45 lines
1.8 KiB
PHP
45 lines
1.8 KiB
PHP
<?php include_once 'header.php'; ?>
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<div class="row">
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<div id="content" class="col-xs-12 col-sm-8">
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<h1>Contáctenos</h1>
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<form id="contactform" action="contact.php" method="post" class="form-horizontal">
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<fieldset disabled="disabled">
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<div class="form-group">
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<label class="control-label col-sm-2" for="nombre">Nombre:</label>
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<div class="col-sm-8">
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<input type="text" class="form-control" name="nombre" id="nombre" placeholder="Juan Perez" required>
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</div>
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</div>
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<div class="form-group">
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<label class="control-label col-sm-2" for="email">Email:</label>
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<div class="col-sm-8">
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<input type="email" class="form-control" name="email" id="email" placeholder="mail@example.com" required>
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</div>
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</div>
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<div class="form-group">
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<label class="control-label col-sm-2">Mensaje:</label>
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<div class="col-sm-8">
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<textarea class="form-control" rows="5" name="mensage"
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id="mensaje" placeholder="Los contacto por...." required></textarea>
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</div>
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</div>
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<div class="form-group">
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<div class="g-recaptcha col-sm-8 col-sm-offset-2" data-callback="onReturnCallback"data-sitekey="6LeLxy4UAAAAALcrNXxcOiW1B3QgcfgZ6u4l52kZ"></div>
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</div>
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<div class="form-group">
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<div class="col-sm-offset-2 col-sm-8">
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<button type="submit" class="btn btn-lg btn-primary">Enviar</button>
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</div>
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</div>
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</fieldset>
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</form>
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<br/>
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<div id="statusmsg" class="alert alert-success">
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<strong>Success!</strong> Indicates a successful or positive action.
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</div>
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</div>
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<?php include_once 'sidebar.php'; ?>
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<?php include_once 'footer.php'; ?>
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