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Dodi Agustin Refansius Pakpahan
PA1-1617-D3TI08
Commits
4f247a70
Commit
4f247a70
authored
May 21, 2017
by
Eirene Hutasoit
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tampilan untuk menyampaikan keluhan
parent
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4f247a70
<!DOCTYPE html>
<html>
<head>
<meta
charset=
"utf-8"
>
<meta
name=
"viewport"
content=
"width=device-width, initial-scale=1"
>
<title>
Picture Life
</title>
<link
rel=
"shortcut icon"
href=
"images/inst.png"
>
<link
href=
"css/bootstrap.min.css"
rel=
"stylesheet"
>
<link
href=
"css/animate.css"
rel=
"stylesheet"
>
<link
href=
"css/myStyle.css"
rel=
"stylesheet"
>
<link
rel=
"stylesheet"
type=
"text/css"
href=
"css/font-awesome.min.css"
>
<script
src=
"js/jquery-3.1.1.min.js"
></script>
<script
src=
"js/bootstrap.min.js"
></script>
</head>
<body
background=
"images/eirene.jpg"
>
<?php
include_once
(
'header.php'
);
?>
<br><br><br>
<div
class =
"container"
>
<div
class=
"row"
>
<div
class=
"col-md-8"
>
<h3>
Send us a Message
</h3>
<form
name=
"sentMessage"
method=
"POST"
id=
"contactForm"
action=
"keluhan.php"
>
<div
class=
"control-group form-group"
>
</div>
<div
class=
"control-group form-group"
>
<div
class=
"controls"
>
<label>
Nama Pengunjung:
</label>
<input
type=
"text"
class=
"form-control"
name=
"namapengunjung"
placeholder=
"Masukkan Nama Anda"
id=
"phone"
required
>
</div>
</div>
<div
class=
"control-group form-group"
>
<div
class=
"controls"
>
<label>
Email Pengunjung:
</label>
<input
type=
"email"
class=
"form-control"
name=
"emailpengunjung"
placeholder=
"Masukkan Email Anda"
id=
"email"
required
>
</div>
</div>
<div
class=
"control-group form-group"
>
<div
class=
"controls"
>
<label>
Isi Keluhan:
</label>
<textarea
rows=
"10"
cols=
"100"
name=
"isikeluhan"
placeholder=
"Masukkan Keluhan"
class=
"form-control"
id=
"message"
maxlength=
"999"
style=
"resize:none"
required
></textarea>
</div>
</div>
<input
type=
"submit"
name=
"submit"
class=
"btn btn-info"
value=
"Send Message"
>
</form>
</div>
<div
class=
"col-md-3"
style=
"margin-top:85px; float:right; border:solid 1px;"
>
<div
class=
"kontak"
>
<p>
Contact Person
</p>
<p><i
class=
"fa fa-phone"
></i>
082166171273
</p>
<p><i
class=
"fa fa-envelope"
></i>
pusatseminaribukitgibeon@yahoo.com
</p>
</div>
</div>
</div>
</div>
<footer
class=
"footer"
style=
"margin-top:30px"
>
<div
class=
"icon"
>
<a
href=
"https://facebook.com"
target=
"_blank"
><i
class=
"fa fa-facebook"
style=
"font-size: 20px;"
></i></a>
<a
href=
"https://instagram.com"
target=
"_blank"
><i
class=
"fa fa-instagram"
style=
"font-size: 20px;"
></i></a>
<a
href=
"https://twitter.com"
target=
"_blank"
><i
class=
"fa fa-twitter"
style=
"font-size: 20px;"
></i></a>
<a
href=
"https://gmail.com"
target=
"_blank"
><i
class=
"fa fa-google-plus"
style=
"font-size: 20px;"
></i></a>
</div>
<p>
BUKIT GIBEON
</p>
<p>
Sekolah Misi Interdenominasi Gereja
</p>
<hr><hr>
<p>
Copyright
&
copy All Right Reserved - Kelompok PA1-1617-D3TI08 - 2016
</p>
</footer>
</body>
</html>
\ No newline at end of file
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