option >

  < option value = "Seychelles" > Seychelles < / option >

  < option value = "Sierra Leone" > Sierra Leone < / option >

  < option value = "Singapore" > Singapore < / option >

  < option value = "Slovakia" > Slovakia < / option >

  < option value = "Slovenia" > Slovenia < / option >

  < option value = 'Solomon Islands' > Solomon Islands < / option >

  < option value = "Somalia" > Somalia < / option >

  < option value = "Somaliland" > Somaliland < / option >

  < option value = "South Africa" > South Africa < / option >

  < option value = "South Ossetia" > South Ossetia < / option >

  < option value = "South Sudan" > South Sudan < / option >

  < option value = "Spain" > Spain < / option >

  < option value = "Sri Lanka" > Sri Lanka < / option >

  < option value = "Sudan" > Sudan < / option >

  < option value = "Suriname" > Suriname < / option >

  < option value = "Svalbard" > Svalbard < / option >

  < option value = 'Swaziland' > Swaziland < / option >

  < option value = "Sweden" > Sweden < / option >

  < option value = "Switzerland" > Switzerland < / option >

  < option value = "Syria" > Syria < / option >

  < option value = "Taiwan" > Taiwan < / option >

  < option value = 'Tajikistan' > Tajikistan < / option >

  < option value = 'Tanzania' > Tanzania < / option >

  < option value = "Thailand" > Thailand < / option >

  < option value = "Timor-Leste" > Timor-Leste < / option >

  < option value = 'Togo' > Togo < / option >

  < option value = 'Tokelau' > Tokelau < / option >

  < option value = 'Tonga' > Tonga < / option >

  < option value = "Transnistria Pridnestrovie" > Transnistria Pridnestrovie < / option >

  < option value = "Trinidad and Tobago" > Trinidad and Tobago < / option >

  < option value = "Tristan da Cunha" > Tristan da Cunha < / option >

  < option value = "Tunisia" > Tunisia < / option >

  < option value = "Turkey" > Turkey < / option >

  < option value = 'Turkmenistan' > Turkmenistan < / option >

  < option value = "Turks and Caicos Islands" > Turks and Caicos < / option >

  < option value = "Tuvalu" > Tuvalu < / option >

  < option value = 'Uganda' > Uganda < / option >

  < option value = "Ukraine" > Ukraine < / option >

  < option value = "United Arab Emirates" > UAE < / option >

  < option value = "United Kingdom" > United Kingdom < / option >

  < option value = "Uruguay" > Uruguay < / option >

  < option value = "Uzbekistan" > Uzbekistan < / option >

  < option value = 'Vanuatu' > Vanuatu < / option >

  Vatican < option value = "Vatican City" > < / option >

  < option value = "Venezuela" > Venezuela < / option >

  < option value = "Viet Nam" > Viet Nam < / option >

  < option value = "British Virgin Islands" > British Virgin Islands < / option >

  < option value = "Isle of Man" > Isle of Man < / option >

  < option value = "of the United States Virgin Islands" > US Virgin Islands < / option >

  < option value = "Wallis and Futuna" > Wallis and Futuna < / option >

  < option value = "Sahara" Western > Western Sahara < / option >

  < option value = "Yémen" > Yemen < / option >

  < option value = "Zambia" > Zambia < / option >

  < option value = "Zimbabwe" > Zimbabwe < / option >

  < option value = "other" > other < / option >

  < / select >

  < class label = 'form-sup-label' ID = 'input_25_country' = "sublabel_25_country" style = "" min-height: 13px; "> country < / label >"

  </span >

  < table >

  < /tr >

  < /table >

  < / div >

  < /li >

  < class li = data type 'form-line jf-required"="control_phone"id ="id_22">

  < class label = 'forms-labels form-label-top form-label-auto' id = 'label_22' for = "input_22" >

  Phone number

  < span class = "form-required" >

  *

  </span >

  < / label >

  < div id = "cid_22" class = "form-entry-wide jf-required" >

  < span class = 'form-sup-tag-container' style = "vertical-align: top" >

  "< Input class =" validate form textbox [mandatory] "type ="such"name =" q22_phoneNumber22 [field] "id ="input_22_area"size ="3">

