52 lines
No EOL
1.9 KiB
HTML
52 lines
No EOL
1.9 KiB
HTML
<!-- BEGIN contact.html -->
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<div id="contact">
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<form action="{{ site.baseurl }}/contact-success/" method="post" class="contact-form">
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<div>
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<input type="hidden" name="_to" value="{{ site.email }}" /><br />
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<input type="text" name="_gotcha" style="display: none;" />
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</div>
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<div>
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<label for="name">Namn:</label><br />
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<input type="text" name="name" id="name" placeholder="Ditt fullständiga namn" class="contact" />
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</div>
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<div>
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<label for="email">E-post:</label><br />
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<input type="email" name="email" id="email" placeholder="Din e-post adress" required class="contact" />
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</div>
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<div>
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<label for="persnr">Personnummer:</label><br />
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<input type="text" name="persnr" id="persnr" placeholder="Ditt Personnummer (Fördelsedatum räcker)" class="contact" />
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</div>
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<div>
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<label for="postnummer">Postnummer:</label><br />
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<input type="text" name="postnummer" id="postnummer" placeholder="Ditt postnummer" class="contact" />
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</div>
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<div>
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<label for="message">Dikt:</label><br />
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<textarea name="message" id="message" placeholder="Skriv en dikt" required
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class="contact textspace" rows="4"></textarea>
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</div>
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<div>
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<input type="checkbox" name="consent" id="consent" required class="css-checkbox lrg klaus" /><label for="consent"
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class="css-label lrg klaus">Jag godkänner denna
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{% if page.url == '/privacy-policy/' %} sekretesspolicy.
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{% else %} <a href="{{ site.baseurl }}/privacy-policy/">sekretesspolicy</a>
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{% endif %}</label>
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</div>
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<div>
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<input type="checkbox" name="news" id="news" class="css-checkbox lrg klaus" /><label for="news"
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class="css-label lrg klaus">Skicka mig gärna nyheter!</label>
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</div>
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<div>
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<input type="submit" value="Send Message" />
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</div>
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</form>
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</div>
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<!-- END contact.html --> |