pages/content/contact/_index.html

88 lines
2.2 KiB
HTML

---
title: Contact Me
cardImage: venice-mailbox
motto: Contact Me
---
<form
class="form-horizontal"
action="https://usebasin.com/f/787df7bfd22e"
method="post"
>
<fieldset>
<legend>Contact Me</legend>
<input type="hidden" name="_gotcha" />
<div class="form-group">
<label for="name" class="col-lg-2 control-label">Name</label>
<div class="col-lg-10">
<input
type="text"
class="form-control"
id="name"
name="name"
placeholder="Jay Lush"
required
/>
</div>
</div>
<div class="form-group">
<label for="email" class="col-lg-2 control-label">Email</label>
<div class="col-lg-10">
<input
type="email"
class="form-control"
id="email"
name="email"
placeholder="jlush@iastate.edu"
required
/>
</div>
</div>
<div class="form-group">
<label for="phone" class="col-lg-2 control-label">Phone number</label>
<div class="col-lg-10">
<input
type="tel"
class="form-control"
id="phone"
name="phone"
placeholder="(515) 294-2160"
/>
</div>
</div>
<div class="form-group">
<label for="subject" class="col-lg-2 control-label">Subject</label>
<div class="col-lg-10">
<input
type="text"
class="form-control"
id="subject"
name="subject"
placeholder="Beef genetics"
required
/>
</div>
</div>
<div class="form-group">
<label for="message" class="col-lg-2 control-label">Message</label>
<div class="col-lg-10">
<textarea
rows="5"
class="form-control font-sans"
id="message"
name="body"
required
style="min-height: 72pt;"
></textarea>
</div>
</div>
<div class="form-group">
<div class="col-lg-10 col-lg-offset-2">
<button type="reset" class="btn btn-default">Cancel</button>
<button type="submit" class="btn btn-primary pageclip-form__submit">
<span>Submit</span>
</button>
</div>
</div>
</fieldset>
</form>