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User: awaldron (1020)
PHP: 8.1.34
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File: /home/awaldron/_domains/thecasinocrusher.com/application/views/contact.php
<div id="page-body">
    <div class="container">
        <div class="row">
            <div class="col-xs-12">
                <h2 class="lead-in">Interested in learning Craps or Blackjack from the Casino Crusher? Or would you like us to roll the dice for you? Contact us using our contact form below.</h2>
                <div class="title-underline"></div>
                <br/>&nbsp;
            </div>
        </div>
        <div class="row">
            <div class="col-sm-6 col-sm-offset-3">
                <?php if ($formsubmitted && $formsent): ?>
                    <div class="alert alert-success">
                        <p><b>Your form was submitted successfully. You will be hearing from us shortly.</b>
                        <br/>Thank you for contacting the Casino Crusher.</p>
                    </div>
                <?php endif; ?>
                <?php if ($formsubmitted && !$formsent): ?>
                    <div class="alert alert-danger">
                        <p><b>There was a problem submitting your message.</b>
                            <br/>Please retry your submission.</p>
                    </div>
                <?php endif; ?>
                <form action="/contact" method="post">
                    <div class="form-group">
                        <label>Your Name:</label>
                        <input name="name" type="input" class="form-control" placeholder="John Doe" required />
                    </div>
                    <div class="form-group">
                        <label>Your Email:</label>
                        <input name="email" type="email" class="form-control" placeholder="jdoe@example.com" required />
                    </div>
                    <div class="form-group">
                        <label>Your Phone:</label>
                        <input name="phone" type="phone" class="form-control" placeholder="412-555-1234" />
                    </div>
                    <div class="form-group">
                        <label>Message:</label>
                        <textarea name="message" class="form-control" style="width:100%;height:120px;"></textarea>
                    </div>
                    <div class="form-group comments">
                        <label>Comments:</label>
                        <textarea name="comments" class="form-control" style="width:100%;height:120px;"></textarea>
                    </div>
                    <div class="form-group">
                        <input type="submit" class="btn btn-primary" value="Submit Form"> <input type="reset" class="btn btn-link" value="Cancel">
                    </div>
                </form>
            </div>
        </div>
    </div>

</div>

<style type="text/css">
    .rc-anchor-normal-footer {
        display: none !important;
    }
    .form-group.comments {
	    display: none;
    }
</style>