Contact Form
i created following contact form in adobe dreamweaver , trying figure out how make work. not know php , thought of using 1 of website jotform.com, learn php (on list of things learn). in meantime hoping 1 of helpful dreamweaver buddies me. below code.
thank in advance.
carolyn
<!doctype html>
<html lang="en">
<head>
<meta charset="utf-8">
<meta http-equiv="x-ua-compatible" content="ie=edge">
<meta name="viewport" content="width=device-width, initial-scale=1">
<title>temple israel of south merrick</title>
<!-- bootstrap -->
<link href="css/bootstrap.css" rel="stylesheet">
<!-- html5 shim , respond.js ie8 support of html5 elements , media queries -->
<!-- warning: respond.js doesn't work if view page via file:// -->
<!--[if lt ie 9]>
<script src="https://oss.maxcdn.com/html5shiv/3.7.2/html5shiv.min.js"></script>
<script src="https://oss.maxcdn.com/respond/1.4.2/respond.min.js"></script>
<![endif]-->
</head>
<body>
<div class="container-fluid"></div>
<!-- brand , toggle grouped better mobile display -->
<!-- brand , toggle grouped better mobile display -->
<div class="container-fluid">
<ul class="nav navbar-nav">
<li class="dropdown"><a href="#" class="dropdown-toggle" data-toggle="dropdown" role="button" aria-expanded="false">home<span class="caret"></span></a>
<ul class="dropdown-menu" role="menu">
<li><a href="#">history of temple israel</a></li>
</ul>
</li>
<li class="dropdown"><a href="#" class="dropdown-toggle" data-toggle="dropdown" role="button" aria-expanded="false">about us<span class="caret"></span></a>
<ul class="dropdown-menu" role="menu">
<li><a href="#">the temple</a></li>
<li><a href="#">rabbi & staff</a></li>
<li><a href="#">hebrew school principal</a></li>
</ul>
</li>
<li class="dropdown"><a href="#" class="dropdown-toggle" data-toggle="dropdown" role="button" aria-expanded="false">membership<span class="caret"></span></a>
<ul class="dropdown-menu" role="menu">
<li><a href="#">membership @ tiosm</a></li>
<li><a href="#">executive board</a></li>
</ul>
</li>
<li class="dropdown"><a href="#" class="dropdown-toggle" data-toggle="dropdown" role="button" aria-expanded="false">community<span class="caret"></span></a>
<ul class="dropdown-menu" role="menu">
<li><a href="#">sisterhood</a></li>
<li><a href="#">men's club</a></li>
<li><a href="#">tikkun olam</a></li>
</ul>
</li>
<li class="dropdown"><a href="#" class="dropdown-toggle" data-toggle="dropdown" role="button" aria-expanded="false">education<span class="caret"></span></a>
<ul class="dropdown-menu" role="menu">
<li><a href="#">sunday school</a></li>
<li><a href="#">hebrew school</a></li>
<li><a href="#">bar/bat mitzvah</a></li>
<li><a href="#">adult education</a></li>
</ul>
</li>
<li class="dropdown"><a href="#" class="dropdown-toggle" data-toggle="dropdown" role="button" aria-expanded="false">holidays & festivals<span class="caret"></span></a>
<ul class="dropdown-menu" role="menu">
<li><a href="#">daily minyan</a></li>
<li><a href="#">shabbat</a></li>
<li><a href="#">high holidays</a></li>
<li><a href="#">sukkot</a></li>
<li><a href="#">simchat torah</a></li>
<li><a href="#">chanukkah</a></li>
<li><a href="#">purim</a></li>
<li><a href="#">passover</a></li>
</ul>
</li>
<li class="dropdown"><a href="#" class="dropdown-toggle" data-toggle="dropdown" role="button" aria-expanded="false">fundraising<span class="caret"></span></a>
<ul class="dropdown-menu" role="menu">
<li><a href="#">fundraisers temple israel of south merrick</a></li>
</ul>
</li>
<li class="dropdown"><a href="#" class="dropdown-toggle" data-toggle="dropdown" role="button" aria-expanded="false">upcoming events<span class="caret"></span></a>
<ul class="dropdown-menu" role="menu">
<li><a href="#">upcoming events temple israel of south merrick</a></li>
<li><a href="#"></a></li>
<li><a href="#"></a></li>
<li><a href="#"></a></li>
</ul>
</li>
<li class="dropdown"><a href="#" class="dropdown-toggle" data-toggle="dropdown" role="button" aria-expanded="false">calendar<span class="caret"></span></a>
<ul class="dropdown-menu" role="menu">
