myowin76
5/10/2013 - 11:53 PM

Contact form basic

Contact form basic

<form action="#" name="trustdeed" id="trustdeed">
  <div id="td_alertmessage"></div>
  <fieldset>
      <label for="td_name">Name*</label>
      <input type="text" name="name" id="td_name">
  </fieldset>
  <fieldset>
      <label for="td_email">Email*</label>
      <input type="email" name="email" id="td_email">
  </fieldset>
  <fieldset>
      <label for="td_phone">Phone Number*</label>
      <input type="tel" name="phone" id="td_phone">
  </fieldset>
  <fieldset>
      <label>&nbsp;</label>
      <img src="captcha.php" alt=""/>
  </fieldset>
  <fieldset>
      <label>&nbsp;</label>
      <input name="td_captcha" class="tdtextbox" type="text" id="td_captcha" maxlength="6">
  </fieldset>
  <fieldset>
      <input type="button" name="button" value="Submit">
  </fieldset>           
</form>