47 lines
2.0 KiB
HTML
47 lines
2.0 KiB
HTML
<html>
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<head>
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<title>Meet with Vicky Rampin</title>
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<meta content="">
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<link rel="stylesheet" href=".bootstrap/bootstrap.min.css">
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</head>
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<body>
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<div class="container px-5 my-5">
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<form id="contactForm">
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<div class="mb-3">
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<label class="form-label" for="name">Full name</label>
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<input class="form-control" id="name" name="name" type="text" placeholder="Full name" />
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</div>
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<div class="mb-3">
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<label class="form-label" for="email">Email address</label>
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<input class="form-control" id="email" name="email" type="email" placeholder="Email address" />
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</div>
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<div class="mb-3">
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<label class="form-label" for="topic">What would you like to discuss?</label>
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<textarea class="form-control" id="topic" name="topic" placeholder="What would you like to discuss?" style="height: 10rem;"></textarea>
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</div>
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<div class="mb-3">
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<label class="form-label d-block">Which day and time works best for us to meet on Zoom?</label>
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<div class="form-check form-check-inline">
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<input class="form-check-input" id="optionA" type="radio" name="date" />
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<label class="form-check-label" for="optionA">option A</label>
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</div>
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<div class="form-check form-check-inline">
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<input class="form-check-input" id="optionB" type="radio" name="date" />
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<label class="form-check-label" for="optionB">option B</label>
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</div>
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<div class="form-check form-check-inline">
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<input class="form-check-input" id="optionC" type="radio" name="date" />
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<label class="form-check-label" for="optionC">option C</label>
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</div>
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</div>
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<div class="d-grid">
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<button class="btn btn-primary btn-lg disabled" id="submitButton" type="submit">Submit</button>
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</div>
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</form>
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</div>
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<script src=".bootstrap/bootstrap.bundle.min.js"></script>
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</body>
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</html>
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