<iframe src="https://calendar.google.com/calendar/embed?src=2040oqg3rl1llujf6aaurm68uk%40group.calendar .google.com&ctz=america/new_york" style="border: 0" width="800" height="600" frameborder="0" scrolling="no"></iframe>
</ul>
</li>
<li class="dropdown"><a href="#" class="dropdown-toggle" data-toggle="dropdown" role="button" aria-expanded="false">photo gallery<span class="caret"></span></a>
<ul class="dropdown-menu" role="menu">
<li><a href="#">temple israel of south merrick 50th anniversary celebration</a></li>
<li><a href="#">mel polay 2016 purim carnival</a></li>
<li><a href="#">temple israel of south merrick 2016 moving day</a></li>
</ul>
</li>
<li class="dropdown">
<li class="dropdown"><a href="#" class="dropdown-toggle" data-toggle="dropdown" role="button" aria-expanded="false">contact us<span class="caret"></span></a></li>
<ul class="dropdown-menu" role="menu">
<script src="https://cdn.jotfor.ms/static/prototype.forms.js" type="text/javascript"></script>
<script src="https://cdn.jotfor.ms/static/jotform.forms.js?3.3.14191" type="text/javascript"></script>
<script src="js/jquery-1.11.2.min.js" type="text/javascript"></script>
<script src="js/bootstrap.js" type="text/javascript"></script>
<script type="text/javascript">
jotform.init(function(){
settimeout(function() {
$('input_16').hint('ex: myname@example.com');
}, 20);
jotform.clearfieldonhide="disable";
jotform.onsubmissionerror="jumptofirsterror";
});
</script>
<link href="https://cdn.jotfor.ms/static/formcss.css?3.3.14191" rel="stylesheet" type="text/css" />
<link type="text/css" rel="stylesheet" href="https://cdn.jotfor.ms/css/styles/nova.css?3.3.14191" />
<link type="text/css" media="print" rel="stylesheet" href="https://cdn.jotfor.ms/css/printform.css?3.3.14191" />
<style type="text/css">
.form-label-left{
width:150px !important;
}
.form-line{
padding-top:12px;
padding-bottom:12px;
}
.form-label-right{
width:150px !important;
}
.form-all{
width:590px;
color:#555 !important;
font-family:"lucida grande", "lucida sans unicode", "lucida sans", verdana, sans-serif;
font-size:14px;
}
.form-radio-item label, .form-checkbox-item label, .form-grading-label, .form-header{
color: #555;
}
</style>
<link type="text/css" rel="stylesheet" href="https://cdn.jotfor.ms/css/styles/buttons/form-submit-button-light_rounded.css?3.3.14191"/>
<form class="jotform-form" action="https://submit.jotform.us/submit/61996126060154/" method="post" name="form_61996126060154" id="61996126060154" accept-charset="utf-8">
<input type="hidden" name="formid" value="61996126060154" />
<div class="form-all">
<ul class="form-section page-section">
<li id="cid_24" class="form-input-wide" data-type="control_head">
<div class="form-header-group">
<div class="header-text httal htvam">
<h2 id="header_24" class="form-header">
contact form
</h2>
</div>
</div>
</li>
<li class="form-line jf-required" data-type="control_fullname" id="id_15">
<label class="form-label form-label-top form-label-auto" id="label_15" for="input_15">
name
<span class="form-required">
*
</span>
</label>
<div id="cid_15" class="form-input-wide jf-required">
<span class="form-sub-label-container" style="vertical-align: top">
<input class="form-textbox validate[required]" type="text" size="10" name="q15_yourname[first]" id="first_15" />
<label class="form-sub-label" for="first_15" id="sublabel_first" style="min-height: 13px;"> first name </label>
</span>
<span class="form-sub-label-container" style="vertical-align: top">
<input class="form-textbox validate[required]" type="text" size="15" name="q15_yourname[last]" id="last_15" />
<label class="form-sub-label" for="last_15" id="sublabel_last" style="min-height: 13px;"> last name </label>
</span>
</div>
</li>
<li class="form-line jf-required" data-type="control_address" id="id_25">
<label class="form-label form-label-top form-label-auto" id="label_25" for="input_25">
address
<span class="form-required">
*
</span>
</label>
<div id="cid_25" class="form-input-wide jf-required">
<table summary="" undefined class="form-address-table" border="0" cellpadding="0" cellspacing="0">
