ppeasy/public/include/contactformoption.php

59 lines
5.2 KiB
PHP

<div class="form-row">
<div class="col-md-4 mb-3">
<label for="companyname"><?php echo $companynametitle; ?></label>
<input type="text" class="form-control" id="companyname" name="companyname" placeholder="<?php echo $companynametitle; ?>" required>
</div>
<div class="col-md-5 mb-3">
<label for="companyaddress"><?php echo $companyaddresstitle; ?></label>
<input type="text" class="form-control" id="companyaddress" name="companyaddress" placeholder="<?php echo $companyaddresstitle; ?>" required="">
</div>
<div class="col-md-3 mb-3">
<label for="piva"><?php echo $pivatitle; ?></label>
<div class="input-group">
<input type="text" class="form-control is-invalid" id="piva" name="piva" placeholder="<?php echo $pivatitle; ?>" aria-describedby="inputGroupPrepend3" required="">
</div>
</div>
</div>
<div class="form-row">
<div class="col-md-5 mb-3">
<label for="city"><?php echo $citytitle; ?></label>
<input type="text" class="form-control" id="city" name="city" placeholder="<?php echo $citytitle; ?>" required="">
</div>
<div class="col-md-4 mb-3">
<label for="country"><?php echo $countrytitle; ?></label>
<input type="text" class="form-control" id="country" name="country" placeholder="<?php echo $countrytitle; ?>" required="">
</div>
<div class="col-md-3 mb-3">
<label for="cap"><?php echo $captitle; ?></label>
<div class="input-group">
<input type="text" class="form-control" id="cap" name="cap" placeholder="<?php echo $captitle; ?>" aria-describedby="inputGroupPrepend3" required="">
</div>
</div>
</div>
<div class="form-row">
<div class="col-md-3 mb-3">
<label for="telephone"><?php echo $telephonetitle; ?></label>
<input type="text" class="form-control" id="telephone" name="telephone" placeholder="<?php echo $telephonetitle; ?>" required="">
</div>
<div class="col-md-3 mb-3">
<label for=e"mail"><?php echo $emailtitle; ?></label>
<input type="text" class="form-control" id="email" name="email" placeholder="<?php echo $emailtitle; ?>" required="">
</div>
<div class="col-md-3 mb-3">
<label for="contactname"><?php echo $contactnametitle; ?></label>
<div class="input-group">
<input type="text" class="form-control" id="contactname" name="contactname" placeholder="<?php echo $contactnametitle; ?>" aria-describedby="inputGroupPrepend3" required="">
</div>
</div>
<div class="col-md-3 mb-3">
<label for="contactsurname"><?php echo $contactsurnametitle; ?></label>
<div class="input-group">
<input type="text" class="form-control" id="contactsurname" name="contactsurname" placeholder="<?php echo $contactsurnametitle; ?>" aria-describedby="inputGroupPrepend3" required="">
</div>
</div>
<input type="hidden" id="kindofcontacts" name="kindofcontacts" value="<?php echo $kindofcontacts; ?>">
<input type="hidden" id="tempcode" name="tempcode" value="<?php echo $tempcode; ?>">
<input type="hidden" id="formname" name="formname" value="contact">
</div>