  < span class = "phone-separated" >

  -

  </span >

  < class label = 'form-sup-label' ID = 'input_22_area' = "sublabel_area" style = "" min-height: 13px; "> IR < / label >"

  </span >

  < span class = 'form-sup-tag-container' style = "vertical-align: top" >

  "< Input class =" validate form textbox [mandatory] "type ="such"name =" q22_phoneNumber22 [phone] "id ="input_22_phone"size ="8">

  < class label = 'form-sup-label' ID = 'input_22_phone' = "sublabel_phone" style = "" min-height: 13px; "> phone number < / label >"

  </span >

  < / div >

  < /li >

  < class li = data type 'form-line jf-required"="control_email"id ="id_16">

  < class label = 'forms-labels form-label-top form-label-auto' id = "label_16" for = "input_16" >

  Your E-mail address

  < span class = "form-required" >

  *

  </span >

  < / label >

  < div id = "cid_16" class = "form-entry-wide jf-required" >

  "" < input type = "email" class = "validate form textbox [required, Email]" id = "input_16" name = "q16_yourEmail16" size = "32" value = "" / > "

  < / div >

  < /li >

  < class li = data type 'form-line jf-required"="control_radio"id ="id_23">

  < class label = 'forms-labels form-label-top form-label-auto' id = 'label_23' for = "input_23" >

  Contact:

  < span class = "form-required" >

  *

  </span >

  < / label >

  < div id = "cid_23" class = "form-entry-wide jf-required" >

  < div class = "form-single-column" >

  < span class = 'form-radio-element' style = "clear: left; ' >

  < span class = "item-loving" >

  </span >

  < input type = "radio" class = "validate form-radio [mandatory]" id = "input_23_0" name = "q23_preferredContact" value = "Email" / > "

  < label id = "label_input_23_0" for = "input_23_0" > E-mail < / label >

  </span >

  < span class = 'form-radio-element' style = "clear: left; ' >

  < span class = "item-loving" >

  </span >

  < input type = "radio" class = "validate form-radio [mandatory]" id = "input_23_1" name = "q23_preferredContact" value = "Phone" / > "

  < label id = "label_input_23_1" for = "input_23_1" > phone < / label >

  </span >

  < / div >

  < / div >

  < /li >

  < class li = data type 'form-line jf-required"="control_checkbox"id ="id_26">

  < class label = 'forms-labels form-label-top form-label-auto' id = 'label_26' for = "input_26" >

  I am interested in

  < span class = "form-required" >

  *

  </span >

  < / label >

  < div id = "cid_26" class = "form-entry-wide jf-required" >

  < div class = "form-single-column" >

  < span class = 'form-box-article' style = "clear: left; ' >

  < span class = "item-loving" >

  </span >

  < input type = "checkbox" class = "form-checkbox validate [mandatory]" id = "input_26_0" name = value "[to] q26_iAm" = "Membership" / > "

  < label id = "label_input_26_0" for = "input_26_0" > support < / label >

  </span >

  < span class = 'form-box-article' style = "clear: left; ' >

  < span class = "item-loving" >

  </span >

  < input type = "checkbox" class = "form-checkbox validate [mandatory]" id = "input_26_1" name = value "[to] q26_iAm" = "Donate" / > "

  < label id = "label_input_26_1" for = "input_26_1" > donate < / label >

  </span >

  < span class = 'form-box-article' style = "clear: left; ' >

  < span class = "item-loving" >

  </span >

  "< input type ="checkbox"class =" form-checkbox validate [mandatory] "id ="input_26_2"name = value"[to] q26_iAm"=" volunteering for Monday Bingo "/ >

  < label id = "label_input_26_2" for = "input_26_2" > volunteer for Monday Bingo < / label >

  </span >

  < span class = 'form-box-article' style = "clear: left; ' >

  < span class = "item-loving" >

  </span >

  "< input type ="checkbox"class =" form-checkbox validate [mandatory] "id ="input_26_3"name = value"[to] q26_iAm"=" volunteering for Wednesday Bingo "/ >