<tr>
<td colspan="2">
<span class="form-sub-label-container" style="vertical-align: top">
<input class="form-textbox validate[required] form-address-line" type="text" name="q25_address[addr_line1]" id="input_25_addr_line1" />
<label class="form-sub-label" for="input_25_addr_line1" id="sublabel_25_addr_line1" style="min-height: 13px;"> street address </label>
</span>
</td>
</tr>
<tr>
<td colspan="2">
<span class="form-sub-label-container" style="vertical-align: top">
<input class="form-textbox form-address-line" type="text" name="q25_address[addr_line2]" id="input_25_addr_line2" size="46" />
<label class="form-sub-label" for="input_25_addr_line2" id="sublabel_25_addr_line2" style="min-height: 13px;"> street address line 2 </label>
</span>
</td>
</tr>
<tr>
<td width="50%">
<span class="form-sub-label-container" style="vertical-align: top">
<input class="form-textbox validate[required] form-address-city" type="text" name="q25_address[city]" id="input_25_city" size="21" />
<label class="form-sub-label" for="input_25_city" id="sublabel_25_city" style="min-height: 13px;"> city </label>
</span>
</td>
<td>
<span class="form-sub-label-container" style="vertical-align: top">
<input class="form-textbox validate[required] form-address-state" type="text" name="q25_address[state]" id="input_25_state" size="22" />
<label class="form-sub-label" for="input_25_state" id="sublabel_25_state" style="min-height: 13px;"> state / province </label>
</span>
</td>
</tr>
<tr>
<td width="50%">
<span class="form-sub-label-container" style="vertical-align: top">
<input class="form-textbox validate[required] form-address-postal" type="text" name="q25_address[postal]" id="input_25_postal" size="10" />
<label class="form-sub-label" for="input_25_postal" id="sublabel_25_postal" style="min-height: 13px;"> postal / zip code </label>
</span>
</td>
<td>
<span class="form-sub-label-container" style="vertical-align: top">
<select class="form-dropdown validate[required] form-address-country" defaultcountry="" name="q25_address[country]" id="input_25_country">
<option value="" selected> please select </option>
<option value="united states"> united states </option>
<option value="afghanistan"> afghanistan </option>
<option value="albania"> albania </option>
<option value="algeria"> algeria </option>
<option value="american samoa"> american samoa </option>
<option value="andorra"> andorra </option>
<option value="angola"> angola </option>
<option value="anguilla"> anguilla </option>
<option value="antigua , barbuda"> antigua , barbuda </option>
<option value="argentina"> argentina </option>
<option value="armenia"> armenia </option>
<option value="aruba"> aruba </option>
<option value="australia"> australia </option>
<option value="austria"> austria </option>
<option value="azerbaijan"> azerbaijan </option>
<option value="the bahamas"> bahamas </option>
<option value="bahrain"> bahrain </option>
<option value="bangladesh"> bangladesh </option>
<option value="barbados"> barbados </option>
<option value="belarus"> belarus </option>
<option value="belgium"> belgium </option>
<option value="belize"> belize </option>
<option value="benin"> benin </option>
<option value="bermuda"> bermuda </option>
<option value="bhutan"> bhutan </option>
<option value="bolivia"> bolivia </option>
<option value="bosnia , herzegovina"> bosnia , herzegovina </option>
<option value="botswana"> botswana </option>
<option value="brazil"> brazil </option>
<option value="brunei"> brunei </option>
<option value="bulgaria"> bulgaria </option>
<option value="burkina faso"> burkina faso </option>
<option value="burundi"> burundi </option>
<option value="cambodia"> cambodia </option>
<option value="cameroon"> cameroon </option>
<option value="canada"> canada </option>
<option value="cape verde"> cape verde </option>
<option value="cayman islands"> cayman islands </option>
<option value="central african republic"> central african republic </option>
<option value="chad"> chad </option>
<option value="chile"> chile </option>
