Posted By

WillItWork on 12/07/09


Tagged

form


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UMD t4 Contact Form


 / Published in: HTML
 

Still needs a lot of work, I have the basic stuff down, but the other option needs to be fleshed out, it needs CSS, and there's prolly more relevant blanks to maybe fill.

Some minimal JS to allow selection or hiding of sections may be apropos as well.

  1. <form action="https://cms.umassd.edu/terminalfour/eForms" method="post" accept-charset="utf-8" enctype="multipart/form-data">
  2. <input type="hidden" name="sid" value="2824" />
  3. <input type="hidden" name="t4_content_element_Name" value="UMD Contact Form" />
  4. <input type="hidden" name="tid" value="76" />
  5. <input type="hidden" name="redirect" value="/form/complete/" />
  6. <input type="hidden" name="channel" value="3" />
  7. <input type="hidden" name="status" value="0" />
  8. <input type="hidden" name="el-name-prefix" value="t4_content_element_" />
  9. <input type="hidden" name="remove-non-alphanumeric" value="true" />
  10. <input type="hidden" name="t4_mailing_list" value="38,36" />
  11. <fieldset id="" class="">
  12. <legend>UMass Dartmouth Contact Form</legend>
  13. <div>
  14. <label for="t4_content_element_FirstName">First Name</label><input type="text" name="t4_content_element_FirstName" value="" id="t4_content_element_FirstName" />
  15. <label for="t4_content_element_MiddleName">Middle Name</label><input type="text" name="t4_content_element_MiddleName" value="" id="t4_content_element_MiddleName" size="5" />
  16. <label for="t4_content_element_LastName">Last Name</label><input type="text" name="t4_content_element_LastName" value="" id="t4_content_element_LastName" />
  17. </div>
  18. <div>
  19. <label for="t4_content_element_Phonenumber">Phone Number</label><input type="text" name="t4_content_element_Phonenumber" value="" id="t4_content_element_Phonenumber">
  20. <label for="t4_content_element_FaxNumber">Fax Number</label><input type="text" name="t4_content_element_FaxNumber" value="" id="t4_content_element_FaxNumber">
  21. </div>
  22.  
  23.  
  24. <div>
  25. <label for="affiliation">Affiliation with UMD</label><select name="t4_content_element_Affiliation" id="affiliation" onchange="" size="1">
  26. <option value="48">Undergraduate Student</option>
  27. <option value="49">Graduate Student</option>
  28. <option value="50">Faculty</option>
  29. <option value="51">Staff</option>
  30. <option value="52">Parent</option>
  31. <option value="53">Vendor</option>
  32. <option value="54">Not Affiliated</option>
  33. </select>
  34.  
  35. </div>
  36. <div>
  37. <label for="">Cause for submission</label><select name="t4_content_element_" id="some_name" multiple onchange="" size="1">
  38. <option value="option1">option1</option>
  39. <option value="option2">option2</option>
  40.  
  41. </select>
  42. </div>
  43. <label for="Message">Message</label><textarea name="Message" rows="8" cols="40"></textarea>
  44.  
  45. <button><input type="submit" value="reset" id="" />Reset</button>
  46. <button><input type="submit" value="Continue" />Submit and continue</button>
  47. </form>

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