  < label id = "label_input_26_3" for = "input_26_3" > volunteer for Wednesday Bingo < / label >

  </span >

  < span class = 'form-box-article' style = "clear: left; ' >

  < span class = "item-loving" >

  </span >

  < input type = "checkbox" class = "form-checkbox validate [mandatory]" id = "input_26_4" name = value "[to] q26_iAm" = "Volunteering for special events" / > "

  < label id = "label_input_26_4" for = "input_26_4" > volunteering for special events < / label >

  </span >

  < / div >

  < / div >

  < /li >

  < class li = data type 'form-line jf-required"="control_textarea"id ="id_17">

  < class label = 'forms-labels form-label-top form-label-auto' id = 'label_17' for = "input_17" >

  Your Message

  < span class = "form-required" >

  *

  </span >

  < / label >

  < div id = "cid_17" class = "form-entry-wide jf-required" >

  < textarea id = "input_17" class = "textarea form validate [mandatory]" name = "q17_yourMessage17" cols = "25" lines = "3" > < / textarea > "

  < / div >

  < /li >

  < class li = data type 'form-line' = "control_button" id = "id_14" >

  < div id = "cid_14" class = "entry-form large" >

  < div style = "" text-align: center "class = 'form-buttons-wrapper' >"

  < id button = "input_14" type = 'submit' class = "form-submit-button form-submit-button-light_rounded" >

  Send

  < / button >

  < id button = "input_reset_14" type = "reset" class = "form-submit-reset form-submit-button-light_rounded" >

  Clear form

  < / button >

  < / div >

  < / div >

  < /li >

  < style li = "display: none" >

  Must be empty:

  < input type = "text" name = "website" value = "" / > "

  < /li >

  < /ul >

  < / div >

  < script >

  JotForm.showJotFormPowered = true;

  < /script >

  < input type = "hidden" id = "simple_spc" name = "simple_spc" value = "61996126060154" / >

  < script type = "text/javascript" >

  document.getElementById("si"_+_"mple"_+_"_spc").value = "61996126060154-61996126060154";

  < /script >

  < / make >

  < script type = "text/javascript" > JotForm.ownerView = true; < /script >

  < class li = "dropdown" > < a href = "#" class = "menu drop-down-turn" data-toggle = "" >

  < /a > < /li > < /ul > < /li > < /ul > < / div >

  <!-/ .navbar-collapse->

  <!-/ .container-fluid->

  < br / >

  <! - content at the top of the page - >

  < div class = "top content" >

  < div class = "inner-bg" >

  < div class = "container < div class ="row">"

  < div class = "form-box" >

  < div class = "top-form" >

  < div class = "left-top-form" >

  < h3 > < strong > < p align = "center" > CONTACT US < /p > < / strong > < / h3 >

  < p > fill the form below to send us a message: < /p >

  < / div >

  < div class = "form-top-right" >

  < i class = "fa fa-envelope" > < / i >

  < / div >

  < / div >

  < div class = "contact form-down form" >

  < role form = 'form' action = "file:///Macintosh HD/Users/carolynjosephs/Desktop/bootstrap-contact-forms/form-1/assets/contact.php" method = "post" >

  < div class = "form-group" >

  < class label = 'sr only' for 'email-contact' = > name < / label >

  < input type = "text" name = 'name' = 'Name'... placeholder ' class = "orders form contact name" id = "contact name" >

  < / div >

  < div class = "form-group" >

  < class label = 'sr only' for 'contact-Home address' = > home address < / label >

  < input type = "text" name = "home" = "Home address" placeholder "class ="address of contact-home-control form"id ="email-contact">

  < / div >

  < div class = "form-group" >

  < class label = "sr only" for = "contact-Phone #" > phone # < / label >

  < input type = "text" name = "phone" placeholder = "# phone...» ' class = ' orders form contact-Phone # "id ="contact-phone">

  < / div >

  < div class = "form-group" >

  < class label = 'sr only' for 'email' = > Email < / label >

  < input type = "text" name = "email" placeholder = "email..." "class ="orders on email form"id ="email">

  < / div >

  < div class = "form-group" >

  < class label = "sr only" for = "preferred method of Contact:" > preferred method of Contact: < / label >