<option value="people's republic of china"> people's republic of china </option>
<option value="republic of china"> republic of china </option>
<option value="christmas island"> christmas island </option>
<option value="cocos (keeling) islands"> cocos (keeling) islands </option>
<option value="colombia"> colombia </option>
<option value="comoros"> comoros </option>
<option value="congo"> congo </option>
<option value="cook islands"> cook islands </option>
<option value="costa rica"> costa rica </option>
<option value="cote d'ivoire"> cote d'ivoire </option>
<option value="croatia"> croatia </option>
<option value="cuba"> cuba </option>
<option value="cyprus"> cyprus </option>
<option value="czech republic"> czech republic </option>
<option value="democratic republic of congo"> democratic republic of congo </option>
<option value="denmark"> denmark </option>
<option value="djibouti"> djibouti </option>
<option value="dominica"> dominica </option>
<option value="dominican republic"> dominican republic </option>
<option value="ecuador"> ecuador </option>
<option value="egypt"> egypt </option>
<option value="el salvador"> el salvador </option>
<option value="equatorial guinea"> equatorial guinea </option>
<option value="eritrea"> eritrea </option>
<option value="estonia"> estonia </option>
<option value="ethiopia"> ethiopia </option>
<option value="falkland islands"> falkland islands </option>
<option value="faroe islands"> faroe islands </option>
<option value="fiji"> fiji </option>
<option value="finland"> finland </option>
<option value="france"> france </option>
<option value="french polynesia"> french polynesia </option>
<option value="gabon"> gabon </option>
<option value="the gambia"> gambia </option>
<option value="georgia"> georgia </option>
<option value="germany"> germany </option>
<option value="ghana"> ghana </option>
<option value="gibraltar"> gibraltar </option>
<option value="greece"> greece </option>
<option value="greenland"> greenland </option>
<option value="grenada"> grenada </option>
<option value="guadeloupe"> guadeloupe </option>
<option value="guam"> guam </option>
<option value="guatemala"> guatemala </option>
<option value="guernsey"> guernsey </option>
<option value="guinea"> guinea </option>
<option value="guinea-bissau"> guinea-bissau </option>
<option value="guyana"> guyana </option>
<option value="haiti"> haiti </option>
<option value="honduras"> honduras </option>
<option value="hong kong"> hong kong </option>
<option value="hungary"> hungary </option>
<option value="iceland"> iceland </option>
<option value="india"> india </option>
<option value="indonesia"> indonesia </option>
<option value="iran"> iran </option>
<option value="iraq"> iraq </option>
<option value="ireland"> ireland </option>
<option value="israel"> israel </option>
<option value="italy"> italy </option>
<option value="jamaica"> jamaica </option>
<option value="japan"> japan </option>
<option value="jersey"> jersey </option>
<option value="jordan"> jordan </option>
<option value="kazakhstan"> kazakhstan </option>
<option value="kenya"> kenya </option>
<option value="kiribati"> kiribati </option>
<option value="north korea"> north korea </option>
<option value="south korea"> south korea </option>
<option value="kosovo"> kosovo </option>
<option value="kuwait"> kuwait </option>
<option value="kyrgyzstan"> kyrgyzstan </option>
<option value="laos"> laos </option>
<option value="latvia"> latvia </option>
<option value="lebanon"> lebanon </option>
<option value="lesotho"> lesotho </option>
<option value="liberia"> liberia </option>
<option value="libya"> libya </option>
<option value="liechtenstein"> liechtenstein </option>
<option value="lithuania"> lithuania </option>
<option value="luxembourg"> luxembourg </option>
<option value="macau"> macau </option>
<option value="macedonia"> macedonia </option>
<option value="madagascar"> madagascar </option>
<option value="malawi"> malawi </option>
<option value="malaysia"> malaysia </option>
<option value="maldives"> maldives </option>
