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<div class='thrifty-developer'> | |
<h1>Support Form</h1> | |
<form id="order-form"> | |
<div class="row"> | |
<div class="twelve columns"> | |
<label for="name">Name</label> | |
<input class="u-full-width" type="text" placeholder="John Doe" id="name" name="name"> | |
</div> | |
</div> | |
<div class="row"> | |
<div class="six columns"> | |
<label for="email">Email</label> | |
<input class="u-full-width" type="email" placeholder="test@mailbox.com" id="email" name="email"> | |
</div> | |
<div class="six columns"> | |
<label for="phone">Phone</label> | |
<input class="u-full-width" type="text" placeholder="321-123-1234" id="phone" name="phone" minlength="12" maxlength="12"> | |
</div> | |
</div> | |
<div class="row"> | |
<label for="expiration">Notes</label> | |
<textarea class="u-full-width" placeholder="" id="notes"name="notes"></textarea> | |
</div> | |
<?php wp_nonce_field( 'support_form', 'support-nonce' ); ?> | |
<input class="button-primary" type="submit" id="place-order" value="Submit"> | |
</form> | |
</div> |
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