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Diffstat (limited to 'src/templates/pages/contact.html.ftl')
| -rw-r--r-- | src/templates/pages/contact.html.ftl | 37 |
1 files changed, 37 insertions, 0 deletions
diff --git a/src/templates/pages/contact.html.ftl b/src/templates/pages/contact.html.ftl index e69de29..40499cc 100644 --- a/src/templates/pages/contact.html.ftl +++ b/src/templates/pages/contact.html.ftl @@ -0,0 +1,37 @@ +<#include "/macros/common.ftl"> +<#include "/macros/common-page.ftl"> + +<@commonpage> + <@noticebox> + </@noticebox> + + <@textcontent> + <h1>Contact Us</h1> + + <p> + If you have any questions about GROW, please complete the following + form, and we will be in touch soon, or call us at 253-848-9111. + </p> + + <form action="${dynamicRoot}/contactus" method="post"> + <p><label for="firstnameField">First Name:</label> <input id="firstnameField" type="text" name="firstname" /></p> + <p><label for="lastnameField">Last Name:</label> <input id="lastnameField" type="text" name="lastname" /></p> + <p><label for="emailField">Email:</label> <input id="emailField" type="text" name="email" /></p> + <p><label for="phoneField">Phone:</label> <input id="phoneField" type="text" name="phone" /></p> + <p> + Foursquare Member: + <label><input type="radio" name="member" value="yes" id="memberYes"> Yes</label> + <label><input type="radio" name="member" value="no" id="memberNo"> No</label> + </p> + <p> + Question:<br /> + <textarea name="question" rows="10" cols="80"></textarea> + </p> + <p><input type="submit" value="Send" /></p> + </form> + + </@textcontent> + +</@commonpage> + + |