mehyar500

<form action="http://example.com/subscribe" method="POST" accept-charset="utf-8">
    <input class="form-control input-lg" type="text" name="name" required id="name" placeholder="Name"/>
    <br/>
    <input class="form-control input-lg" type="email" name="email" required id="email" placeholder="Email" pattern="[a-zA-Z0-9._\-]+@[a-zA-Z0-9.\-]+\.[a-zA-Z]{2,4}"/>
    <br/>
    <input class="form-control input-lg" type="tel" name="MobilePhone" required id="MobilePhone" placeholder="Phone"/>
</p>
<p>
    <input class="form-control input-lg" type="text" name="WorkshopDate" id="WorkshopDate" placeholder="Click Here To Select a Sunday. (Date Format : Date/Month/Year)" required readonly="true"/>
    <br/>