<option value="mali"> mali </option>
<option value="malta"> malta </option>
<option value="marshall islands"> marshall islands </option>
<option value="martinique"> martinique </option>
<option value="mauritania"> mauritania </option>
<option value="mauritius"> mauritius </option>
<option value="mayotte"> mayotte </option>
<option value="mexico"> mexico </option>
<option value="micronesia"> micronesia </option>
<option value="moldova"> moldova </option>
<option value="monaco"> monaco </option>
<option value="mongolia"> mongolia </option>
<option value="montenegro"> montenegro </option>
<option value="montserrat"> montserrat </option>
<option value="morocco"> morocco </option>
<option value="mozambique"> mozambique </option>
<option value="myanmar"> myanmar </option>
<option value="nagorno-karabakh"> nagorno-karabakh </option>
<option value="namibia"> namibia </option>
<option value="nauru"> nauru </option>
<option value="nepal"> nepal </option>
<option value="netherlands"> netherlands </option>
<option value="netherlands antilles"> netherlands antilles </option>
<option value="new caledonia"> new caledonia </option>
<option value="new zealand"> new zealand </option>
<option value="nicaragua"> nicaragua </option>
<option value="niger"> niger </option>
<option value="nigeria"> nigeria </option>
<option value="niue"> niue </option>
<option value="norfolk island"> norfolk island </option>
<option value="turkish republic of northern cyprus"> turkish republic of northern cyprus </option>
<option value="northern mariana"> northern mariana </option>
<option value="norway"> norway </option>
<option value="oman"> oman </option>
<option value="pakistan"> pakistan </option>
<option value="palau"> palau </option>
<option value="palestine"> palestine </option>
<option value="panama"> panama </option>
<option value="papua new guinea"> papua new guinea </option>
<option value="paraguay"> paraguay </option>
<option value="peru"> peru </option>
<option value="philippines"> philippines </option>
<option value="pitcairn islands"> pitcairn islands </option>
<option value="poland"> poland </option>
<option value="portugal"> portugal </option>
<option value="puerto rico"> puerto rico </option>
<option value="qatar"> qatar </option>
<option value="republic of congo"> republic of congo </option>
<option value="romania"> romania </option>
<option value="russia"> russia </option>
<option value="rwanda"> rwanda </option>
<option value="saint barthelemy"> saint barthelemy </option>
<option value="saint helena"> saint helena </option>
<option value="saint kitts , nevis"> saint kitts , nevis </option>
<option value="saint lucia"> saint lucia </option>
<option value="saint martin"> saint martin </option>
<option value="saint pierre , miquelon"> saint pierre , miquelon </option>
<option value="saint vincent , grenadines"> saint vincent , grenadines </option>
<option value="samoa"> samoa </option>
<option value="san marino"> san marino </option>
<option value="sao tome , principe"> sao tome , principe </option>
<option value="saudi arabia"> saudi arabia </option>
<option value="senegal"> senegal </option>
<option value="serbia"> serbia </option>
<option value="seychelles"> seychelles </option>
<option value="sierra leone"> sierra leone </option>
<option value="singapore"> singapore </option>
<option value="slovakia"> slovakia </option>
<option value="slovenia"> slovenia </option>
<option value="solomon islands"> solomon islands </option>
<option value="somalia"> somalia </option>
<option value="somaliland"> somaliland </option>
<option value="south africa"> south africa </option>
<option value="south ossetia"> south ossetia </option>
<option value="south sudan"> south sudan </option>
<option value="spain"> spain </option>
<option value="sri lanka"> sri lanka </option>
<option value="sudan"> sudan </option>
<option value="suriname"> suriname </option>
<option value="svalbard"> svalbard </option>
<option value="swaziland"> swaziland </option>
<option value="sweden"> sweden </option>
