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@scriptmediala

scriptmediala/Bing - Formspree | TY+Form

Created May 11, 2016 19:01
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  1. scriptmediala created this gist May 11, 2016.
    27 changes: 27 additions & 0 deletions Bing - Formspree | TY+Form
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    Original file line number Diff line number Diff line change
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    <h3>Quick Quote</h3>
    <p >We Will Call You Within 1 Business Day </p>
    <form action="https://formspree.io/[email protected]" id="ac-newsletterForm" method="POST">
    <input type="hidden" name="_next" value="http://www.therightchoicela.com/thank-you/1-2/" />
    <div class="form-group">
    <label for="name" >Name:</label>
    <input type="text" name="name">
    </div>
    <div class="form-group">
    <label for="_replyto">Email:</label>
    <input type="email" name="_replyto">
    </div>
    <div class="form-group">
    <label for="phone">Phone:</label>
    <input type="text" name="phone">
    </div>
    <select name="type">
    <option value="select" name="select">Select Type:</option>
    <option value="ac repair" name="ac repair">AC Repair</option>
    <option value="ac install" name="ac install">AC Install</option>
    <option value="ac service" name="ac service">AC Service</option>
    <option value="other" name="other">Other</option>
    </select><br><br>
    <input type="submit" value="Send">
    </form>