  < input type = "text" name = "' preferred method of Contact:" placeholder = "preferred method of Contact:... "class =" ' preferred method of Contact: orders form "id =" preferred method of Contact: ">"

  < p >

  < label >

  < input type = "radio" name = value "Interests" = "radio" id = "Interests_0" >

  E-mail < / label >

  < br >

  < label >

  < input type = "radio" name = value "Interests" = "radio" id = "Interests_1" >

  Phone < / label >

  < br >

  < div class = "form-group" >

  < class label = "sr only" for = "I am interested:" > I am interested in: < / label >

  < input type = "text" name = "" I am interested: "placeholder =" I am interested in:... "class =" "I am interested in: orders form" id = "I am interested:" > "

  < p >

  < label >

  < input type = "radio" name = value "Interests" = "radio" id = "radio" >

  Member < / label >

  < br >

  < label >

  < input type = "radio" name = value "Interests" = "radio" id = "radio_0" >

  Volunteer for Monday morning Bingo < / label >

  < br >

  < label >

  < input type = "radio" name = value "Interests" = "radio" id = "radio_1" >

  Wednesday night Bingo volunteer < / label >

  < br >

  < label >

  < input type = "radio" name = value "Interests" = "radio" id = "radio_2" >

  Volunteer for special events < / label >

  < br >

  < label >

  < input type is "radio" name is "Fundraising" value = "radio" id = "Fundraising_0" >

  Fundraising < / label >

  < br >

  < /p >

  < / div >

  < div class = "form-group" >

  < class label = 'sr only' for 'contact-topic' = > topic < / label >

  < input type = "text" name = "subject" placeholder = "Topic"... "class ="orders on contact-subject form"id ="contact-subject">

  < / div >

  < div class = "form-group" >

  < class label = 'sr only' for 'contact-message' = > Message < / label >

  < name textarea = placeholder "message" = "Message."... "class ="contact-message form controls"id ="contact-message"> < / textarea >

  < / div >

  < button type = 'submit' class = 'btn' > Send message < / button >

  < /p > < / div > < / form > < br / >

  < h4 > < p align = "center" > Temple Israel of Merrick South < br / >

  2655 clubhouse Road < br / >

  Merrick, NY 11566 < br / >

  (516) 378-1963 < br / >

  < a href = "mailto [e-mail removed by Mod] " < /a > < br / >

  " < a href =" http://www.TISOM.org "> www.tisom.org < /a > < /p > < / h4 > .

  < / div >

  < / div >

  < / div >

  < / div >

  <! - Javascript - >

  < script src = "file:///Macintosh HD/Users/carolynjosephs/Desktop/bootstrap-contact-forms/form-1/assets/js/jquery-1.11.1.mi n.js" > < / script >

  < script src = "file:///Macintosh rap.min.js HD/users/carolynjosephs/Desktop/bootstrap-contact-forms/form-1/assets/bootstrap/js/bootst" > < / script >

  < script src = "file:///Macintosh HD/Users/carolynjosephs/Desktop/bootstrap-contact-forms/form-1/assets/js/jquery.backstret ch.min.js" > < / script >

  < script src = "file:///Macintosh HD/Users/carolynjosephs/Desktop/bootstrap-contact-forms/form-1/assets/js/retina-1.1.0.min .js" > < / script >

  < script src = "file:///Macintosh HD/Users/carolynjosephs/Desktop/bootstrap-contact-forms/form-1/assets/js/scripts.js" > < /sc ript >

  <!-[if lt IE 10] >

  "< script src="assets/js/placeholder.js "> < / script >

  <! [endif]-->

  < / div > < / body >

  < / html >

  <! - jQuery (necessary to Bootstrap JavaScript plugins) - >

  Moderator Note: this is the second time that I had to remove and address email of your message please take a look at your personal information and Email signatures

  Take a look at this excellent tutorial Alt-Web Design & Publishing: Contact form sensitive with 3.2 Bootstrap and PHP (part 1)

• PHP contact form does not work

  I created my page using godaddy but my php contact form does not work. When sending a message, he won't have to the sent Message (su message to ha enviado) page, but it is not actually send any mails. The accounts are set up, but it does not work. The web page is cuysrus.com, the contact form is on the contact page.