<option value="switzerland"> switzerland </option>
<option value="syria"> syria </option>
<option value="taiwan"> taiwan </option>
<option value="tajikistan"> tajikistan </option>
<option value="tanzania"> tanzania </option>
<option value="thailand"> thailand </option>
<option value="timor-leste"> timor-leste </option>
<option value="togo"> togo </option>
<option value="tokelau"> tokelau </option>
<option value="tonga"> tonga </option>
<option value="transnistria pridnestrovie"> transnistria pridnestrovie </option>
<option value="trinidad , tobago"> trinidad , tobago </option>
<option value="tristan da cunha"> tristan da cunha </option>
<option value="tunisia"> tunisia </option>
<option value="turkey"> turkey </option>
<option value="turkmenistan"> turkmenistan </option>
<option value="turks , caicos islands"> turks , caicos islands </option>
<option value="tuvalu"> tuvalu </option>
<option value="uganda"> uganda </option>
<option value="ukraine"> ukraine </option>
<option value="united arab emirates"> united arab emirates </option>
<option value="united kingdom"> united kingdom </option>
<option value="uruguay"> uruguay </option>
<option value="uzbekistan"> uzbekistan </option>
<option value="vanuatu"> vanuatu </option>
<option value="vatican city"> vatican city </option>
<option value="venezuela"> venezuela </option>
<option value="vietnam"> vietnam </option>
<option value="british virgin islands"> british virgin islands </option>
<option value="isle of man"> isle of man </option>
<option value="us virgin islands"> virgin islands </option>
<option value="wallis , futuna"> wallis , futuna </option>
<option value="western sahara"> western sahara </option>
<option value="yemen"> yemen </option>
<option value="zambia"> zambia </option>
<option value="zimbabwe"> zimbabwe </option>
<option value="other"> other </option>
</select>
<label class="form-sub-label" for="input_25_country" id="sublabel_25_country" style="min-height: 13px;"> country </label>
</span>
</td>
</tr>
</table>
</div>
</li>
<li class="form-line jf-required" data-type="control_phone" id="id_22">
<label class="form-label form-label-top form-label-auto" id="label_22" for="input_22">
phone number
<span class="form-required">
*
</span>
</label>
<div id="cid_22" class="form-input-wide jf-required">
<span class="form-sub-label-container" style="vertical-align: top">
<input class="form-textbox validate[required]" type="tel" name="q22_phonenumber22[area]" id="input_22_area" size="3">
<span class="phone-separate">
-
</span>
<label class="form-sub-label" for="input_22_area" id="sublabel_area" style="min-height: 13px;"> area code </label>
</span>
<span class="form-sub-label-container" style="vertical-align: top">
<input class="form-textbox validate[required]" type="tel" name="q22_phonenumber22[phone]" id="input_22_phone" size="8">
<label class="form-sub-label" for="input_22_phone" id="sublabel_phone" style="min-height: 13px;"> phone number </label>
</span>
</div>
</li>
<li class="form-line jf-required" data-type="control_email" id="id_16">
<label class="form-label form-label-top form-label-auto" id="label_16" for="input_16">
e-mail address
<span class="form-required">
*
</span>
</label>
<div id="cid_16" class="form-input-wide jf-required">
<input type="email" class=" form-textbox validate[required, email]" id="input_16" name="q16_youremail16" size="32" value="" />
</div>
</li>
<li class="form-line jf-required" data-type="control_radio" id="id_23">
<label class="form-label form-label-top form-label-auto" id="label_23" for="input_23">
preferred contact:
<span class="form-required">
*
</span>
</label>
<div id="cid_23" class="form-input-wide jf-required">
<div class="form-single-column">
<span class="form-radio-item" style="clear:left;">
<span class="dragger-item">
</span>
<input type="radio" class="form-radio validate[required]" id="input_23_0" name="q23_preferredcontact" value="e-mail" />
<label id="label_input_23_0" for="input_23_0"> e-mail </label>
</span>
<span class="form-radio-item" style="clear:left;">
<span class="dragger-item">
</span>
