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bjq-dev/ContactUs.html

Last active July 8, 2020 12:48
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Sample Contact Us HTML Form
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ContactUs.html
<!-- Original bootsnipp https://bootsnipp.com/snippets/83Br -->
<html>
<head>
<link href="http://netdna.bootstrapcdn.com/bootstrap/3.1.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css">
<script src="http://netdna.bootstrapcdn.com/bootstrap/3.1.0/js/bootstrap.min.js"></script>
<script src="http://code.jquery.com/jquery-1.11.1.min.js"></script>
<style>
body {padding-top:20px;}
</style>
</head>
<body>
<div class="container">
<div class="row">
<div class="col-md-6 col-md-offset-3">
<div class="well well-sm">
<!-- Replace value of action with the url of API that has been displayed in Kumologica Designer console -->
<form class="form-horizontal"
action="https://YOURAPIID.execute-api.YOURREGION.amazonaws.com/test/issue"
method="post">
<fieldset>
<legend class="text-center">Contact Us</legend>
<div class="form-group">
<label class="col-md-3 control-label" for="name">Summary</label>
<div class="col-md-9">
<input id="name" name="name" type="text" placeholder="Your name" class="form-control">
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label" for="email">Your E-mail</label>
<div class="col-md-9">
<input id="email" name="email" type="text" placeholder="Your email" class="form-control">
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label" for="issueType">Issue Type</label>
<div class="col-md-9">
<select class="form-control" id="issueType" name="issueType">
<option>Task</option>
<option>Ask a question</option>
<option>Submit a request or incident</option>
</select>
</div>
</div>
<div class="form-group">
<label class="col-md-3 control-label" for="message">Your message</label>
<div class="col-md-9">
<textarea class="form-control" id="message" name="message" placeholder="Please enter your message here..." rows="5"></textarea>
</div>
</div>
<div class="form-group">
<div class="col-md-12 text-right">
<button type="submit" class="btn btn-primary btn-lg">Submit</button>
</div>
</div>
</fieldset>
</form>
</div>
</div>
</div>
</div>
</body>
</html>
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