  This is the code I used for the php class linked to the html file:

  <? PHP

  $to = " [email protected] "; "

  $subject = 'new message ';

  $nombre = $_POST ['number'];

  $apellido = $_POST ['apellido'];

  $message = $_POST ['message'];

  $headers = "from: ". " [email protected] \n";

  $headers. = "X-Mailer: PHP /'." phpversion();

  $headers. = "MIME-Version: 1.0\r\n";

  $headers. = "content-Type: text/html;" charset = iso-8859-1\n ";

  $retval = mail ($to $subject, $message, $headers);

  If ($retval == true) {}

  echo "message Su will ha enviado.

  } else {}

  echo "Vuelva a intentarlo.

  }

  ? >

  Well sorry that I forgot to ask about the action of form... you will need to rework this if you do not have to use the form of godaddy.

  a few things... first of all, you have the transformation code in the page, if you want that your action forms literally go anywhere.  ' change action = "? »

  Second, you'll need a 'trigger' in the form must be added a hidden as field

  Thirdly, finally, you have this block of code that I rewrote the process, if there is a request for 'process' then here is the code:

  <>

  form of process

  If (@$_REQUEST ['process']) {}

  $headers = "from: [email protected] \n";

  $to = "[email protected]";

  $subject = 'new message ';

  $body = "number:". "" $_REQUEST ['number']. »

  Apellido: ".." $_REQUEST ['apellido']. »

  Message: ".." $_REQUEST ['message']. »

  ";

  $retval = mail ($to $subject, $body, $headers);

  If ($retval == true) {}

  echo "message Su will ha enviado.

  } else {}

  echo "Vuelva a intentarlo.

  }

  }

  ?>

• You can use outlook with contact form email address?

  My site will be held in Amazon Web Services.

  My domain is registered at rebel.com but here no e-mail accounts.

  I want to use my outlook.com as my email in the contact form.

  However, I got a warning when I exported the HTML code on the hosts refusing to send emails to the email addresses on different hosts.

  Also a PHP form script Javascript warning is missing from the web server, or the PHP is not properly configured on your web hosting provider.

  Can someone tell me where to start? What I can, or should I even use an Outlook e-mail address?

  Thank you

  You can use absolutely any e-mail service, including Outlook.com. But only if she allows the hosting provider. If your webhost does not allow this, you must change your hosting provider. It is not a question of Muse, that is the question for your hosting provider.

• Answering machine in off-contact form

  Dear community of Muse!

  I'm looking for over an hour, but did not find an answer to my question, sorry if already posted the same question.

  I wanted to ask if it is possible to create an autoresponder for the contact form standard muse. Or the second question, if mail could not send "site" but the email address that is entered in the "e-mail" box. Then I would create an autoresponder on the backend of my host.

  The plan must be:

  -L' user fills in the form with his electronic mail address

  -the site will send with completed but to a specified e-mail address an e-mail to the e-mail address of the user

  -the answering machine will send a response to the e-mail address of the user.

  I really hope that there is possibility :-)

  Or is there an "expert" who offers my points?

  Thank you for your help

  Best and easiest way to do this is to use a Jotfirm ifrsme: JotForm · Manufacturer of simplest form, which is free until the presentation to send 100 per month.

• How to put a contact form in a lightbox slideshow widget...

  I would like to put a contact form in a lightbox (slideshow) widget. Is this possible?

  I also want to add text to the place where in the thumbnail image that must be clicked to reveal the lightbox with the contact in her form. Is this possible?

  If possible, how?

  noelb8402969 wrote:

  I would like to put a contact form in a lightbox (slideshow) widget. Is this possible?

  None

  noelb8402969 wrote:

  I also want to add text to the place where in the thumbnail image that must be clicked to reveal the lightbox with the contact in her form. Is this possible?

  You can have the text but not for this widget

  noelb8402969 wrote:

  How can I do?

  use the widget to display lightbox... Place the shape inside the target (in blue in this example page) = Homepage