<input type="radio" class="form-radio validate[required]" id="input_23_1" name="q23_preferredcontact" value="phone" />
<label id="label_input_23_1" for="input_23_1"> phone </label>
</span>
</div>
</div>
</li>
<li class="form-line jf-required" data-type="control_checkbox" id="id_26">
<label class="form-label form-label-top form-label-auto" id="label_26" for="input_26">
interested in
<span class="form-required">
*
</span>
</label>
<div id="cid_26" class="form-input-wide jf-required">
<div class="form-single-column">
<span class="form-checkbox-item" style="clear:left;">
<span class="dragger-item">
</span>
<input type="checkbox" class="form-checkbox validate[required]" id="input_26_0" name="q26_iam[]" value="membership" />
<label id="label_input_26_0" for="input_26_0"> membership </label>
</span>
<span class="form-checkbox-item" style="clear:left;">
<span class="dragger-item">
</span>
<input type="checkbox" class="form-checkbox validate[required]" id="input_26_1" name="q26_iam[]" value="making donation" />
<label id="label_input_26_1" for="input_26_1"> making donation </label>
</span>
<span class="form-checkbox-item" style="clear:left;">
<span class="dragger-item">
</span>
<input type="checkbox" class="form-checkbox validate[required]" id="input_26_2" name="q26_iam[]" value="volunteering monday bingo" />
<label id="label_input_26_2" for="input_26_2"> volunteering monday bingo </label>
</span>
<span class="form-checkbox-item" style="clear:left;">
<span class="dragger-item">
</span>
<input type="checkbox" class="form-checkbox validate[required]" id="input_26_3" name="q26_iam[]" value="volunteering wednesday bingo" />
<label id="label_input_26_3" for="input_26_3"> volunteering wednesday bingo </label>
</span>
<span class="form-checkbox-item" style="clear:left;">
<span class="dragger-item">
</span>
<input type="checkbox" class="form-checkbox validate[required]" id="input_26_4" name="q26_iam[]" value="volunteering special events" />
<label id="label_input_26_4" for="input_26_4"> volunteering special events </label>
</span>
</div>
</div>
</li>
<li class="form-line jf-required" data-type="control_textarea" id="id_17">
<label class="form-label form-label-top form-label-auto" id="label_17" for="input_17">
message
<span class="form-required">
*
</span>
</label>
<div id="cid_17" class="form-input-wide jf-required">
<textarea id="input_17" class="form-textarea validate[required]" name="q17_yourmessage17" cols="25" rows="3"></textarea>
</div>
</li>
<li class="form-line" data-type="control_button" id="id_14">
<div id="cid_14" class="form-input-wide">
<div style="text-align:center" class="form-buttons-wrapper">
<button id="input_14" type="submit" class="form-submit-button form-submit-button-light_rounded">
submit
</button>
<button id="input_reset_14" type="reset" class="form-submit-reset form-submit-button-light_rounded">
clear form
</button>
</div>
</div>
</li>
<li style="display:none">
should empty:
<input type="text" name="website" value="" />
</li>
</ul>
</div>
<script>
jotform.showjotformpowered = true;
</script>
<input type="hidden" id="simple_spc" name="simple_spc" value="61996126060154" />
<script type="text/javascript">
document.getelementbyid("si" + "mple" + "_spc").value = "61996126060154-61996126060154";
</script>
</form>
<script type="text/javascript">jotform.ownerview=true;</script>
<li class="dropdown"><a href="#" class="dropdown-toggle" data-toggle="">
</a></li></ul></li></ul></div>
<!-- /.navbar-collapse -->
<!-- /.container-fluid -->
<br />
<!-- top content -->
<div class="top-content">
<div class="inner-bg">
<div class="container <div class="row">
<div class="form-box">
<div class="form-top">
<div class="form-top-left">
<h3><strong><p align="center">contact us</p></strong></h3>
<p>fill in form below send message:</p>
</div>
<div class="form-top-right">
<i class="fa fa-envelope"></i>
</div>
</div>
<div class="form-bottom contact-form">
<form role="form" action="file:///macintosh hd/users/carolynjosephs/desktop/bootstrap-contact-forms/form-1/assets/contact.php" method="post">
