Team:GeorgiaTech/Contact
From 2011.igem.org
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<link href='http://fonts.googleapis.com/css?family=Josefin+Sans:400,700' rel='stylesheet' type='text/css'> | <link href='http://fonts.googleapis.com/css?family=Josefin+Sans:400,700' rel='stylesheet' type='text/css'> | ||
<head> | <head> | ||
- | <font size=" | + | </head> |
- | + | <form enctype="multipart/form-data" method="post" action="http://www.response-o-matic.com/mail.php" accept-charset="UTF-8"> | |
+ | <div> | ||
+ | <input type="hidden" name="acctid" id="acctid" value="rnnod0docj83bji3" /> | ||
+ | <input type="hidden" name="formid" id="formid" value="819611" /> | ||
+ | <input type="hidden" name="required_vars" id="required_vars" value="name,email,field-0c88c2b1da15928,field-d627c09924aa95b" /> | ||
+ | </div> | ||
+ | <table cellspacing="5" cellpadding="5" border="0"> | ||
+ | <tr> | ||
+ | <td valign="top"> | ||
+ | <strong>Name:</strong> | ||
+ | </td> | ||
+ | <td valign="top"> | ||
+ | <input type="text" name="name" id="name" size="40" value="" /> | ||
+ | |||
+ | </td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td valign="top"> | ||
+ | <strong>Email Address:</strong> | ||
+ | </td> | ||
+ | <td valign="top"> | ||
+ | <input type="text" name="email" id="email" size="40" value="" /> | ||
+ | |||
+ | </td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td valign="top"> | ||
+ | <strong>Your Website:</strong> | ||
+ | </td> | ||
+ | <td valign="top"> | ||
+ | <input type="text" name="field-cd1078bce9f71c2" id="field-cd1078bce9f71c2" size="40" value="" /> | ||
+ | |||
+ | </td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td valign="top"> | ||
+ | <strong>Please Select One:</strong> | ||
+ | </td> | ||
+ | <td valign="top"> | ||
+ | <select name="field-0c88c2b1da15928" id="field-0c88c2b1da15928"> | ||
+ | <option value="Student">Student</option> | ||
+ | <option value="Professor">Professor</option> | ||
+ | <option value="Company">Company</option> | ||
+ | <option value="Other">Other</option> | ||
+ | </select> | ||
+ | |||
+ | </td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td valign="top"> | ||
+ | <strong>Did you find this website helpful?</strong> | ||
+ | </td> | ||
+ | <td valign="top"> | ||
+ | <input type="checkbox" name="field-d627c09924aa95b[]" id="field-d627c09924aa95b_0" value="Yes" /> Yes<br/> | ||
+ | <input type="checkbox" name="field-d627c09924aa95b[]" id="field-d627c09924aa95b_1" value="No" /> No<br/> | ||
+ | |||
+ | </td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td valign="top"> | ||
+ | <strong>Please leave any comments or questions.</strong> | ||
+ | </td> | ||
+ | <td valign="top"> | ||
+ | <textarea name="field-5809a1c5b4c7e2c" id="field-5809a1c5b4c7e2c" rows="6" cols="40"></textarea> | ||
+ | |||
+ | </td> | ||
+ | </tr> | ||
+ | <tr> | ||
+ | <td colspan="2" align="center"> | ||
+ | <input type="submit" value=" Submit Form " /> | ||
+ | </td> | ||
+ | </tr> | ||
+ | </table> | ||
+ | </form> | ||
+ | <font size="2" face="Century Gothic"> | ||
+ | email: igem-2011@googlegroups.com | ||
+ | <br> | ||
+ | <br> | ||
<div id="fb-root"></div> | <div id="fb-root"></div> | ||
<script>(function(d, s, id) { | <script>(function(d, s, id) { |
Latest revision as of 03:50, 29 September 2011
email: igem-2011@googlegroups.com