<div class="form-group">
<label class="sr-only" for="contact-email">name</label>
<input type="text" name="name" placeholder="name..." class="contact-name form-control" id="contact-name">
</div>
<div class="form-group">
<label class="sr-only" for="contact-home address">home address</label>
<input type="text" name="home address" placeholder="home address..." class="contact-home address form-control" id="contact-email">
</div>
<div class="form-group">
<label class="sr-only" for="contact-phone #">phone #</label>
<input type="text" name="phone #" placeholder="phone #..." class="contact-phone # form-control" id="contact-phone">
</div>
<div class="form-group">
<label class="sr-only" for="email">email</label>
<input type="text" name="email" placeholder="email..." class="email form-control" id="email">
</div>
<div class="form-group">
<label class="sr-only" for="preferred method of contact:">preferred method of contact:</label>
<input type="text" name="preferred method of contact:" placeholder="preferred method of contact:..." class="preferred method of contact: form-control" id="preferred method of contact:">
<p>
<label>
<input type="radio" name="interests" value="radio" id="interests_0">
email</label>
<br>
<label>
<input type="radio" name="interests" value="radio" id="interests_1">
phone</label>
<br>
<div class="form-group">
<label class="sr-only" for="i interested in:">i interested in:</label>
<input type="text" name="i interested in:" placeholder="i interested in:..." class="i interested in: form-control" id="i interested in:">
<p>
<label>
<input type="radio" name="interests" value="radio" id="radio">
membership</label>
<br>
<label>
<input type="radio" name="interests" value="radio" id="radio_0">
volunteering monday morning bingo</label>
<br>
<label>
<input type="radio" name="interests" value="radio" id="radio_1">
volunteering wednesday evening bingo</label>
<br>
<label>
<input type="radio" name="interests" value="radio" id="radio_2">
volunteering special events</label>
<br>
<label>
<input type="radio" name="fundraising" value="radio" id="fundraising_0">
fundraising</label>
<br>
</p>
</div>
<div class="form-group">
<label class="sr-only" for="contact-subject">subject</label>
<input type="text" name="subject" placeholder="subject..." class="contact-subject form-control" id="contact-subject">
</div>
<div class="form-group">
<label class="sr-only" for="contact-message">message</label>
<textarea name="message" placeholder="message..." class="contact-message form-control" id="contact-message"></textarea>
</div>
<button type="submit" class="btn">send message</button>
</p></div></form><br />
<h4><p align="center">temple israel of south merrick<br />
2655 clubhouse road<br />
merrick, ny 11566<br />
(516) 378-1963<br />
<a href="mailto[email address removed mod]</a><br />
<a href="http://www.tisom.org">www.tisom.org</a></p></h4>
</div>
</div>
</div>
</div>
<!-- javascript -->
<script src="file:///macintosh hd/users/carolynjosephs/desktop/bootstrap-contact-forms/form-1/assets/js/jquery-1.11.1.mi n.js"></script>
<script src="file:///macintosh hd/users/carolynjosephs/desktop/bootstrap-contact-forms/form-1/assets/bootstrap/js/bootst rap.min.js"></script>
<script src="file:///macintosh hd/users/carolynjosephs/desktop/bootstrap-contact-forms/form-1/assets/js/jquery.backstret ch.min.js"></script>
<script src="file:///macintosh hd/users/carolynjosephs/desktop/bootstrap-contact-forms/form-1/assets/js/retina-1.1.0.min .js"></script>
<script src="file:///macintosh hd/users/carolynjosephs/desktop/bootstrap-contact-forms/form-1/assets/js/scripts.js"></sc ript>
<!--[if lt ie 10]>
<script src="assets/js/placeholder.js"></script>
<![endif]-->
</div></body>
</html>
<!-- jquery (necessary bootstrap's javascript plugins) -->
moderator note: second time have had remove , email address post please have @ email signatures , personal information
have @ excellent tutorial alt-web design & publishing: responsive contact form bootstrap 3.2 , php (part 1)
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